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TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & 01 HLR CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? PYFS nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO BUSINESS CHECKING ACCOUNT SI

PLOYEES TO WHOM CAROS ARE TO BE ISSUED FOR BUSINESS PURPOSES: SOCuu SECURrin S - CASH ADVANCE ACCESS? CREDIT LIMIT MCI ...- OYES $1O s [0 t OYES ONO 1 OYES ONO s OYES ONO TOTAL CORPORATE CREDIT UMIT REQUESTED: L. SDNY_GM_02771454 SUBJECT TO PROTECTIVE ORDER PARAGRAPHS 7, 8, 9, 10, 15, and 1

°LOAN _Old&YEDLACCOUNT OrTworr CARD AMERICAN EXPRESS ACCOUNT NUMBER: CORPORATE CARD? OYES ONO VISA BUSINESS OR ACCOUNT NUMBER: CORPORATE CARD? OYES ONO MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO .ACCOUNT NUMBER: DATE OPENED: DATE OPENED: BALANCE: DATE OPENED: BALANCE: BALANCE: AUTHORIZED

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USINESS PURPOSES: NAME (PRINT) SOCIAL SECURITY # SIGNATURE CASH ADVANCE ACCESS? CREDIT LIMIT YES YES OYES ONO $ pNO $ )0t.C6o ONO $ OYES ONO TOTAL CORPORATE CREDIT LIMIT REQUESTED: $ EFTA01701051 nug Lib Ut 1W aaa AUG-06-01 12.30 FROH 16.2127 a !400 MI rAt;1:C me LIST TR5 NAM

TIME WITH COMPANY: OFFICE TELEPHONE NUMBER 3. BANKING & OTHER CREDIT CARD RELATIONSHIPS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? DYES ONO MASTERCARD BUSINESS OR CORPORATE CARD? DYES ONO IMISING ACCOUNT # OTHER ACC

& OTHER CREDIT CARD RELATIONSHIPS 1 A AMERICAN EXPRESS ACCOUNT NUMBER: DATE OPENED: cORPORATF CARD? FIYFS ONO VISA BUSINESS OR CORPORATE CARD? OYES ONO MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO AL* " nCLIFCKING ACCOUNT a OAN °SAVINGS ACCOUNT ACCOUNT NUMBER: .ACCOUNT NUMBER: DATE OPENED:

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TIME WITH COMPANY: OFFICE TELEPHONE NUMBER BANKING & 01 HLR CHL.L)I I CARD RELA I :U:.SH PS PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR f:ORPORATF CARO? nyes PNO MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO IIIIIIMIMIACCOUNT # OTHER

THERAANK: 1 A AL.* AMERICAN EXPRESS CORPORATE CARD? OYES ONO VISA BUSINESS OR CORPORATE CARD? nYES nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO BUSIN ik"3 nebIECKING ACCOUNT ACCOUNT NUMBER: ACCOUNT NUMBER: .ACCOUNT NUMBER: OTHER ACCOUNTS D-OJ UT'S Or u0444,vm,4...2 OLOAN 04SAVINOS ACCT

RE TO BE ISSUED FOR BUSINESS PURPOSES: NAME (PRINT) SOCIAL SECURITY # SIGNATURE CASH ADVANCE ACCESS? CREDIT LIMIT DYES ONO DYES RNO t letcekb OYES ONO OYES ONO TOTAL CORPORATE CREDIT LIMIT REQUESTED: $ Case No. 08-80736-CV-MARRA P-001093 EFTA00228473 tiug AUG 0C-01 12 30 FROM P. 1 AuTHORIED

CODE: YEARS AT ADDRESS OWNERSHIP STATUS: TIOWN FIRENT MOTHER: POSITION WITH COMPANY: 3 PRIMARY BANK Chase Bank OTHER BANK: Palm Beach Bank AMERICAN EXPRESS CORPORATE CARD? nYES nNo VISA BUSINESS OR CORPORATE CARD? nYES nNo MASTERCARD BUSINESS OR CORPORATE CARD? OYES ONO MONTHLY MORTGAGE/RENTAL PAYM

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