Small Business Forgivable Loan Agreement Page 4

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The City, the Company and the Individuals have caused this Agreement to be signed, in
their names and on their behalf by their duly authorized officers, all as of the day and date
written above.
CITY OF MUSCATINE, IOWA
By ___________________________
Mayor
Date: _________________________
Attest:
_________________________
City Administrator
_________________________________,
COMPANY
By____________________________
Title: __________________________
Date: __________________________
_________________________________,
INDIVIDUAL
By____________________________
Title: __________________________
Date: __________________________
Notary Public:
State of _______________________________
County of _____________________________
Signed and sworn to (or affirmed) before me on
Date: _________________________________,
By: __________________________________,
Signature: _____________________________
-4-

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