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'0"" <br />Authorization to Honor Items Debited MNTR� <br />dne5ource <br />A Vensure Employer Services Company <br />Name of Depositor as shown on Bank Records: Valrose Investment Group <br />If Depositor is a Corp./LLC/Sole Proprietorship/Other Entity — Print Name of Authorized Signatory: <br />Valrose Investment Group <br />Account Number: 3397544697 <br />Bank Name: <br />Bank Address: 461 From Road, Suite 235 <br />Bank Contact: Daniel Rivera <br />I hereby authorize MATRIX, or any affiliate thereof, to debit the above- referenced account each week to pay for my <br />employee leasing services. No debit shall exceed the amount shown on the weekly invoice that details our weekly <br />payroll, FICA taxes, FUTA taxes, SUI taxes, workers' compensation and management/administrative fee, health care, <br />dental or other benefits (401(k), etc.), and insurance premiums. <br />Any debit that is returned for any reason will require payment in the form of a cashier check for future payrolls. <br />Depositor/Company Name: Valrose Investment Group <br />Signature of Authorized Signatory on Account: <br />Address: 18911 Collins Avenue, Apt 3406 Miami, Florida 33160 <br />Date: 03/02/2022 <br />ATTACH A VOIDED CHECK BELOW ON THE ACCOUNT OR ACCOUNTS THAT WILL BE DEBITED <br />MOSFORM-FULLPEOENROLLMENTPACK <br />15 <br />@2020 MatrixOrieSource <br />