Laserfiche WebLink
A TRUE COPY <br />CERTIFICATION ON LAST PAGE <br />J.R. SMITH, CLERK <br />City <br />1 <br />ZIP <br />Additional Business Owner (1) <br />First Name <br />State <br />Country <br />United States of America <br />l <br />Last Name <br />Ownership Percentage SSN <br />E-- — - <br />---- <br />Date of Birth Mobile Phone <br />Residence Address <br />Street Address 1 <br />Street Address 2 <br />City State <br />ZIP <br />t <br />Additional Business Owner (2) <br />First Name <br />Country <br />Last Name <br />Ownership Percentage (SSN <br />- -- % j <br />Date of Birth Mobile Phone <br />Residence Address <br />Street Address 1 <br />Street Address 2 <br />City State <br />t 1 <br />ZIP Country <br />I <br />Page 3 of 11 CardConnect LLC is a registered ISO of Wells Fargo Bank, N.A., Concord CA Version CardCo2305 <br />