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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

8264 EFTA01337908 Page Two July 26 2001 Please return all completed forms and financial information to my attention at: BankCard Services 3931 RCA Blvd., Suite 3102 Palm Beach Gardens, FL 33410 If you have any further questions, please do not hesitate to contact us at 776-2448. Again, thank you for

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

EFTA01701054 •• Page Two July 26 2001 Please return all completed forms and financial information to my attention at: BankCard Services 3931 RCA Blvd., Suite 3102 Palm Beach Gardens, FL 33410 If you have any further questions, please do not hesitate to contact us at Again, thank you for your int

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

EFTA00186451 •• Page Two July 26 2001 Please return all completed forms and financial information to my attention at: BankCard Services 3931 RCA Blvd., Suite 3102 Palm Beach Gardens, FL 33410 If you have any further questions, please do not hesitate to contact us at Again, thank you for your int

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

1096 EFTA00228476 Page Two July 26 2001 Please return all completed forms and financial information to my attention at: BankCard Services 3931 RCA Blvd., Suite 3102 Palm Beach Gardens, FL 33410 M If you have any further questions, please do not hesitate to contact us at . Again, thank you for your