Exhibit 4.2

     THIS DEBENTURE HAS NOT BEEN REGISTERED UNDER THE SECURITIES ACT OF 1933
         OR ANY APPLICABLE STATE SECURITIES LAWS, AND MAY NOT BE OFFERED
         FOR SALE, SOLD, TRANSFERRED, PLEDGED OR HYPOTHECATED WITHOUT AN
          EFFECTIVE REGISTRATION STATEMENT UNDER THE SECURITIES ACT AND
          UNDER ANY APPLICABLE STATE SECURITIES LAWS, OR AN OPINION OF
             COUNSEL, SATISFACTORY TO THE COMPANY, THAT AN EXEMPTION
                      FROM SUCH REGISTRATION IS AVAILABLE.

                   PREMIUM FINANCIAL SERVICES & LEASING, INC.

                     10% CONVERTIBLE SUBORDINATED DEBENTURE
                                    DUE 2003

No. 01                                                                $XX,000.00


         FOR VALUE  RECEIVED,  Premium  Financial  Services & Leasing,  Inc.,  a
Wyoming corporation (the "Company"), promises to pay to ________________,  whose
address  is   ________________________________________________,   or  registered
assigns (the "Holder"),  the sum of XX Thousand  Dollars  ($XX,000.00) in lawful
money of the United  States of America on or before the Maturity Date as defined
herein,  with all Interest and Bonus  Interest  thereon as defined and specified
herein.

1. INTEREST.  This Debenture shall bear interest ("Interest") at the rate of ten
percent  (10%) per annum from the Issue Date  through  the  Maturity  Date.  The
Company shall pay such Interest in cash  semi-annually;  however, if the Company
elects to redeem the Debenture  prior to the Maturity  Date, the Company may pay
the Interest due upon redemption.

2.  PRE-PAYMENTS  AND MATURITY DATE.  This Debenture shall be due and payable in
full,  including  all accrued  Interest  thereon,  on July __,  2003  ("Maturity
Date"). The Company may prepay this Debenture at any time after issuance without
penalty.

3. EQUAL RANK.  This Debenture may be issued in  denominations  of $1,000 at the
request of the Holder, subject to Paragraph 11, "Assignment, Transfer or Loss of
the Debentures."  Such other smaller  denominations of the Debentures shall then
represent  one of a  series  of up to  $1,000,000  principal  amount  of the 10%
Convertible  Subordinated  Debentures  due  2003  ("Debentures")  issued  by the
Company.  All Debentures will rank equally and ratably without priority over one
another.

4.       CONVERSION OF DEBENTURE.

4.1  Conversion  Price.  This  Debenture  is  convertible,  at the option of the
Holder,  into shares  ("Shares") of Common Stock, at any time commencing  ninety
(90)  days  after  the Issue  Date and  prior to the  close of  business  on the
business day prior to the Maturity Date, date of redemption or conversion  date,
as the case may be. The conversion price (the "Conversion  Price") will be equal
to the lower of (i) the lowest  price that the  Company  sells any of its Common
Stock in a public or private offering or (ii) if quoted on an exchange,  than at
fifty  percent of the Average  Stock Price for twenty  consecutive  trading days
through the Conversion Date, subject to adjustment as hereinafter provided. Upon
conversion,  the holder  will also  receive  Bonus  Warrants  at the rate of one
warrant for every one share of converted stock. The warrant shall be exercisable
within 180 days of issuance  at the rate of the  Average  Stock Price for twenty
consecutive  trading days through the Conversion Date,  subject to adjustment as
hereinafter provided.

4.2   Adjustment   Based  Upon  Stock   Dividends,   Combination  of  Shares  or
Recapitalization.  The Conversion  Price shall be adjusted in the event that the
Company  shall at any time (i) pay a stock  dividend on the Common  Stock,  (ii)
subdivide its  outstanding  Common Stock into a greater number of shares,  (iii)
combine its outstanding Common Stock into a smaller number of shares, (iv) issue
by  reclassification  of its Common Stock any other special capital stock of the
Company,  (v) issue to holders of Common Stock,  rights or warrants to subscribe
for or purchase  Common Stock at less than the current market price (as defined)
of the Common Stock, or (vi) distribute to all holders of Common Stock evidences
of  indebtedness  or assets  (excluding cash dividends) or rights or warrants to
subscribe for Common Stock (other than those mentioned  above). No adjustment of
the Conversion Price will be required until cumulative adjustments amount to One
Dollar ($1.00) per $1,000  principal  amount of the Debentures or more. Upon the
occurrence  of an  event  requiring  adjustment  of the  Conversion  Price,  and
thereafter,  the Holder, upon surrender of this Debenture for conversion,  shall
be  entitled to receive  the number of shares of Common  Stock or other  capital
stock of the Company  which the Holder would have owned or have been entitled to
receive  after  the  happening  of any of the  events  described  above had this
Debenture been converted immediately prior to the happening of such event.

