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- LOAN PURPOSE AFFIDAVIT
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- Date:
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- The undersigned ______________________ being first duly
- sworn on oath deposes and states:
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- That the proceeds of the loan of $___________ being
- furnished us this _________________ day of ___________, 19__
- _____________ from _________________.
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- will be used for:
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- and for no other purpose.
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- Subscribed and sworn to this _____ day of ________,
- 19__ under pains and penalties of perjury.
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- _______________________________
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- Form 139