CLAIMANT’S CERTIFICATION & SIGNATURE
Certification
By Signing and Submitting This Claim Form, Claimant Or Claimant's Authorized Representative Certifies As Follows:
1. I (we) have read the Notice and Claim Form, including the descriptions of the Releases provided for in the
Stipulations;
2. I (we) am (are) a member of the Settlement Class and am (are) not one of the individuals or entities excluded
from the Settlement Class;
3. I (we) have not submitted a Request for Exclusion;
4. I (we) have made the transactions submitted with this Claim Form and have not assigned my (our) Settled Claims
to another;
5. I (we) hereby warrant and represent that I (we) have not assigned or transferred or purported to assign or
transfer, voluntarily or involuntarily, any matter released pursuant to the release or any other part or portion
thereof;
6. I (we) have not submitted any other claim in this Action covering the same transactions and know of no
other person having done so on his/her/its/their behalf;
7. I (we) hereby consent to the disclosure of, waive any protections provided by any applicable bank secrecy, or
data privacy laws (whether foreign or domestic), or any similar confidentiality protections with respect to, and instruct Defendants
to disclose my (our) information and transaction data relating to my (our) trades for use in the claims
administration process;
8. I (we) submit to the jurisdiction of the Court with respect to my (our) claim and for purposes of enforcing
the Releases set forth in any Judgments that may be entered in the Action;
9. I (we) agree to furnish such additional information with respect to this Claim Form as the Claims Administrator
or the Court may require; and
10. I (we) acknowledge that I (we) will be bound by and subject to the terms of the Judgments that will be
entered in the Action if the Settlements are approved.
Signature
Please Read The Release, Consent To Disclosure And Certification, And Sign Below.
I (we) acknowledge that, as of the Effective Date of the Settlements, pursuant to the terms set forth in the
Stipulations, and by operation of law and the Judgments, I (we) shall be deemed to have fully, finally, and forever
waived, released, relinquished, and discharged all Settled Claims (as defined in the Stipulations and/or Judgments),
and shall forever be enjoined from prosecuting any or all of the Settled Claims against the Settling Defendants
(as defined in the Stipulations and/or the Judgments).
By signing and submitting this Claim Form, I (we) consent to the disclosure of information relating to my (our)
transactions with Defendants in GSE Bond Transactions during the Settlement Class Period, and waive
any protections provided by any applicable bank secrecy or data privacy laws (whether foreign or domestic),
or any similar confidentiality protections with respect to information and transaction data relating to my
(our) trades, for use in the claims administration process.
If signing as an Authorized Representative on behalf of an entity, I (we) certify that I (we) have legal rights and
authorization from the entity to file this Proof of Claim form on the entity’s behalf.
UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE UNITED STATES OF AMERICA, I (WE) CERTIFY THAT ALL THE INFORMATION
PROVIDED BY ME (US) ON THIS CLAIM FORM IS TRUE, CORRECT, AND COMPLETE AND THAT THE DATA SUBMITTED IN CONNECTION
WITH THIS CLAIM FORM ARE TRUE AND CORRECT COPIES OF WHAT THEY PURPORT TO BE.