4.3 Adjustment Based Upon Merger or Consolidation.  In case of any consolidation
or merger  to which the  Company  is a party  (other  than a merger in which the
Company   is  the   surviving   entity   and  which   does  not  result  in  any
reclassification  of or change in the outstanding  Common Stock of the Company),
or in case of any sale or conveyance to another person,  firm, or corporation of
the property of the Company as an entirety or substantially as an entirety,  the
Holder shall have the right to convert this  Debenture  into the kind and amount
of securities and property  (including cash) receivable upon such consolidation,
merger,  sale or  conveyance by a holder of the number of shares of Common Stock
into which such Debenture might have been converted immediately prior thereto.

4.4 Exercise of Conversion  Privilege.  The  Conversion  Privilege  provided for
herein shall be  exercisable  by the Holder by written  notice to the Company or
its successor and the surrender of this  Debenture in exchange for the number of
shares (or other  securities  and property,  including  cash, in the event of an
adjustment of the  Conversion  Price) into which this  Debenture is  convertible
based upon the Conversion  Price.  Conversion rights will expire at the close of
business on the business day prior to the Maturity  Date or  redemption  date of
this Debenture.

4.5  Corporate  Status of Common Stock to be Issued.  All Common Stock (or other
securities in the event of an adjustment of the  Conversion  Price) which may be
issued upon the conversion of this Debenture shall, upon issuance, be fully paid
and nonassessable.

4.6 Issuance of Certificate.  Upon the conversion of this Debenture, the Company
shall  in  due  course  issue  to  the  Holder  a  certificate  or  certificates
representing  the number of shares of Common Stock (or other  securities  in the
event of an adjustment of the Conversion Price) to which the conversion relates.

4.7 Fractional Shares. No fractional Shares will be issued. In lieu thereof, the
Company will pay cash for  fractional  Share  amounts  equal to the closing sale
price of the Common Stock on the date of conversion, determined as follows:

4.7.1    If the Common  Stock is listed on a  national  securities  exchange  or
         admitted to unlisted trading  privileges on such exchange,  the current
         value shall be the last reported sale price of the Common Stock on such
         exchange on the last  business day prior to the date of  conversion  of
         this  Debenture,  or if no such sale is made on such day,  the  average
         closing bid and asked prices for such day on such exchange; or

4.7.2    If the  Common  Stock is not listed or  admitted  to  unlisted  trading
         privileges,  the current value shall be the last reported sale price or
         the mean of the last bid and  asked  prices  reported  by the  National
         Association of Securities  Dealers  Automated  Quotation  System on the
         Nasdaq Small-Cap Market,  Nasdaq National Market System or OTC Bulletin
         Board  (or,  if not so  quoted on  NASDAQ,  by the  National  Quotation
         Bureau,  Inc. or other reporting  system for the public market in which
         the Common Stock  trades) on the last business day prior to the date of
         the conversion of this Debenture; or

4.7.3    If the Common  Stock is not so listed or admitted  to unlisted  trading
         privileges  and prices are not  reported on NASDAQ,  the current  value
         shall be an amount,  not less than the book value,  determined  in such
         reasonable manner as may be prescribed by the Board of Directors of the
         Company.

4.8 Conversion of Debentures at the Option of the Company.  If the Average Stock
Price at any point is one hundred  twenty-five  percent (125%) of the average of
the closing bid prices of the Common  Stock for the first ten (10) days that the
Common Stock  trades in a public  market,  the Company may,  upon ten (10) days'
written notice to the Holder,  convert the Debentures,  and all accrued Interest
thereon,  into Common Stock at the  Conversion  Price on the date of the notice,
provided that the Company shall be able to make such  conversion  only if it has
an effective  registration  statement  covering the Common Stock to be issued to
the Holders upon conversion of the Debentures.

5. STATUS OF HOLDER OF DEBENTURE. This Debenture shall not entitle the Holder to
any voting  rights or other  rights as a  shareholder  of the  Company or to any
rights whatsoever except the rights herein expressed,  and no dividends shall be
payable or accrue in respect of this Debenture or the  securities  issuable upon
the conversion  hereof unless and until this Debenture shall be converted.  Upon
the conversion of this Debenture,  the Holder shall, to the extent  permitted by
law, be deemed to be the holder of record of the shares of Common Stock issuable
upon  such  conversion,  notwithstanding  that the stock  transfer  books of the
Company shall then be closed or that the certificates  representing  such shares
of Common Stock shall not then be actually delivered.

