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Text File  |  1986-02-18  |  786b  |  42 lines
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  13.                              LOAN PURPOSE AFFIDAVIT
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  17.                                         Date:
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  21.                 The undersigned ______________________ being first duly 
  22.         sworn on oath deposes and states:
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  24.                 That the proceeds of the loan of $___________ being 
  25.         furnished us this _________________ day of ___________, 19__ 
  26.         _____________ from _________________.  
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  28.         will be used for:
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  31.         and for no other purpose.
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  33.                 Subscribed and sworn to this _____ day of ________, 
  34.         19__ under pains and penalties of perjury.
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  38.                                         _______________________________
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  40.                                                         Form 139
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