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Get Draw A Request Form 2018-2024

Company Account #: (Horizon Bank routing number: 1119-0794-0) I (we) hereby authorize Horizon Bank, SSB, to act on our behalf to respond to a Wire Transfer Draw-Down Request from the company listed below. The response will result in the initiation of a charge to our account and the creation of an outbound wire transfers to the Checking or Savings Account(s) for the company and the Depository/Institution named below. I cert.

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