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Loan Purpose Affidavit









LOAN PURPOSE AFFIDAVIT


Date:


The undersigned ______________________ being first duly
sworn on oath deposes and states:

That the proceeds of the loan of $___________ being
furnished us this _________________ day of ___________, 19__
_____________ from _________________.

will be used for:

and for no other purpose.

Subscribed and sworn to this _____ day of ________,
19__ under pains and penalties of perjury.


_______________________________

Form 139

 
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