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Schedule H - Part 2 Typ~ or print in ink. SCHEDULE H - PAR3* 2 <br />Repayments on Loans Made to Others Amountsmayberounded Statement v <br />and Loans Forgiven towholedollars. ~c~/v~ <br /> from <br /> <br />SEE INSTRUCTIONS ON REVERSE <br /> MEOEE,LER <br /> <br /> DATE OF DATE OF INTEREST AMOUNT ~EPAID OR INTEREST <br /> REPAYMENT OR ORIGINAL FULL NAME OF RECIPIENT OF LOAN RATE FORGIVEN ON PRINCIPAL* OUTSTANDING <br /> FORGIVENESS LOAN (IF CHANGED) -~XCLUDE RECEIPT OF INTERES3 PRINCIPAL RECEIVED <br /> <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ RECEIVEDTHIS <br /> <br /> * IMPORTANT~' If any part of a loan is forgiven, also itemize the forgiveness on Schedule E. If a repayment is received Enterthearnountincolumn (b)in the <br /> from a third par~, enter the name and address of third party in the "FULL NAME OF RECIPIENT OF LOAN" column above, along with the Schedule t Surnrna~ Line 3. Do not carry <br /> name of the recipient of the loan. this total to the Schedule H Summaq4 <br /> <br /> FPPC Form 460 (8/99) <br /> For Technical Assistance: 916/322.5660 <br /> <br /> <br />