The sole consideration for the execution and delivery of the promissory note described in paragraph .......... of the complaint was plaintiff's promise to lend defendant $1,000; plaintiff failed to lend the sum to defendant.
Fl. R. Civ. P. form 1.968
NOTE: This form is for failure to complete the loan evidenced by a promissory note. The contract, consideration, and default of the plaintiff must be varied to meet the facts of each case.