6.  RESERVE OF SHARES OF COMMON  STOCK.  The  Company  shall  reserve out of its
authorized  shares of Common  Stock  (and  other  securities  in the event of an
adjustment of the Conversion  Price) a number of shares  sufficient to enable it
to  comply  with its  obligation  to issue  shares of Common  Stock  (and  other
securities  in the event of an  adjustment  of the  Conversion  Price)  upon the
conversion of this Debenture.

7.  REDEMPTION.  If not earlier  converted,  this Debenture is redeemable by the
Company at any time on or after  ninety  (90) days from the Issue  Date,  at its
option,  in whole  or in part,  on a pro  rata  basis,  at a price  equal to the
outstanding  principal balance plus accrued Interest payable through the date of
redemption  upon twenty (20) days' written notice to the Holder at a price equal
to the outstanding principal balance plus accrued Interest on the Debenture. The
Holders  will  have the  right to  convert  their  Debentures,  and all  accrued
Interest  thereon,  at the  Conversion  Price at any  time  until  the  close of
business on the date fixed for  redemption.  The  redemption  price will be paid
within  forty-five  (45) days of the  redemption  date. If fewer than all of the
Debentures  are to be  redeemed,  the Company  shall  select the  Debentures  or
portions  thereof to be redeemed by lot or by any other method the Company shall
deem fair and reasonable.

8.  REGISTRATION  RIGHTS.  The Holders of the Debentures  issued to such Holders
without an effective  Registration  Statement  under the  Securities Act of 1933
(the "Act") shall have no registration rights.

9. SUBORDINATED INDEBTEDNESS.

9.1 This Debenture constitutes  Subordinated  Indebtedness of the Company and is
unsecured.  The  Indebtedness  evidenced  by  this  Debenture  and  all  of  the
Debentures  is  subordinated  to the prior payment when due of the principal of,
and  premium,  if any, and accrued and unpaid  Interest on, all existing  Senior
Indebtedness  of the  Company.  The  Debentures  will be senior  to, in right of
payment of principal of,  premium,  if any, and accrued and unpaid  interest on,
any future Subordinated Indebtedness of the Company.

9.2 Upon any distribution of assets of the Company in any  dissolution,  winding
up,  liquidation  or  reorganization  of the  Company,  all  holders  of  Senior
Indebtedness  of the  Company  must  be  paid  in full  before  any  payment  or
distribution  is  made  with  respect  to  the  Debentures.   Because  of  these
subordination  provisions,  unless  sufficient  sums  are  available  to pay the
Holders and the holders of Senior  Indebtedness of the Company are paid in full,
holders of Senior  Indebtedness of the Company,  including  certain creditors of
the Company  who are not  holders of Senior  Indebtedness  of the  Company,  may
recover more, ratably, than the Holders.

9.3 Upon the  maturity  of any Senior  Indebtedness  of the  Company by lapse of
time,  acceleration  or  otherwise,  unless  and  until all  principal  thereof,
premium,  if any, and interest thereon and other amounts due thereon shall first
be paid in full,  no payment  shall be made by or on behalf of the Company  with
respect to the principal  of,  premium,  if any, or interest on the  Debentures.
Upon the happening of any default in the payment of any principal of or interest
on or other  amounts due on any Senior  Indebtedness  of the Company (a "Payment
Default")  unless and until such default shall have been cured or waived or have
ceased to exist,  no payment  shall be made by or on behalf of the Company  with
respect to the principal of or Interest on the Debentures. Upon the happening of
any default or event of default  (other than a Payment  Default),  including any
event which with the giving of notice or the lapse of time or both would  become
an event of default and  including  any default or Event of Default  which would
result upon any payment  with  respect to the  Debentures,  with  respect to any
Senior  Indebtedness  of the  Company,  as such  default  or event of default is
defined  therein or in the instrument or agreement or other document under which
it is  outstanding,  then upon written  notice thereof given to the Company by a
holder  or  holders  of  any  Senior   Indebtedness  of  the  Company  or  their
representative  ("Payment Notice"),  no payment shall be made by or on behalf of
the Company with respect to the  principal of,  premium,  if any, or Interest on
the Debentures,  during the period (the "Payment Blockage Period") commencing on
the date of such receipt of such Payment Notice and ending on the earlier of the
date, if any, on which such default is cured or waived or ceases to exist or the
Senior Indebtedness to which such default relates is discharged.

