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REPORTS



MC Capital Markets LLC

Address: 190 S. LASALLE STREET, SUITE 3250 CHICAGO, IL 60603-3547
Telephone: not available
Fax: not available
Website: mccmarkets.com
Website 2: mccapmarkets.com


CLAIMANT VERIFICATION
First Name: _____________________________________________
Last Name: _____________________________________________
Current Address: _______________________________________ _
Country________________________________ Postal Code _____
Telephone (____) _____-_______________ Mobile Number:____
Signature________________________________________________
Email Address ___________________________________________
Additional Email Address (If Any) ________________________
AFFIDAVIT OF CLAIMANT
State of _________________}
County of _______________}


I declare that I have examined the information on this form and to

the best of my knowledge and belief it is true, correct and complete.


I understand that presenting a false or fraudulent claim, in whole or in part,

to the MC Capital Markets LLC may subject me to criminal and/or civil penalties

as provided for in 18 U.S.C. §287 and 31 U.S.C. §3729, respectively.
____________________________
Affiant (Signature)
Signed and sworn to (affirmed) before me
_________________________, this_________ day of _____________, 201_, by
(Notary Public)
________________________________.
(Affiant Name)
__________________________________My commission expires _______________

OUR CHARGES PER ENTITY ANALYZED
ARE AT PRESENT $750.00 USD



Please note that, we have completed our background check on this entity. This is a restricted report and upon receiving notification of your purchase, We will email to you our Intelligence Report in complete version within 24 hours.

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