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Schedule B -- Part II Type o~ print in ink. SCHEDULE B- Part II <br /> Amounts may be roundedStatement covers period <br />Repayments Made on Loans Received, Loans to whole doli,rs. / <br />Forgiven, and Loans Repaid by a Third Party ,,om ~ <br /> <br />SEE INSTRUCTIONS ON REVERSE through ~. <br />NAME OF OFFICE HOLDER OR CANDIDATE AND CONTROLLED COMMITTEE .. I.D. NUMBER <br /> ~.. , .~ 7 / /','? q / ; .,_ · /:-'~//_¢ :' :. J' .;/ <br /> <br /> REPAYMENT DATE OF J INTEREST AMOUNT REPAIDOR <br /> FORGiOvI~ NESS ORIGINAL LOANI , FULL NAME OF LENDER (iF CHANMD)RATE FORGIVEN(ExcLuo~ PAYMENION PRINCIPALof ~NTEmST) OUTSTANDINGpRiNCiPAL INTERESTpAiD <br /> <br /> (c) TOTAL INTEREST ('~ <br /> Attach additional information on appropriately labeled continuation sheets. SUBTOTAL $ PAID THIS PERIOD $ <br /> <br /> *IMPORTANT: If any part of a loan is forgiven or repaid by a third party, also itemize the transaction on Schedule A, Enter the amount in column (d) in the <br /> including the name and address of the person forgiving the loan or the third party making the payment, and the amount summary section of Schedule E, Line 3 Do <br /> not carry this total to the summary section of <br /> forgiven or paid. Schedule a. ' <br /> <br /> <br />