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EFTA00316714_sub_003 - EFTA00316714_300
cthy. • If the loon is hied by more than one reportng person. see Instruction 4 (b)(v). " Intentional rnestaterneras or omissions ol tads constaute Federal Ginn& Violations See 18 U.S.C. 1001 and 15 U.S.C. 780(a). Note: File three copies of this Form. one ol wlich must be manually signed. II space is insufficient. see I
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