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2022CDBG CV Agreement <br />Exhibit C <br />Source of Funds #4 <br />Lender/Grant Provider Name Click or tap here to enter text. <br />Purpose Click or tap here to enter text. <br />Amount Click or tap here to enter text. <br />!Government Loan <br />! Nonprofit Grant <br />nPr¡vate Loan <br />! Government Grant nGovernment Forgivable Loan <br />nNonprofit Loan lNonprofit Forgivable Loan <br />nOther: Click or tap here to enter text. <br />Upon review of the Duplication of Benefits Reporting Form, the City may request additional information related <br />to the funding sources listed above. Please maintain documentation for each of the sources of funds acquired <br />during the period of performance for this agreement. <br />Duplication of Benefits Reporting Form