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udgement) ACKNOWLEDGEMENT OUTSIDE NEW YORK STATE STATE OF COUNTYOF )ssc okiadaawallaSdaair 0 LESLEY K GROFF I i Notary Pi blIc - Stall of Na York I N0.01015255700 Cluairlod In New York County : hij commi14on2rt el at 8.20: : }C(4" On thelaay of 7th the year . before it the undersigned
ORK STATE STATE OF COUNTYOF )ssc okiadaawallaSdaair 0 LESLEY K GROFF I i Notary Pi blIc - Stall of Na York I N0.01015255700 Cluairlod In New York County : hij commi14on2rt el at 8.20: : }C(4" On thelaay of 7th the year . before it the undersigned, personally appeared , personally known to me
en Indyke Name STATE OF ISICS SII3 'E C ) country or t1/411Sta *tie : 154 IlalhaadIsdhasikaailltalia LESLEY X GROFF Notary Putalk Slots of Maw York 01GR6285700 Outilflot1 In New York County My Commission Expires Jul 8. 2011 ilorlIPTIPTInerirrireot EFTA01282366
agents) authority to spend your money and sell or dispose of your property during your lifetime without telling you. You do not lose your authority Modesto though you hove given your agent similar authority. -0 When your agent exercises this authority, he or she must act according to any instructions y
original document to us. EFTA00233099 EFTA00233100 LAW OFFICES Of GERALD B. Lzarcovirr, P.C. A PROFESSIONAL CORPORATION 148 EAST 78TH STREET TfEW YORK, NEW YORK 10081 GERALD B. LEFCOLIRT SHERY . RENATO C. STABILE FAITH A. FRIEDMAN BY FEDERAL EXPRESS Assistant United States Attorney Office of
°, Austin, TX 73301 North Carolina, Texas, Virginia Arkansas, Connectiout, Delaware, Kentucky, Maine, Massachusetts, Now Hampshire, New Jersey, Now York, Ohio, Pennsyivan'a, Rhode Island, Vermont, West Virginia Cincinnati, OH 48999 Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Maoist, Neb
63 7 Social sax* dps 9 Advance Elle paymert 11 Nottymnflod plans 14 Other VI Msonso tax tenthaid 4328.00 4 Soder secultyntx wIthyd 2913.42 8 Modesto tax vaneig 10 1 50 12a 12d 1.36 Form %VS crone 14071.9 1211,63 W m2ill U.S. Virgin Islands Farmtow Wags and Tax Statement Copy D • For Emp
v. riven 2055) I FILER'S name 1 EPSTEIN INTERESTS Street address (Including room or suite number) 457 MADISON AVENUE City, state, and ZIP code LNEW YORK, NY 1 0 02 2 I Name of person to contact Telephone number For Official Use Only Email address Fax number Oli ( ) I EmptoyeriangiCation hun
name and Mkt Lint name TEQUASI O HENDRICKS PO BOX 672 ST. JOHN, USVI, 00831 I Em i eels addro n a IP code J 3 Redd etcority were 20380.75 6 Modesto taws old tips 20380.75 11 Nonqualfled plan 13l'i Iva 14 Other ri 221 Ste Form W-35$ In/toolono I 22b 12c I 12d Form W-2V1 2006 U.S. Vir
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