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HLF722 - ChecklistRequirementsIssuanceSummaryPayment - V01
HLF722 - ChecklistRequirementsIssuanceSummaryPayment - V01
(V01, 03/2020)
CHECKLIST OF REQUIREMENTS
FOR THE ISSUANCE OF SUMMARY OF PAYMENT
NOTE: In all instances wherein photocopies are submitted, the original document must be presented
for authentication.
THRU REPRESENTATIVE/ATTORNEY-IN-FACT
NOTE: In all instances wherein photocopies are submitted, the original document must be presented
for authentication.