14,330.00 04/17 8,948.75 04/23 4,598.64 * * * Notice: See reverse side for Important Information. FIrstBank VIrgin Islands is a division of RrstEtanit remeeverse side of this form to reconcile 1.,n N F I 1-) F NTI m. AT . CONFIDENTIAL FirstBankPR005606 EFTA 00129086 EFTA01272512 THIS FORM