S&P CDO Ratings Class Action

Federal Court of Australia Proceeding NSD 881 of 2020

Please input the following to the best of your ability.

By completing the form below, the class member named below will register their claim with Banton Group:

To: Banton Group

            Level 12
            60 Martin Place
            Sydney NSW 2000
            Attention: Amanda Banton
            Email: sandpcdos@bantongroup.com

Name of class member (i.e. person or entity who held an interest in a Claim CDO)(Required)

Person completing this form(Required)

Authority of person completing this form (e.g. company director, lawyer)

Telephone(Required)

Postal Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please provide as much of the below information as possible, to the best of your state of knowledge, if known

CDO(s) acquired

Name of CDO(s) acquired

Series/ISIN

Purchase Amount $AUS

Amount of loss $AUS

Date of acquisition of CDO

Date Sold

Date of last payment received

Signatory Name(Required)

Signatory Company

Today's Date(Required)

I am completing this form as a…(Required)

If Other...(Required)

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