DUE (TAXES. PENALTY. INTEREST) SUM OF 4B AND SC 5150.00 I MURK UNDER PENALTY Of PERJURY, UNDER THE LAWS OF MI WEED STATES VIRGIN ISLANDS. THAT All STAMMERS CONTAINED IN THIS APPUCADON, AND ANY ACCOMPANYING DOCUMENTS, ARE TRUE AND CORRECT. WITH TUG KNOWLEDGE THAT All STATEMENTS MADE IN MIS APPLICATION ME

IT 020519VISA DDA PUR 91.48 THE HEADLESS PORSOMAi r. NEW VCR< • NY 43,37862001117433 02/07 DEBIT CARD PURCHASE. ALIT 026519VISA DOA PUR 15.00 STAMMERS 830 782 7282 • WA 4387682001117433 02)11 DEBIT CARD PURCHASE. AUT 021019 VISA DDA PUR 49.95 GCGO ITIYUGHTSVIP err S Goss • 436/13WM i•7433