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( <br /> <br />Sch ed u le H -- Pa rt II TV,,orprint in ink. $CH EDU LE H - Part II <br /> Amounts may be rounded <br />Loan Repayments Received on Loans Made towh~,do,,~. Statementcoversperiod <br /> / <br />to Others (Including Payments Received <br /> from Third Parties) and Loans Forgiven fEom__ <br /> SEE INSTRUCTIONS ON REVERSE through Pnge of <br /> NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> DATE OF DATE OF INTEREST AMOUNT REPAID OR , OUTSTANDING INTEREST <br /> REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL <br /> FORGIVENESS LOAN PRINCIPAL RECEIVED <br /> (IF CHANE;ED) (EXCLUDE RECEIPT O~ INTEREST) <br /> <br /> i <br /> ' Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ TOTAL INTEREST $ <br /> <br />I'IMPORTANT: If any part of a loan is forgiven, al$o itemize t~e forgiveness on Schedule E. Ifa repayment is received from a Enter the amount in column (b) ln the <br />third party, enter the name and addres$ of third party in the FULL NAME OF RECIPIENT OF LOAN ~ COIumn above, along with the not carry this total to the summaty section <br />name of the recipient of the loan. of Schedule H. <br /> <br /> <br />