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Transaction Profile Report Form

TRANSACTION PROFILE REPORT FORM
Account Type
Purpose of Account
Estimated number of incoming transactions

(indicate the frequency applicable)

Estimated largest incoming

The above information is correct and accurately described. I/We agree to inform the bank timely of any change that would cause the information as described above to be incorrect and agree to satisfy any information requests the bank may have concerning circumstances leading to any change in the above mentioned declaration.

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Data Protection Agreement