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Sample Form 9B

Authorization of Withdrawal by Teranet

Authorization TW001

Amount of funds to be withdrawn: $2,367.60


Noir purchase from Blanc, 456 Route St., Anytown

Client: Nicky Noir

File No. 10-43

Reason for withdrawal: LTT ($2,225.00), Reg’n fees - Transfer/Charge ($71.30 x 2)

Trust account to be debited:

Name of financial institution: Bank of Ontario

Account number: 456789123

Person authorizing withdrawal: Leslie Lawyer

August 30, 2010                               Leslie Lawyer

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