Florida Consumer Privacy Law Request

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REQUEST FOR INFORMATION COLLECTED | REQUEST FOR IDENTIFICATION | REQUEST FOR DELETION OF INFORMATION COLLECTED BY RAUSCH STURM LLP (FLORIDA RESIDENTS ONLY)

Request

Pursuant to the Florida Data Privacy and Security Act, I hereby declare under penalty of perjury that the information provided above is true and correct and that I (the individual described above) am the individual that is providing the information above.

- OR -

By submitting this form I am authorizing Rausch Sturm LLP to contact me using the phone numbers or email address supplied.