7% gi (II "Ter explain on Pg. 3) Y • ..... It 110 yOU receive any pension YES NO for a past drsabilly? O O • of "tee explain-on Pt. 3) 4. !Myrna Salaryever been YES No garnisheed? O el f ill Ms: exPlain On Pg. 31 . . . . • PRE-EMPLOYMENT STATEMENT I understand and agree hat Sear. Stearns & Co..