10. DEFAULT.  The Company shall perform its obligations and covenants  hereunder
and in each and every other agreement  between the Company and Holder pertaining
to the Indebtedness  evidenced hereby. The following provisions shall apply upon
failure of the Company so to perform.

10.1     Event of Default.  Any of the  following  events  shall  constitute  an
         "Event of Default" hereunder:

10.1.1   Failure by the Company to pay principal,  or premium, if any, of any of
         the Debentures when due and payable on the Maturity Date;

10.1.2   Failure  of the  Company  to pay  Interest  when due  hereunder,  which
         failure  continues  for a period of thirty (30) days after the due date
         of the amount involved; or

10.1.3   Failure of the  Company to perform  any of the  covenants,  conditions,
         provisions or agreements  contained  herein,  or in any other agreement
         between the Company and Holder pertaining to the Indebtedness evidenced
         hereby,  which failure  continues for a period of sixty (60) days after
         written  notice of default has been given to the Company by the Holders
         of not less than  twenty-five  percent (25%) of the principal amount of
         the Debentures then outstanding;  provided, however, that if the nature
         of the Company's  obligation is such that more than sixty (60) days are
         required for  performance,  then an Event of Default shall not occur if
         the Company commences performance within such sixty (60) day period and
         thereafter diligently prosecutes the same to completion; or

10.1.4   The entry of an order for relief under  Federal  Bankruptcy  Code as to
         the Company or entry of any order  appointing a receiver or trustee for
         the Company or approving a petition in  reorganization or other similar
         relief under bankruptcy or similar laws in the United States of America
         or any other competent jurisdiction, and if such order, if involuntary,
         is not  satisfied  or  withdrawn  within  sixty (60) days  after  entry
         thereof;  or the filing of a petition by the Company seeking any of the
         foregoing,  or consenting  thereto; or the filing of a petition to take
         advantage of any debtor's act; or making a general  assignment  for the
         benefit of creditors; or admitting in writing inability to pay debts as
         they mature.

10.2 Acceleration. Upon any Event of Default (in addition to any other rights or
remedies provided for under this Debenture), at the option of the Holders of not
less than  twenty-five  percent (25%) of the principal  amount of the Debentures
then outstanding,  all sums evidenced hereby, including all principal,  premium,
if any, accrued but unpaid  Interest,  fees and all other amounts due hereunder,
shall become immediately due and payable.  If an Event of Default in the payment
of principal  or Interest  should  occur and be  continuing  with respect to the
Debenture,  any one or more  holders  of the  Debentures  then  outstanding  may
declare the principal of the  Debentures to be immediately  due and payable.  In
the Event of a Default due to a breach of any other  covenant  or term,  Holders
representing twenty-five percent (25%) of the principal amount of the Debentures
may take action to accelerate the Debentures. If an Event of Default relating to
certain events of bankruptcy, insolvency or reorganization of the Company or any
Subsidiary occurs and is continuing,  the principal of and premium,  if any, and
interest on all the Debentures  will become and be  immediately  due and payable
without  any  declaration  or  other  act on the  part  of  any  holders  of the
Debentures. Under certain circumstances,  the Holders of a majority in principal
amount of the  outstanding  Debentures  may rescind any such  acceleration  with
respect to the Debentures and its consequences.

10.3 Notice by Company.  Upon the happening of any Event of Default specified in
this paragraph that is not cured within the respective periods prescribed above,
the  Company  will give  prompt  written  notice  thereof  to the Holder of this
Debenture.

10.4 No Waiver. Failure of the Holder to exercise any option hereunder shall not
constitute  a waiver  of the  right  to  exercise  the same in the  event of any
subsequent  Event of Default,  or in the event of  continuance  of any  existing
Event of Default after demand or performance thereof.

10.5 Default  Interest.  Default  Interest will accrue on an unpaid principal or
Interest due hereunder at the rate of fourteen  percent (14%) per annum upon the
occurrence of any Event of Default until the Event of Default is cured.

10.6 Pursuit of any Remedy. No Holder of a Debenture may pursue any remedy under
the  Debentures  unless (i) the Company shall have received  written notice of a
continuing  Event of Default  from the Holder  and (ii) the  Company  shall have
received  a  request  from  Holders  of at least  twenty-five  percent  (25%) of
principal  amount of the  Debentures  to pursue  such  remedy.  The  Holders  of
fifty-one  percent (51%) of principal  amount of the Debentures then outstanding
have the right to direct the time, method and place of conducting any proceeding
for  exercising  any  remedy  available  to  the   Debentureholders   under  the
Debentures.

