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Schedule B -- Part IIITypeor print in ink.SCHEDULE B- Part III <br />...... Amounts may be rounded <br />Statement covers period <br />Annual Repori of Outstanding Loans Received to whole dollars. <br /> ,- ~/'/~ - - --' <br />SEE INSTRUCTIONS ON REVERSE <br />NAME OF OFFICEHOLDER OR ~NDIDATE AND CONTROLLED COMMITTEE I.D. NUMBER <br /> <br /> FULL NAME OF LENDER ' ORIGINAL DATE OF LOAN AMOUNT OF ORIGINAL LOAN UNPAID PRINCIPAL UNPAID INTEREST <br />I <br />, <br />Attach additional information on appropriately labeled continuation ~heet~. TOTAL $ <br /> NOTE: This total should ~ <br /> the same amount as entered <br /> on the Summa~ Page, <br /> Column C Li~ 2. <br /> <br /> <br />