GIFT AFFIDAVIT I, , attest: That I reside at my telephone number is and I am (relationshi i of who is • urchasin the remises known as That the amount of $50,000 is a bona fide gift and no repayment, in any form, is expected. That the funds were given on April 20, 2010 That my gift funds were deposited in: Citibank 974 Third Avenue NY NY 10022 Account Name: Account Type: Checkin Account Number: That your deponent makes this affirmation knowing that you will rely on this affidavit. Date: Notarized By: EFTA_R1_0 1494376 EFTA02425874
