Proof Of Claim And Release Form - New York District Court Page 4

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ACCURATE CLAIMS PROCESSING TAKES A SIGNIFICANT AMOUNT OF TIME.
THANK YOU FOR YOUR PATIENCE.
Reminder Checklist:
1. Please sign the above release and declaration.
6. If you desire an acknowledgment of receipt of your claim form
please send it Certified Mail, Return Receipt Requested.
2. If this claim is being made on behalf of Joint Claimants,
then both must sign.
7. If you move, please send your new address to the address
below.
3. Remember to attach copies of supporting documentation,
if available.
8. Do not use red pen or highlighter on the Proof of Claim
Form or supporting documentation.
4. Do not send originals of certificates.
5. Keep a copy of your claim form and all supporting
documentation for your records.
THIS PROOF OF CLAIM FORM MUST BE SUBMITTED ONLINE OR IF MAILED POSTMARKED NO LATER THAN
MARCH 21, 2016, ADDRESSED AS FOLLOWS:
Barclays Securities Litigation
Claims Administrator
c/o Gilardi & Co. LLC
P.O. Box 8040
San Rafael, CA 94912-8040
*BARCLAYSSIXTH*
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