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 ___________, 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. _______________________________ Form 139
Return to Table of Contents for
Legal Forms