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Schedule H - Part 2 Type or print In Ink. <br />Repayments on Loans Made to Others Amountsmayberounded I Statemenlcoversperlod <br />and Loans Forgiven towholedollare, from <br />SEEINSTRUCTIONSON REVERSE I through <br />NAME OF FLEER <br /> <br /> DATE OF DATE OF INTEREST AMOUNT ~PAID OR INTEREST <br /> OUTSTANDING <br /> REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL' RECEIVED <br /> FORGIVENESS LOAN (IF CHANGED) EXCLUDE RECEIPT OF INTEREST} PRINCIPAL <br /> <br /> TOTAL IN I t:HP-ST <br /> Attach additional Information on appropriately labeled continuation sheets. SUBTOTAL $ RECEIVEDTHIS $ <br /> P~RK)D <br /> <br />I* IMPORTANT: If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Entertheamountincolumn(b)inthe <br /> from a third party, enter the name and address of third party In the "FULL NAME OF RECIPIENT OF LOAN' column above, along with the Schedule I Summery,, Line 3, Do not carry <br /> <br /> name of the recipient of the loan. this total to the Schedule H Summe~ <br /> <br /> FPPC Form 460 (6tog) <br /> For Technical Aaaletenca: 916/322-6660 <br /> <br /> <br />