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Get Federal Heal Refinancing Loan Application And/or Promissory Note

On who knowingly makes a false statement or misrepresentation in a HEAL transaction, bribes or attempts to bribe a Federal official, fraudulently obtains a HEAL loan or commits any other illegal action in connection with a Federal HEAL loan is subject to a fine or imprisonment under Federal statute. SECTION I--TO BE COMPLETED BY APPLICANT 1a. NAME (Last) (First) (M.I.) 2. SOCIAL SECURITY ACCOUNT NUMBER (SSN) 1b. OTHER NAME USED (Last) (First) (M.I.) 3. DATE OF BIRTH (Month/Day/Year) 5.

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