A sample promissory note is a binding legal document stating that the borrower acknowledges owing the debt and will pay the lender or holder within a specific amount of time or on demand.

The sample promissory note form below is a legal IOU document detailing the terms of an agreement and promise to pay a sum of money.

The note contains all the important information needed to convey the agreement between two parties for repayment of a loan or another form of debt.

It is a type of professionally drafted legal document that states one party acknowledgment about owing the debt and will pay the other party within a specific amount of time.

Make sure you comply with the State laws regarding promissory notes. Some states require it to be notarized, others require one or more witnesses and some do not require witnessing or notarization.

The Promissory Note Template below allows all 3 options.

The promissory note you'll find below can be used as a sample for you to write one that fits your personal needs. Just COPY and PASTE to your word processor. NO NEED TO DOWNLOAD.


DATE, ________________, 20_____                     Principal amount: $____________________

FOR VALUE RECEIVED, I__________________________________the undersigned promises to pay___________________________________(the Lender) the sum of $_____________ in consecutive, monthly payments of $___________ commencing on this date of ____/____/________ and thereafter on the same day of each and every subsequent month until fully paid.

In the event the borrower defaults in any payment beyond ______ days from the agreed date of payment, a late penalty charge of __________________ dollars per (month/day) will be assessed until the account is brought current inclusive of the interest, late charges, and applicable fees.

Payments will be applied first to interest and then to principal.

The Borrower must inform the Lender of any change in name or address.

This note may be prepaid by the Borrower at any time in whole or in part without premium or penalty.

Borrower agrees to pay all cost of collection, legal expenses and solicitor fees, incurred or paid by the Lender in the collection and/or enforcement of this Note.


Borrower’s Signature

Address: ______________________________________________________

Driver's Licence Number: ______________________________

Social Security Number: ______________________________

Witness’ Name  ________________________________

Witness’ Signature ________________________________


IN WITNESS WHEREOF, I set my hand under seal this ____th day of ______________, 20___ and I acknowledge receipt of a completed copy of this instrument.


Notary Public - SEAL 

My Commission Expires ____/____/________ 

The law will vary depending on your state, jurisdiction and the specifics of your case. The information provided by this website  is intended for educational purposes only. All the content on this website should NOT be considered professional advice or a substitute for professional advice. For such services, we recommend getting a free initial consultation by a licensed counselor in your state.

To Top of This Page

Power of Attorney Form Sample

Revocation of POA Form Sample

Return from Free Sample Promissory Note to the HOME page.

DISCLAIMER: All the content information listed on is intended as an educational tool only. The laws in the United States differ from State to State, City, County, and local Jurisdiction. In order to get legal assistance and information on the specifics of your legal case, consult an experienced licensed attorney-at-law or law firm in your region that can represent you in a court of law if that proves to be necessary. does not provide legal representation, professional law/legal advice and/or attorney referrals.

Sample Promissory Note
Copyright © 2021 - Sample Promissory Note - All Rights Reserved.

Recent Articles

  1. Affordable Attorneys and Law Firms

    Dec 08, 23 03:38 AM

    U.S. Affordable Attorneys and Law Firms, Legal Wide Directory, Affordable Attorney's list, Free Legal Aid and Pro Bono Services. Forms & Letters Samples

    Read More

  2. Santa Maria Immigration Lawyers

    Aug 15, 23 12:28 AM

    Find Santa Maria Immigration Lawyers near you. Green Card & Visa Applications, Citizenship & Naturalization, Asylum and Refugee, Deportation, Waivers & Appeals

    Read More

  3. Free Personal Injury Lawyers Wyoming Listing Near Me

    Jul 25, 23 06:53 PM

    Get affordable legal assistance now! Find Free Personal Injury Lawyers Wyoming near your community.

    Read More