INANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYPE -ROUTE-NO ACCOUNT EFT MIDDLETOWN NY 10940 2589 CITY CD 3730 COUNTY CD 071 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * CITY CD 0000 STATE CD DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 0000 TA CONTA

/CHECK INFORMATION * 08/10/19 IR124 SCREE POSITION CURSOR ANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * MIDDLETOWN NY 10940 2589 CITY CD 3730 COUNTY CD 071 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * CITY CD 0000 STATE CD * CHECK BANK ADDRESS * ACCOUNT TYP• ROUTE NO ACCOUNT EFT DISBURSING OFFICE