home *** CD-ROM | disk | FTP | other *** search
/ Magnum One / Magnum One (Mid-American Digital) (Disc Manufacturing).iso / d6 / legal1.arc / FORM139.DOC < prev    next >
Text File  |  1987-10-23  |  786b  |  42 lines
  1.  
  2.  
  3.  
  4.  
  5.  
  6.  
  7.  
  8.  
  9.  
  10.  
  11.  
  12.  
  13.                              LOAN PURPOSE AFFIDAVIT
  14.  
  15.  
  16.  
  17.                                         Date:
  18.  
  19.  
  20.  
  21.                 The undersigned ______________________ being first duly 
  22.         sworn on oath deposes and states:
  23.  
  24.                 That the proceeds of the loan of $___________ being 
  25.         furnished us this _________________ day of ___________, 19__ 
  26.         _____________ from _________________.  
  27.  
  28.         will be used for:
  29.  
  30.  
  31.         and for no other purpose.
  32.  
  33.                 Subscribed and sworn to this _____ day of ________, 
  34.         19__ under pains and penalties of perjury.
  35.  
  36.  
  37.  
  38.                                         _______________________________
  39.  
  40.                                                         Form 139
  41.  
  42.