◆ SpookStack

ALL INFORMATION CONTAINED HEPEIN I5 UNCLASSIFIED DATE 06-08-2007 BY 69178 DMR/KSR/ IU [DRAFTING DIVISION] [STREET ADDRESS] [CITY,STATE, ZOP CODE] {MONTH DAY, YEAR] [MR./MRS/MS.] [COMPLETE POC NAME] (TITLE, IF AVAILABLE] [COMPANY NAME] [PHYSICAL STREET ADDRESS - NO B.0. BOX] [CITY, STATE - NO ZIP CODE] DEAR [MR./MRS./MS.] [LAST NAME]: Under the authority of Executive Order 12333, dated December 4, 1981, and pursuant to Title 12, United States Code (U.S.C.), Section 3414(a} (5), you are hereby directed to produce to the Federal Bureau of Investigation (FBI) all financial records pertaining to the customer(s) and/or accounts listed below: NAME (8) [if available] ACCOUNT NUMBER (s)}: [if available] SOCIAL SECURITY NUMBER(S): [if available] DATE(S) OF BIRTH: (if available] [FOR PERIOD FROM INCEPTION TO PRESENT] or iFOR PERIOD FROM [SPECIFIC DATE] TO [SPECIFIC DATE] or [PRESENT] ] Please see the attachment following this request for the types of information that your financial institution might consider to be a financial record. In accordance with Title 12, U.S.C. Section 3414(a) (S) (A), I certify that the requested records are sought for foreign counterintelligence investigation purposes to protect against international terrorism or clandestine intelligence activities, and that such an investigation of a United States person is not conducted solely on the basis of