INFORMATION * 08/10/19 IR124 SCREEN 000 NAME POSITION CURSOR ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * NEW YORK-KINGS NY 11203 2432 CITY CD 4170 COUNTY CD 047 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYPE ROUTE NO ACCOUNT EFT C DI

ON ROUTE NUMBER, PRESS PF2 FOR FINANCIAL INSTITUTION ADDRESS * RESIDENCE ADDRESS * * CHECK BANK ADDRESS * ACCOUNT TYP• C ROUTE NO ACCOUNT EFT NEW YORK-KINGS NY 11203 2432 CITY CD 4170 COUNTY CD 047 STATE/COUNTRY 36 * CHECK MAIL ADDRESS * DISBURSING OFFICE CD 3 DISTRIBUTION CD 3 DESIGNATED AGENT 000