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SCHEDULE H -- Part II <br />Schedule H -- Part II Type or Print in Ink. Statement covers period <br />Loan Repayments Received on Loans Made Amounts may be roundedto whole dollars. <br />to Others (Including Payments Received ~rsm <br />from Third Parties) and Loans Forgiven <br />SEE INSTRUCTIONS ON REVERSE through Page of __ <br />NAME OF OFFICEHOLDER OR CANDIDATE AND CONTROLLED COMMII-I'EE: I.D. NUMBER <br /> <br /> DATE OF DATE OF INTEREST AMOUNT REPAID OR <br /> REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL* OUTSTANDING INTEREST <br /> FORGIVENE?--c~ LOAN (IF CHANGED) (I~CLU~ RECEIPT OF INTEREST) PRINCIPAL RECEIVED <br /> <br /> (a) Total InteNst (b) <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ Received thb Period $ <br /> <br /> Enter the omo.m ~n column (b) in the <br /> summary section of Schedule !, Line 3. Do not <br /> *IMPORTANT: If any Part ora loan is /orgiven, also itemize the /orgiveness on Schedule E. ifa repayment is received.from a third party, enter the carry this total to the summary section of <br /> name and address of third party in the "FULL N.t4dE OF I~CIPIENT OF LOAN" column above, dong with the name of the recipient of the loan. Schedule II. <br /> <br /> <br />