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Day Yes No Year C431 Mo. Day Check one Guaranteed by SBA in Whole or Risk in Part Secured Rating K807 Yes No Yes No A344 Location Borrower K806 State. Day Mil Thou Percent Bil Name of Respondent QTBL 9017 Dol Frequency Prime with which Rate Used as Base Compounded Pricing or Paid Rate Maturity Status Next Date on which the Loan Rate may be Recalculated Maturity Date If none enter zero C430 A341 Yes No Year Mo. Respondent Street Address QTBL 9028 City QTBL 9130 State QTBL 9200 Person to be...
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OMB number 71000061 is a control number assigned by the Office of Management and Budget to information collection requests and forms.
Entities specified in the instructions of the form associated with OMB number 71000061 are required to file this form.
Please refer to the instructions provided with the form associated with OMB number 71000061 for guidance on how to fill it out.
The purpose of OMB number 71000061 is to collect specific information as requested on the associated form for regulatory or statistical purposes.
The specific information to be reported on OMB number 71000061 will be outlined in the form and accompanying instructions.
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