11.      ASSIGNMENT, TRANSFER OR LOSS OF THE DEBENTURE.

11.1 No Holder of this Debenture may assign,  transfer,  hypothecate or sell all
or any part of this  Debenture or in any way alienate or encumber the  Debenture
without the express  written  consent of the Company,  the granting or denial of
which shall be within the absolute  discretion  of the  Company.  Any attempt to
effect such transfer  without the consent of the Company shall be null and void.
The Company has not registered  this  Debenture  under the Act or the applicable
securities laws of any state in reliance on exemptions from  registration.  Such
exemptions  depend  upon the  investment  intent  of the  Holder  at the time he
acquires  his  Debenture.  Each Holder has acquired  his  Debenture  for his own
account for investment  purposes only and not with a view toward distribution or
resale  of such  Debenture  within  the  meaning  of the Act and the  applicable
securities laws of any state. The Company shall be under no duty to register the
Debenture or to comply with an exemption in connection  with the sale,  transfer
or other disposition under the applicable laws and regulations of the Act or the
applicable  securities laws of any state.  The Company may require the Holder to
provide,  at his expense,  an opinion of counsel  satisfactory to the Company to
the effect that any proposed  transfer or other assignment of the Debenture will
not result in a violation of the applicable  federal or state securities laws or
any other applicable federal or state laws or regulations.

11.2 All expenses,  including  reasonable  legal fees incurred by the Company in
connection with any permitted  transfer,  assignment or pledge of this Debenture
will be paid by the Holder requesting such transfer, assignment or pledge.

11.3 Upon  receipt of  evidence  reasonably  satisfactory  to the Company of the
loss, theft,  destruction or mutilation of any Debenture and, in the case of any
such loss, theft or destruction of any Debenture,  upon delivery of an indemnity
bond in such reasonable  amount as the Company may determine (or, in the case of
any Debenture held by the original  Debentureholder,  of an indemnity  agreement
reasonably satisfactory to the Company), or, in the case of any such mutilation,
upon the surrender of such Debenture to the Company at its principal  office for
cancellation,  the Company at its expense  will  execute  and  deliver,  in lieu
thereof,  a new  Debenture  of like  tenor,  dated  the date to  which  interest
hereunder  shall have been paid on such lost,  stolen,  destroyed  or  mutilated
Debenture.

11.4 Subject to Subparagraph  11.5 below, the Holder may, at his option,  either
in  person  or  by  duly  authorized  attorney,  surrender  this  Debenture  for
registration  of  transfer at the  principal  office of the  Company  and,  upon
payment of any  expenses  associated  with the  transfer,  receive  in  exchange
therefor a Debenture or  Debentures,  dated as of the date to which interest has
been paid on the  Debenture  so  surrendered,  each in the  principal  amount of
$1,000 or any multiple  thereof,  for the same aggregate unpaid principal amount
as the  Debenture so  surrendered  and  registered  as payable to such person or
persons as may be  designated by the Holder.  Every  Debenture  surrendered  for
registration  of transfer  shall be duly endorsed or shall be  accompanied  by a
written  instrument of transfer duly executed by the Holder or his attorney duly
authorized in writing. Every Debenture,  so made and delivered by the Company in
exchange for any Debenture  surrendered,  shall in all other  respects be in the
same form and have the same terms as the Debenture  surrendered.  No transfer of
any Debenture shall be valid unless made in such manner at the principal  office
of the Company.

11.5 The Company may treat the person in whose name this Debenture is registered
as the owner and Holder of this  Debenture for the purpose of receiving  payment
of all  principal  of and all  Interest  on this  Debenture,  and for all  other
purposes whatsoever,  whether or not such Debenture shall be overdue and, except
for transfers effected in accordance with this  subparagraph,  the Company shall
not be affected by notice to the contrary.

