Schedule 1e, Debts And Obligations - Candidate Committee - Michigan Department Of State

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MICHIGAN DEPARTMENT OF STATE
BUREAU OF ELECTIONS
DEBTS AND OBLIGATIONS
1. Committee I.D. Number __________________________________________________________
SCHEDULE 1E
2. Committee Name _______________________________________________________________
CANDIDATE COMMITTEE
This Schedule itemizes:
a.
Debts and obligations owed by or forgiven the committee
OR
b.
Debts and obligations owed to or forgiven by the committee.
(Check either a or b. Use only for the purpose checked.)
3. Name and Mailing Address of person, vendor or
4. Type of Obligation
7. Date and amount of
8. Cumulative
9. Outstanding
financial institution to whom debt is owed.
(Description)
each payment
payment to
Balance at close
5. Indicate date debt was
date on debt
of this period
Check box to indicate whether debt is owed to an
incurred
(Item 6 minus
incorporated business. If debt is a bank loan, please
6. Indicate original amount
Item 8)
provide information regarding the endorsers or
of debt
guarantors, if any.
Debt #1
Corp?
Yes
4. Type:
$
Owed to or by:
5. Date Debt Was Incurred:
$
$
$ ___________
$ __________
6. Original Amount of Debt :
$
FORGIVEN
$
$
If bank loan, name of endorser or guarantor:
Amount Endorsed: $
Debt #2
Corp?
Yes
4. Type:
$
Owed to or by:
5. Date Debt Was Incurred:
$
$
6. Original Amount of Debt:
$ ___________
$ __________
$
$
FORGIVEN
$
If bank loan, name of endorser or guarantor:
Amount Endorsed: $
Debt #3
Corp?
Yes
4. Type:
$
Owed to or by:
5. Date Debt Was Incurred:
$
$
6. Original Amount of Debt:
$ ___________
$ ___________
$
$
FORGIVEN
$
If bank loan, name of endorser or guarantor:
Amount Endorsed: $
Page Subtotal (Outstanding debt)
Grand Total of all Schedules 1E
(Complete on last page of Schedule showing amounts owed by or to the committee)
Enter this total
on line 12a "owed
by”" or line 12b
A debt or obligation must be shown on this Schedule if there was an outstanding amount owed on it at the closing date of
"owed to" of the
this Campaign Statement or it was forgiven during the period covered by this Campaign Statement.
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