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Schedule H -- Part II Type or print in ink. SCHEDULE H- Part II <br /> Amounts may be rounded <br />Loan Repayments Received on Loans Made to whole dollars. Statement covers period <br />t~o Others (Including Payments Received from <br />from Third Parties) and Loans Forgiven <br />SEE INSTRUCTIONS ON REVERSE through Page of __ <br /> <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.' PRINCIPAL RECEIVED <br /> FORGIVENESS LOAN (w CHANGED) (EXCLUDE RECEIPT OF INTEREST) <br /> <br /> I <br /> <br /> i (.) ~ (b) <br /> : Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ TOTAL INTEREST $ <br /> RECEIVED THIS PERIOD <br /> <br /> Enter the amount in column Cb) in the <br /> elMPORTANT: If any part ora loan is forgiven, also itemize the forgiveness on Schedule E. Ifa repayment is received from a summary ~ection of Schedule I, Line $. Do <br /> third party, enter the name and address of third party in the "FULL NAME OF RECIPIENT OF LOAN" COIUmn above, along with the not carry this total to the summary section <br /> name of the recipient of the loan. of Schedule H. <br /> <br /> <br />