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•i <br />If the collateral is held by someone other than your financial institution, please so indictate. <br />In addition, I(we) certify that our financial institution is an Eligible Public Depository as required by Title 1 I of the <br />Colorado Revised Statutes. hlfSt NdtiOndl Brink <br />Community <br />Name of Financial Institution: <br />Person Submitting the Information: <br />Title of Preparer: <br />Telephone Number of Preparer: <br />970 - SG 7 - 8-Z 8/ <br />_.~ <br />