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ABCP Information Request

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First Name:
Last Name:
Phone (Day):
Address:
City:
Province:
Postal Code:
Email:
Phone Evening:
Fax:

ABCP Purchased
ABCP Trust
Name Purchased
(ex. SIT-III) 		Series Letter
(ex. A,E )		 Dollar Value Purchase Date Purchased From
Broker / Company		 Broker Name


Please tell us about your ABCP purchase. We would like to gather facts to support claim(s) over and above the par value of your ABCP, such as, consequential damages. Consequential Damages are damages that arise as a direct consequence of the ABCP freeze, such as, unpaid interest before March 17, a lost opportunity arising out of the freeze, or other monetary damages arising as a consequence of the ABCP freeze.

If you would like your information to remain privileged and confidential, please indicate accordingly.

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