T ATTN: IIIIIIIIIII PRE CERT? STREET: CITY: NEW YORK STATE: NY PROVINCE: CNTRY: ZIP/POSTAL: 10013 DOB: COB: SOC SEC NBR: A-NBR: EMPLOYER: NEXT MGT TAX ID: IMIIIIII CONSLAT: PARIS POE: CLASS: PREFERENCE: 1B1 NBR BENF: 1 COA: STATUS/ACTION: IBS1 NO SYSTEM IDENTIFIED DEROGATORY INFO PRIOR