first above written.
ASSIGNOR:
By:
Name:
Title:
ASSIGNEE:
By:
Name:
Title:
CONSENTED TO:
KEYBANK NATIONAL ASSOCIATION,
as Agent
By:
Name:
Title:
[ADD BORROWER CONSENT IF REQUIRED]
CONSENTED TO:
REPUBLIC 20TH STREET LLC, a Delaware limited
liability company
By:
Name:
Title:
L-3
EXHIBIT M
Patriot Act and OFAC Transferee and Assignee Identifying Information Form
1. Patriot Act Checklist
ADDITIONAL LENDER REQUIRED INFORMATION
Name:
Identification
(a) (US Company) TIN
(a)
(b) (Non-US) Gov't issued document certifying existence
(b)
Phone Number
BUSINESS REPRESENTATIVE REQUIRED INFORMATION
PERSON WHO WILL EXECUTE DOCUMENTS
Name
Residential Address
Date of Birth
Form of Identification
(a) (US Citizen) Social Security Number
(a)
(b) (Non-US) TIN, Passport Number (country of issuance, number &
date), or Alien Identification Number
(b)
2. OFAC Checklist:
Name:
Co-Lenders
General Partner/Managing Member/Trustee
Limited Partners/Members/Beneficiaries