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                                            LOAN PURPOSE AFFIDAVIT




                The undersigned ______________________ being first duly

        sworn on oath deposes and states:

                That the proceeds of the loan of $___________ being

        furnished us this _________________ day of ___________, 19__

        _____________ from _________________.

         will be used for:_________________________________________

         and for no other purpose.

                 Subscribed and sworn to this _____ day of ________,

        19__ under pains and penalties of perjury.