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Case File
efta-efta00296176DOJ Data Set 9Other

INTERNAL USE ONLY:

Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00296176
Pages
1
Persons
0
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
INTERNAL USE ONLY: Account No.: Account Name: Gentlemen/Ladies: In connection with my/our desire to invest in the Sosin Partners, LP Uwe hereby attach a true and correct copy of my/our current Driver& License or Passport *** Additionally, I hereby authorize Panoptic Fund Administration to verify my name, address, and telephone number through LexisNexis Bridger Insight & FINRA OFAC reporting databases. Home phone# Sincerely, Signature Print Name Social Security Number ******PLEASE NOTE IF SUBMITTING A PASSPORT KINDLY INCLUDE A RECENT UTILITY BILL OR ANOTHER TYPE OF INVOICE INDICATING RESIDENTIAL ADDRESS.********** PROT0

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