12. MODIFICATIONS AND AMENDMENTS. Modifications and amendments to the Debentures
may be made by the  Company  with the  consents  of the holders of a majority in
principal  amount of the Debentures  then  outstanding;  provided,  that no such
modification  or  amendment  may,  without  the  consent  of the  holder of each
Debenture  then  outstanding  affected  thereby,  (i) reduce the  percentage  of
principal  amount of  Debentures  whose  holders  may  consent to an  amendment,
supplement  or waiver;  (ii)  reduce the rate or change the time for  payment of
Interest,  including  default  interest,  on any  Debenture;  (iii)  reduce  the
principal amount of any Debenture or change the Maturity Date of the Debentures;
or (iv) reduce the redemption  price,  including  premium,  if any, payable upon
redemption  of any  Debenture or change the time at which any  Debenture  may or
shall be redeemed;  (v) reduce the repurchase price,  including premium, if any,
payable  upon the  repurchase  of any  Debenture or change the time at which any
Debenture may or shall be repurchase;  (vi) make any Debenture  payable in money
other than that stated in the  Debenture;  (vii)  impair the right to  institute
suit for the enforcement of any payment of principal of, or premium,  if any, or
interest  on,  any  Debenture;  (viii)  make any  change  in the  percentage  of
principal  amount of  Debentures  necessary  to waive  compliance  with  certain
provisions  of the  Debenture;  or (ix) waive a  continuing  Default or Event of
Default in the  payment of  principal  of,  premium,  if any, or interest on the
Debentures.  The  modifications  and amendments of the Debentures may be made by
the Company  without the consent of any holders of Debentures in certain limited
circumstances,  including  (a)  to  cure  any  ambiguity,  omission,  defect  or
inconsistency,  (b) to provide  for the  assumption  of the  obligations  of the
Company under the  Debentures  upon the merger,  consolidation  or sale or other
disposition of all or substantially  all of the assets of the Company and (c) to
make any  change  that does not  adversely  affect  the  rights of any holder of
Debentures.  The Debentures  provide that the Holders of a majority in aggregate
principal  amount of the Debentures then  outstanding may waive any past default
under the Debentures,  except a default in the payment of principal, premium, if
any, or interest.

13.  NOTICES.  All  notices  provided  for herein  shall be validly  given if in
writing and delivered  personally or sent by certified mail, postage prepaid, to
the office of the Company or such other  address as the Company may from time to
time designate in writing sent by certified mail, postage prepaid, to the Holder
at his address set forth below or such other address as the Holder may from time
to time designate in writing to the Company by certified mail, postage prepaid.

14. USURY. All Interest,  Bonus Interest, fees, charges, goods, things in action
or any  other  sums  or  things  of  value,  or  other  contractual  obligations
(collectively,  the "Additional  Sums") paid by the Company  hereunder,  whether
pursuant  to this  Debenture  or  otherwise,  with  respect to the  Indebtedness
evidenced  hereby,  or any other document or instrument in any way pertaining to
the Indebtedness, which, under the laws of the State of Wyoming may be deemed to
be Interest with respect to such loan or Indebtedness, shall, for the purpose of
any laws of the State of Wyoming, which may limit the maximum amount of Interest
to be  charged  with  respect  to such loan or  Indebtedness,  be payable by the
Company as, and shall be deemed to be,  Interest and for such purposes only, the
agreed upon and  contracted  rate of Interest shall be deemed to be increased by
the  Additional  Sums.  Notwithstanding  any provision of this  Debenture to the
contrary,  the total liability for payments in the nature of Interest under this
Debenture  shall not exceed the limits  imposed by  applicable  law. The Company
shall not assert a claim, and shall actively resist any attempts to compel it to
assert a claim,  respecting  a benefit  under any  present or future  usury laws
against any Holder of this Debenture.

15. BINDING EFFECT.  This Debenture shall be binding upon the parties hereto and
their respective heirs, executors, administrators,  representatives,  successors
and permitted assigns.

16. COLLECTION FEES. Except as otherwise  provided herein, the Company shall pay
all costs of collection,  including reasonable  attorneys' fees and all costs of
suit and preparation for such suit (and whether at trial or appellate level), in
the event the  unpaid  principal  amount of this  Debenture,  or any  payment of
Interest  is not paid when  due,  or in the  event  Holder is made  party to any
litigation  because  of the  existence  of the  Indebtedness  evidenced  by this
Debenture,  or if at any time Holder  should  incur any  attorneys'  fees in any
proceeding  under the Federal  Bankruptcy  Code (or other  similar  laws for the
protection of debtors generally) in order to collect any Indebtedness  hereunder
or to preserve, protect or realize upon any security for, or guarantee or surety
of, such Indebtedness whether suit be brought or not, and whether through courts
of original  jurisdiction,  as well as in courts of appellate  jurisdiction,  or
through a bankruptcy court or other legal proceedings.

