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sd-10-EFTA01451777Dept. of Justice

EFTA Document EFTA01451777

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SOF III - 1081 Southern Financial LLC INVESTOR QUESTIONNAIRE FOR INDIVIDUALS INDIVIDUALS: Please complete Parts I through VI of this Questionnaire and then proceed to "Form PF." 1. General Information. A. Investor Contact Information (all fields required'. I) Print Full Legal Name of Investor. 2) Social Security Number. Tax Identification Number or other Government-Issued Identification Number (required): 3) Primary• Contact for All Correspondence: Address: 4) Telephone Number (home

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Dept. of Justice
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sd-10-EFTA01451777
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