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CICS Account and case numbers: 55508596 01623514

Did / do you and your partner have any Yes No
bank or building society accounts,
savings or investment during this

If Yes, please list them below and provide proof of the amounts
held for the above period. Please provide the last two full months
statements for every bank or building society for you and your
partner
£

£

£

X:\CICDWP.dot

10