L FirstBankPR001772 EFTA_00 125252 EFTA01269855 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR CHECKBOOK BAI ANCE WITH THE ENDING BALANCE OF THIS STATEMENT. FOLLOW THESE INSTRUCTIONS OCROSTS NOT CRECIIFO BY THE eAtex ADD :•I Ctornts motif/coke el, the Ban. C£CLICT hI aValdna :Wes $ /Ma