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| Loan Purpose, Affidavit |
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The undersigned being first duly sworn on oath deposes and states: That the proceeds of the loan of $______ (________________ &___/100 dollars), being furnished us this __________day of ______________, 20____, from ______________________________ ______________________________ ______________________________ Will be used for: ______________________________and for no other purpose. Subscribed and sworn to this _____ day of ________, 20__ under pains and penalties of perjury. _______________________________ Notary My Commission Expires on: |
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