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Schedule H -- Pa rt II Typeorprint in ink. SCHEDULE H - Part J I <br /> Amounts may be rounded <br />Loan Repayments Received on Loans Made to whole dollars. Sta~,~n~coversperied <br />t,o Others (Including Payments Received <br />from Third Parties) and Loans Forgiven from / <br />SEE INSTRUCTIONS ON REVERSE through ~)- <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMITTEE <br /> <br /> DATE OF DATE OF INTEREST AMOUNT REPAID OR · OUTSTANDING INTEREST <br /> ~REPAYME NT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL PRINCIPAL RECEIVED <br /> FORGIVENESS LOAN (IF CHANGED) (EXCLUDE R~CEIPT Of INTEREST) <br /> <br /> i Attachadditionalinformationonappropriatelylabeledcontinuationshee~s, SUBTOTAL $ TOTALINTEREST $ ~) <br /> (.) <br /> <br /> RECEIVED THIS PERIOD <br /> <br /> Enter the amount in column (b) in the <br />I IMDORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received from a summary section of Schedule I, Line 3. Do <br />third party, enter the name and address of third party in the 'FULL NAME OF RECIPIENT OF LOAN # column above, along with the not cany this totalto the summary section <br />name of the recipient of the loan. of Schedule H. <br /> <br /> <br />