Form Rs-3 - Notification To The Attorney General Of The State Of New York Of Abandonment Of Offering Page 2

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RS-3
Page 2
5.(b)
For syndication offerings:
I, ____________________________________________________, as _________________________________
(name of principal of sponsor)
(title)
of the issuer of this offering, represents that all deposits have been returned to investors with interest at
__________ percent per annum/ without interest (indicate applicable term). (If less than the entire amount of
deposits received from investors has been returned, attach explanation.)
DATED: ______________________________
SIGNED: ______________________________

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