NATURE Print Name: Date: SIGNATURE Print Name: Date: Subscribed and sworn to Before me this , 2012. Notary Public My Commission expires: (Notary Seal) RTPark Application — Page 11 RTPark-PC-02-1-2012 EFTA00292625 RELEASE AUTHORIZATION To all Courts, Probation Departments. Selective Service Bo

orn to and subscribed to me this 2.3.— day of / 2"42€4,--/Lc., Cast; Produced Identification Type o •entification Prothrea Si Of Notary Public (Notary Seal) Personally known HARRY I. BELLER Notary Public, State of New York No. 018E4853924 Qualified in Rockland County 66 Commission Expires Feb. 17,

nd bears a serial or other identifying number. Print Name Signature NOTARY PUBLIC - STATE OF FLORIDA Commission Number: My commission expires: (Notary Seal) 5 EFTA00598956

Zip "T. 771,9ni 4.5 Ii5 Vi- e/ago 2- 5 day of LAs,v,trit 14- 1 ,„s 7 Produced Identification Type of Id tification Produced Si otary Public (Notary Seal) HARRY I. SELLER Notary Pu York No. Qualified in Rockland County t o Commission Expires Feb. 17, 20! EFTA00616437 Di4N DEERE Customer Purcha

producing identification as described below. WITNESS my and hand and official seal in the County and State last aforesaid this day of , 2009. Notary Seal Notary Public Print Name Commission No. Expiration Date Personally Known Id produced: IN WITNESS WHEREOF, I have hereunto set my hand and seal