编号:___________
借款单位(户):___________________________
住址:_____________________________________
借款用途:_________________________________
利率:___________________ 月息:_______%
借款金额(大写):_________________________
借款日期:_________________________________
到期日期:_________________________________
还款计划:_________________________________
还款情况登记:_______年_______月_______日,金额:_______年_______月_______日,还本金额:__________________还息金额:_____________________结欠本金:_____________________经办员:_____________________
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