EFTA00168375¶
seove¶
201112270013220104¶
USAO 000401¶
EFTA_00018311¶
EFTA00168376¶
Cin / : GcLER¶
201112270013220102¶
USAO 000402¶
EFTA_00018312¶
EFTA00168377¶
CERTIFICATION¶
I certify that all of the items of information entered on this form are true and correct (to the best of my knowledge and belief) and understand that the making of any willful false statement of material fact herein will subject me to the provisions of the penal law relative to the making and filing of false instruments.¶
BUYER¶
BUYER’S ATTORNEY ERIKA KELLERHALS, ESQ¶
BUYER SIGNATURE DATE 9100 HAVENSIGHT, PORT OF SALE, SUITE 15/16.¶
LAST NAME FIRST NAME¶
STREET NUMBER STREET NAME (AFTER SALE) ST. THOMAS¶
AREA CODE TELEPHONE NUMBER SELLER¶
00802¶
CITY OR TOWN STATE ZIP CODE SELLER SIGNATURE DATE¶
COUNTRY VIRGIN ISLANDS, US¶
serve¶
2011122700132201¶
USAO 000403¶
EFTA_00018313¶