ank Name: Address 2: itioan Debit Account Title: Beneficiary Account #: Beneficiary Name: David Tarlow & Co. CPA, PC City: State: Zip Code: IhrOgli/IntFp lary, PFty (if Repuirod)' Account Type: 0 DDA (US) 0 Swift 0 Other IntermIdiary Bank Account/Code: Intermediary Bank Name: EFTA0158996