Name 		
Company/Org	
Address 1	
Address 2	
City, ST, Zip	
Telephone	
Fax		
E-mail		


     Type of 		  Number of 	Total Outstanding	Average Balance
 Loans/Accounts	 	Loans/Accounts	Principal Balance	Per Loan/Account
SF Residential Loans	  	 	       
MF Residential Loans	  	 	       
Consumer Loans	  	  	 	       
Commercial Loans	  	 	       
Other Loans		  	 	       
Equipment Leases	  	 	       
Other Leases		  	 	       
Other Claims/Accounts	  	 	       


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