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TELEPHONE NUMBER S I 1 % OF OWNERSHIP 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 CORPOR

with the use of Ns yea card. Fa specifc inlosnation regarding the costs. Pease vane us at Par Beach NallOnal Beth a Trust Company. P.O. Bo. 14 2 ta, North Palm Beach, Floriie 33408 a call us at 561424-7305. TM undersigned canine test all statements In this Application end on each docuneril moulted to be submitted

TH COMPANY: MONTHLY MORTGAGE/RENTAL PAYMENT $ % OF OWNERSHIP TIME WITH COMPANY: HOME TELEPHONE NUMBER OFFICE TELEPHONE NUMBER 3. OTHER BANK: Chase Bank OF ACCOUNT(S): Personal account of Guarantor ' OTHER ACCOUNTS OLOAN OSAVINGS ACCT °CREDIT CARD PRIMARY BANK B S H CKING ACCOUNT # Palm Beach B

e use of Ills credit card. For specific information regarding the costs. please wrIto us at Palm Beach National 13ank & Trust Company. PO Bor- 14218. North Palm Beach, Florida 33408 or call us al 561-0244385. The undersigned canines that ell statements In this Application and on each document required to be submit

HOME TELEPHONE NUMBER 1 % OF OWNERSHIP 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 CORPOR

use of this credit card. For specific information regarding the costs, please write us at Palm Beach National Bank & Trust Company, P.O. Box 14218, North Palm Beach. Florida 33408 or Cell us al The undersigned canines that all statements In INs Application end on each document required to be submitted In connect

T HOME TELEPHONE NUMBER % OF OWNERSHIP 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 CORPO

ted with the use a tile credit card. For Wet* inkernbenn regarding the costs. picas* wise us at Palm Beach MS* Bank & Trust Company, P 0 Bo. 14218, North Palm Beach. Fads 33408 apes in al 5814244361 The undersigned Canine ',that all statements In Ms Application and on each dottrel required to be submitted in con