17.  CONSTRUCTION.  This  Debenture  shall  be  governed  as  to  its  validity,
interpretation,  construction,  effect  and  in  all  other  respects  by and in
accordance  with the laws and  interpretations  thereof of the State of Wyoming.
Unless  the  context  otherwise  requires,  the use of  terms  in  singular  and
masculine  form shall  include in all  instances  singular and plural number and
masculine, feminine and neuter gender.

18.  SEVERABILITY.  In the event any one or more of the provisions  contained in
this Debenture or any future amendment hereto shall for any reason be held to be
invalid, illegal or unenforceable in any respect, such invalidity, illegality or
unenforceability  shall not affect any other provision of this Debenture or such
other  agreement,  and in lieu of each such  invalid,  illegal or  unenforceable
provision  there  shall be added  automatically  as a part of this  Debenture  a
provision  as  similar  in  terms  to such  invalid,  illegal  or  unenforceable
provision as may be possible and be valid, legal and enforceable.

19.      DEFINITIONS.

19.1  "Affiliate"  of any  specified  Person means any other Person  directly or
indirectly  controlling  or  controlled  by or under  direct or indirect  common
control  with  such  specified  Person.  For the  purposes  of this  definition,
"control"  when used with  respect to any  specified  Person  means the power to
direct the  management  and  policies  of such Person  directly  or  indirectly,
whether through the ownership of Voting Stock, by contract or otherwise; and the
terms "controlling" and "controlled" have meanings correlative to the foregoing.

19.2 "Average Stock Price" is the average of the daily closing bid prices of the
Common Stock for the twenty (20) consecutive trading days immediately  preceding
the relevant date.

19.3  "Board of  Directors"  means,  with  respect to any  Person,  the Board of
Directors  of such Person or any  committee  of the Board of  Directors  of such
Person  duly  authorized  to act on  behalf of the  Board of  Directors  of such
Person.

19.4  "Capital  Stock"  means,  with respect to any Person,  any and all shares,
interests,  equity  participations or other equivalents  (however designated) of
corporate stock or partnership  interests and any and all warrants,  options and
rights with respect thereto  (whether or not currently  exercisable),  including
each class of common stock and preferred stock of such Person.

19.5  "Conversion  Date" shall mean the date of any written  notice given by the
Holder or the Company,  as the case may be, of the  conversion of the Debentures
into shares of Common Stock.

19.6 "GAAP" means generally accepted  accounting  principles as in effect in the
United States of America as of the Issue Date.

19.7  "Holder"  means a Person in whose name a Debenture  is  registered  on the
Company's books.

19.8 "Indebtedness" means, without duplication,  with respect to any Person, (a)
all  obligations of such Person (i) in respect of borrowed money (whether or not
the  recourse of the lender is to the whole of the assets of such person or only
to a portion  thereof),  (ii) evidenced by bonds,  notes,  debentures or similar
instruments,  (iii) representing the balance deferred and unpaid of the purchase
price  of any  property  or  services  (other  than  accounts  payable  or other
obligations  arising in the  ordinary  course of  business),  (iv)  evidenced by
bankers' acceptances or similar instruments issued or accepted by banks, (v) for
the payment of money relating to a capitalized  lease  obligation under GAAP, or
(vi)  evidenced  by a letter  of credit or a  reimbursement  obligation  of such
Person with  respect to any letter of credit;  (b) all net  obligations  of such
Person under interest rate swap obligations and foreign currency hedges; (c) all
liabilities of others of the kind described in the preceding  clauses (a) or (b)
that such Person has guaranteed or that are otherwise its legal  liability;  (d)
Indebtedness (as otherwise defined in this definition) of another Person secured
by lien on any asset of such Person, whether or not such Indebtedness is assumed
by such Person,  the amount of such obligations being deemed to be the lesser of
(1) the full  amount of such  obligations  so  secured,  and (2) the fair market
value of such asset,  as  determined  in good faith by the Board of Directors of
such Person,  which determination shall be evidenced by a board resolution;  and
(e) any and all deferrals,  renewals,  extensions,  refinancings  and refundings
(whether direct or indirect) of, or amendments, modifications or supplements to,
any liability of the kind  described in any of the  preceding  clauses (a), (b),
(c), (d) or this clause (e), whether or not between or among the same parties.

19.9 "Issue Date" means the date on which the Debentures are first issued.

19.10 "Maturity Date" means July __, 2003.

19.11 "Person" means any individual,  corporation,  partnership,  joint venture,
trust,  estate,  unincorporated  organization  or  government  or any  agency or
political subdivision thereof.

