L FirstBankPIR006085 EFTA 00129565 EFTA01670763 THIS FORM IS PROVIDED TO HELP YOU BALANCE YOUR STATEMENT TO VERIFY YOUR C HECKBOOK BALANCE WITH THE E NDING BALANCE OF THIS STATEMENT. FOLLOW THESE INSTRUCTIONS OEPOSITS NOT CREDITED BY lit BANK ADO (t) Depositie not omdeed by Me Bank Mare T Check. Otasfandi