0001013762-13-000015 Sample Contracts

CONVERTIBLE PROMISSORY NOTE
Convertible Promissory Note • January 3rd, 2013 • Originoil Inc • Industrial organic chemicals • Nevada

FOR VALUE RECEIVED, OriginOil, Inc., a Nevada corporation, (the “Borrower”) with approximately 17,300,000 common shares issued and outstanding, promises to pay to ______________, a ________________, or its assignees (the “Lender”) the Principal Sum along with the Interest and any other fees according to the terms herein (the “Note”). The Note shall become effective on ____________ (the “Effective Date”).

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