home *** CD-ROM | disk | FTP | other *** search
/ Chip Hitware 3 / Chip_Hitware_Vol_03.iso / chiphit3 / win95 / programm / cyb_leg / forms.exe / 139.LGF < prev    next >
Text File  |  1993-08-19  |  766b  |  32 lines
  1.  
  2.  
  3.                              LOAN PURPOSE AFFIDAVIT
  4.  
  5.  
  6.  
  7.                                         Date:
  8.  
  9.  
  10.  
  11.                 The undersigned ______________________ being first duly 
  12.         sworn on oath deposes and states:
  13.  
  14.                 That the proceeds of the loan of $___________ being 
  15.         furnished us this _________________ day of ___________, 19__ 
  16.         _____________ from _________________.  
  17.  
  18.         will be used for:
  19.  
  20.  
  21.         and for no other purpose.
  22.  
  23.                 Subscribed and sworn to this _____ day of ________, 
  24.         19__ under pains and penalties of perjury.
  25.  
  26.  
  27.  
  28.                                         _______________________________
  29.  
  30.                                                         Form 139
  31.  
  32.