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Get Lender's Loan Enrollment And Certification Form - Ohio ...

Bank Name: OCAP Reserve Fund Account #: Contact Name: Contact Title: Phone #: Email Address: Address: Fax: City: State: Zip: EIN: Loan Information Borrower s Name: Lender Loan #: Loan Proceeds Disbursement Date: Loan Agreement Date: Line of Credit Amount (if applicable)*: Line of Credit Amount to be Enrolled in OCAP: Term Loan Amount (if applicable)*: Term Loan Amount to be Enrolled in OCAP: Other Loan Type (if applicable)*: Other Loan Amount to be Enrolled in OCAP: Total.

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