EFTA00296176.pdf

INTERNAL USE ONLY: Account No.: Account Name: Gentlemen/Ladies: In connection with my/our desire to invest in the Sosin Partners, LP Uwe hereby attach a true and correct copy of my/our current Driver& License or *** Passport *** Additionally, I hereby authorize Panoptic Fund Administration to verify my name, address, and telephone number through LexisNexis Bridger Insight & FINRA OFAC reporting databases. Sincerely, Signature Home phone# Print Name Social Security Number ******PLEASE NOTE IF SUBMITTING A PASSPORT KINDLY INCLUDE A RECENT UTILITY BILL OR ANOTHER TYPE OF INVOICE INDICATING RESIDENTIAL ADDRESS.********** EFTA00296176