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$ch ed u le B -- Pa rt I Type or print in ink. SCI'CE DU LE B- Part <br />Amounts mey be rounded I' Statement covers I~riod <br />Loans Received to whole dollars. ~ <br />f,o. <br />/ <br />/ ".' , <br />.... LENDER O'R GUA~NTOR'~ FULL NAME AND ADDRES~ LENDER ~ GUA~NTOR'S LENDER INFORMATION <br />DC~KIV5h M C~M~EE, E~ER f~t ~ML A~SS A~ I.D. NUMAR. W ~ I.D. ~C~AT~ A~ EM~OYER ~ ~LF- - ~ ..... I <br /> ......... ~MR ~S ~EN AS~D, Emir T~ T~R3 ~ME A~ ~SS) EM~OYED. E~ER ~SS ~E ) ~ DATE/ ~ ~c j AM~m C~T~E <br /> ~E~ST ~TE ~ ~ w ~u ~K ~ GUA~EED TO DATE <br /> ~ DATE <br /> <br /> ( ~ , ! . , ~EMST ~TE O~R ' : OTHER <br /> ~ Le~r ~ Guirlntor~ ~ <br /> ~ DATE ~E~AR Y~ ~LE~ YEAR <br /> ~E~$T ~TE <br />, OT~R · OT~R <br />~ ~r ~ Guirimor· ~ <br /> OT~R <br />~ Le~r ~ Guirlntor* ~ <br />'~e implant i~ctiom on MveM. SUBTOTAL <br />Loans Received - PaK I Summa~ <br />I. Loans of $1 ~ or more receiv~ this ~ri~. (Include all L~ns R~eiv~ - Pan I (a) subto~ls.) .......... $ <br />2. Loansu~erSl~rKeiv~this~ri~. (Do not itemize.) ........................................... <br />3. To~l I~ns receiv~ this ~ri~. (Add Lin~ 1 a~ 2.) ....................................... TOTAL $ <br />Loans Received - PaK II Summa~ <br />4. Loans of $1~ or more repaid, forgiven, or paid by a third ~Ky this peri~. (Include all PaK II (c) <br />subtotals, if forgiven or paid by a third paKy, al~ itemize the transaction on Schedule A.) .............. $ <br />5. Loans under S1~ repaid, forgiven, or paid by a third paKy. (Do no itemize.) If forgiven or <br />paid by a third paKy, include this amount on Schedule A Summa~, Line 2 ............................ $ <br />6. Total loans repaid, forgiven, or paid by a third pa~y this ~ri~. <br />(Add Lines 4 + 5.) ....................................................................... TOTAL $ ( <br />7. Net change this ~ri~. (Subtract Line 6 from Line 3.) NET $ <br />Kflt~rth~n~th~r~nd~nth~llmm~Pao~ ~nh~mn A lin~ ............................... <br /> <br /> <br />