19.12  "Preferred  Stock," as applied to the Capital  Stock of any  corporation,
means  Capital  Stock of any class or  classes  (however  designated),  which is
preferred as to the payment of dividends,  or upon any voluntary or  involuntary
liquidation or dissolution of such corporation,  over shares of Capital Stock of
any other class of such corporation.

19.13  "Senior  Indebtedness"  means any  Indebtedness  of the Company,  whether
outstanding on the date hereof or hereafter  incurred,  unless such Indebtedness
is pari passu with or contractually subordinate or junior in right of payment to
the Debentures,  except Indebtedness to any Affiliate of the Company which shall
be junior and subordinate to the Debentures.

19.14  "Subordinated  Indebtedness of the Company" means any Indebtedness of the
Company,  whether  outstanding  on the  date  of  this  Debenture  or  hereafter
incurred,  which is  contractually  subordinate or junior in right of payment to
the Debentures.

19.15 A  "subsidiary"  of any Person means (i) a corporation a majority of whose
Voting Stock is at the time,  directly or indirectly,  owned by such Person,  by
one or more  subsidiaries  of such  Person  or by  such  Person  and one or more
subsidiaries  of such  Person,  (ii) a  partnership  in which  such  Person or a
subsidiary of such Person is, at the date of determination, a general or limited
partner  of such  partnership,  but only if such  Person  or its  subsidiary  is
entitled  to  receive  more  than  fifty  percent  (50%) of the  assets  of such
partnership  upon its  dissolution,  or (iii) any  other  Person  (other  than a
corporation or partnership) in which such Person, directly or indirectly, at the
date of determination thereof, has (x) at least a majority ownership interest or
(y) the power to elect or direct the  election  of a majority  of  directors  or
other governing body of such Person.

19.16 "U.S. Legal Tender" means such coin or currency of the United States as at
the time of payment  shall be legal tender for the payment of public and private
debts.

19.17 "Subsidiary" means any subsidiary of the Company.

19.18 "Voting Stock" means, with respect to any Person,  securities of any class
or  classes of Capital  Stock in such  Person  entitling  the  holders  thereof,
whether  at all  times or only so long as no senior  class of stock  has  voting
power by reason of any  contingency,  to vote in the  election of members of the
Board of Directors or other governing body of such Person.

19.19 "Wholly Owned  Subsidiary" means a Subsidiary all the Capital Stock (other
than  directors'  qualifying  shares,  if  applicable)  of which is owned by the
Company or another Wholly Owned Subsidiary.

20.  MISCELLANEOUS.  Except as otherwise  provided  herein,  the Company  waives
demand,  diligence,  presentment  for payment and protest,  notice of extension,
dishonor,  maturity  and  protest.  Time is of the essence  with  respect to the
performance of each and every covenant, condition, term and provision hereof.

         IN WITNESS  WHEREOF,  this  Debenture has been issued on the ___ day of
July, 2002.

                                      PREMIUM FINANCIAL SERVICES & LEASING, INC.



                                          By
                                             -----------------------------------
                                             Michael Gooch
                                             Chairman of the Board and President

Mailing Address of Holder:

Name:
XXX

City, State




                   PREMIUM FINANCIAL SERVICES & LEASING, INC.

                 10% CONVERTIBLE SUBORDINATED DEBENTURE DUE 2003

                      NOTICE OF CONVERSION AND SUBSCRIPTION

               (To be completed and signed only upon a conversion
             of the Debenture into Common Stock in whole or in part)


TO:      PREMIUM FINANCIAL SERVICES & LEASING, INC.

         The   undersigned,   the  Holder  of  the  attached   10%   Convertible
Subordinated  Debenture Due 2003  ("Debenture"),  hereby  irrevocably  elects to
exercise the right to convert part or all of the outstanding  principal  balance
and accrued Interest on the Debenture into shares of Common Stock of the Company
and thereby purchase ______ Shares.  The undersigned  makes payment of $ for the
Shares  by  converting  and  canceling  the  indebtedness   represented  by  the
Debenture.  The  undersigned  hereby requests that the  Certificate(s)  for such
securities be issued in the name(s) and delivered to the address(es) as follows:

Name:

Address:

Deliver to:

Address:

         If the foregoing  Notice of Conversion and  Subscription  evidences the
conversion of less than the entire principal amount of the Debenture and accrued
Interest thereon, please issue a new Debenture, of like tenor, for the remaining
principal  amount of the  Debenture in the name(s),  and deliver the same to the
address(es), as follows:

Name:

Address:

DATED:  _________________, 2003.



                  (Name of Holder)


                  (Signature of Holder or Authorized Signatory)


                  (Social Security or Taxpayer Identification Number of Holder)