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0 rnz r ID Yes No DO NOT 54 form CO-57-S for Ito orturs scecneally exampled from taxation tuner RS
r Are you Maiming tax exemption under RSA 76.8:27 • • 1070750.00 10707.50 0.75 DO NOT Mo forrnaysy.P lot transtra if)001503Ily exempted from Minton under RSA 78-B 2. excein transfers exempted by 0 Yes CM No RSA 7a-B.2. IX. Form CO-6Y-P must boned for non-contractual transfers although exempted u
become a separate tax lot. Cost bases is the tout purchase cost of the security. indudng reinvested diedencts The cost basis may needle te a:lusted:Ito, return of cap tal payments in order to deteonne the elated cost basis For tax mooning purposes. Your PI nodal Advisor: SCOTT STACK MANLYLE CASRIE
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RITTEN MONTHLY REPORT n EMPLOYER: fet e S 61 &Ito Way alai a g a a ( F2- 32/4160 (Provide physica
ComeneritiAntuucthomfituksatmlictiolis - Consirldbi. ancriononte gliteltrancr inn igaigaincialiallarraWidab2 "I certify the{ tin Wooly *mooning 'Minton is eve to its best of my knowledge *Whet —Cry F etro mu Lae bra* et la minted ugM1 1 • (Wader's Si a) SATURDA ADO Ile Derfas 004.4ela Mel
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