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AFFIDAVIT OF FORGED OR ALTERED CHECK 409 Silverside Road, Suite 105 Wilmington, DE 19809 P: 855.420.9467 www.premierloc.com PART 1: Claimant Information (please print legibly) I am first duly sworn
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Art C I Please is a form used to report income and assets for tax purposes.
Individuals and businesses with income and assets above a certain threshold are required to file Art C I Please.
Art C I Please can be filled out online or on paper forms provided by the tax authorities.
The purpose of Art C I Please is to ensure accurate reporting of income and assets for tax assessment.
Information such as income sources, assets, deductions, and credits must be reported on Art C I Please.
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2013 yyyy Bancorp PAYEE Silverside Wilmington Claimant YesoNo false legibly premierloc oYeso Attn Subscribed Dept certify notarized statutes Notary alteration drafts Payable fines punishable Expiration Mailing duly Endorsement establishing Makers entity

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