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The undersigned hereby confirm that they have reached an agreement in principle consistent with the annexed term sheet. Date: September 2010 UNITED STATES DEPARTMENT OF THE TREASURY By: Name: Title:Herbert

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Start by carefully reading the instructions provided on the form. Make sure you understand the purpose and requirements of the form.

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Begin filling out the form by providing your personal information such as your full name, address, contact details, and any other required identifying information.

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