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W <br />Confidential <br />Principal/Owner/Guarantor Information <br />Please complete for each principal/owner/guarantor with more than 10% ownership (Attach a separate sheet if necessary) <br />*Alimony, child support or separate maintenance income need not be revealed if you do not wish it considered as a basis for repaying this obligation <br />Name(s): ❑ Mr. ❑ Ms. ❑Joint <br />Home Address <br />% of Ownership in Business: Gross Income: *$ <br />Monthly Housing Payments: $ Personal Net Worth Excluding Business Value: $ <br />Name(s): ❑ Mr. ❑ Ms. ❑Joint <br />Home Address <br />% of Ownership in Business: Gross Income: *$ <br />Monthly Housing Payments: $ Personal Net Worth Excluding Business Value: $ <br />Name(s): ❑ Mr. ❑ Ms. ❑Joint <br />Home Address <br />% of Ownership in Business: Gross Income: *$ <br />Monthly Housing Payments: $ Personal Net Worth Excluding Business Value: $ <br />Page 2 of 4 <br />