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ble to verify any Wcimation provided to Pain Beach NlillOnSI Bonk & Trust Company on Via Appication on any such ranged document. racketing Wig**, to the Internal Revenue Service, busmen craft reponing and Credit bureau agencies end associations. end we authorise Palm Beach National Bank & Trust Company, Its holding company e
rcement. CONS and expenses include Bank's reasonable allerneyie Ism and legal expenses whets or not The is a lawsuit. for bankruptcy proceedings lard Maxie* eats to modify a vacate any automatic slay a trilLnCli011). appeals. and any anticipated post-Iudgenent COleckel serriC41. Guarantor ISO shall pay
ed by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Ghislaine Maxw
as the source of funds for this account: Other Income Source transfer I Please review Mein/am/ion about each of your accounts and notify your Maxie; Advisonmmediarely if you hare any changes or corrections for more information, phase refer to the U8S Deposit Account Seep Program Disclosure
ed by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. The Internal Revenue Service does not require your consent to any provision of this document other than the certifications required to avoid backup withholding. Ghislaine Maxw
s the source of funds for this account: Other Income Source transfer I Please review Mein/amaze.", about each of your accounts and notify your Maxie; Advisonmmediarely if you hare any changes of corrections for more information, phase refer to the U8S Deposit Account Sneep Program Disclosur
10 06 O logli•PATII 07 O 10119.0 31 12 1399-R el O 1999-5 76 O Me 25 mi 349449A 72 O 10064646 27 O Return this entire page to the Internal Revenue Service. Photocopies are not acceptable. Under pantiles of WPM I declare that I hnve examine:lolls Mum aod sccomponying documents, and, la the bale of myhom
-4=Ls 1°cateifilikIN WM109 BUREAU OF address WITERN 1. REVENUE ST. THOMAS, Vier Alabruno, Arizona, Florida, Georgia, Louisiana, Mississippi, Now Maxie°, Austin, TX 73301 North Carolina, Texas, Virginia Arkansas, Connectiout, Delaware, Kentucky, Maine, Massachusetts, Now Hampshire, New Jersey,
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