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Form Fdic 7200 Claim
Person or entity actually making the claim. This may be you
or another person or entity on whose behalf you are authorized to file the claim.
4. AMOUNT OF CLAIM. The dollar amount of the claim.
5. DESCRIPTION OF CLAIM. Detailed description of what is being claimed (e.g., the invoice number,
type of service being claimed, account number, etc.). Additional information may be attached.
6. SIGNATURE. The signature of the person completing the POC. Include your title if you are filing this
POC on...
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