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Address lif different from Mailing) Home Number Work Number Cell Number Fax Number E mad Address DB Entity Date visti sins, Floor 27 lure Rosen. Dant Sig .h4: Bank - AWMI Palo* tin York. HY 16°5 60 Wall Sinn Floor 27 Ni--- n purn ----7 - 71 14errYort. N7 t000.1 I , ) 2304962 Date Dete
penalties of perjury that you are a U.S. person. Your U.S. Taxpayer Identification Number You further agree to provide the Bank a validly completed Internal Revenue Service Form W-9. Non-U.S. Persons (Individual). By checking this box, you hereby certify under penalties of perjury that you are neither a citizen nor a r
AGENT(S) Jeffrey enstein. 6100 Red Hook Ouaner 63. St Mona USVI 0M2 1. rotelly appoint. (Insert your nom and at) ClamatodcrieJ As my agentfat Rosen name(s) and addresses) of agent(s)) If you designate more than one agent above, they must act TOGETHER unless you INITIAL the statement below. My a
nalties of perjury that you are a U.S. person. Your U.S. Taxpayer Identification Number i You further agree to provide the Bank a validly completed Internal Revenue Service Form W-9. Non-U.S. Persons (Individual). By checking this box, you hereby certify under penalties of perjury that you are neither a citizen nor a r
Psychological Science, 13, 145-47. Nourkova V.V., Bernstein D.M., Loftus E.F. (2004) Altering traumatic memory. Cognition & Emotion. 18, 575-585. Rosen, G. M., Sageman, M., & Loftus, E.F. (2004) A Historical Note on False Traumatic Memories, Journal of Clinical Psychology. 60, 137-139. Nourkova V.V
erlands, Ireland, Scotland, Portugal Law Reform Commission of Canada, 1981 Westin Hotels, AT&T, Schering-Plough, L.A. Gear, and other corporations Internal Revenue Service, 1984 National Center for Health Statistics, 1985 US Secret Service, 1986 Unified Court System, NY., 1989-90 Consultant to Canadian Government Of
Entities connected to both Rosen and Internal Revenue Service

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