Loan Purpose, Affidavit
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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