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LIST OF FREE LEGAL FORMS
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No representation or warranty as to legality, accuracy, correctness or acceptance of these forms by any State or jurisdiction is indicated. Should you decide to use any of the forms in your legal affairs, consult with an attorney.

                             LOAN PURPOSE AFFIDAVIT



                                        Date:



                The undersigned ______________________ being first duly 
        sworn on oath deposes and states:

                That the proceeds of the loan of $___________ being 
        furnished us this _________________ day of ___________, 20__ 
        _____________ from _________________.  

        will be used for:


        and for no other purpose.

                Subscribed and sworn to this _____ day of ________, 
        20__ under pains and penalties of perjury.



                                        _______________________________

                                                        Form 139




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