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Nwabueze, et al. v. AT&T, Inc., et al., Case No.

09-cv-1529 SI BILLING SUMMARY REQUEST FORM IMPORTANT NOTICE: To assist you in completing a Claim Form under the Settlement, you may request, at no cost, a Billing Summary from AT&T setting forth each Third-Party Charge (and credit, if any) that was placed on your AT&T bill through a Clearinghouse from January 1, 2005 through January 14, 2013 as identified from a search of reasonably available AT&T billing information. You can review this information to determine if any of the charges were unauthorized and use the Billing Summary to support your claim for a settlement payment. If you want to file a claim for a settlement payment you must either submit a copy of the Billing Summary that AT&T will provide to you for free as part of the Settlement, and identify on that summary any charges that you claim were not authorized, or provide copies of your AT&T landline telephone bills and identify any ThirdParty Charge(s) that you claim were not authorized. INSTRUCTIONS: To obtain a Billing Summary, you must complete this form and submit it online at www.ATTthirdpartybillingsettlement.com, email it to info@ATTthirdpartybillingsettlement.com, or mail it to the Settlement Administrator, Garden City Group, at Nwabueze v. AT&T Inc. c/o GCG, PO Box 35045, Seattle, WA 98124. Alternatively, you may submit a request by telephone at 1-866242-0603. If you provide incomplete or incorrect information, your request may be denied. Please be patient. It may take up to 75 days for your summary(s) to be processed and delivered. Attach a separate sheet if you need more space. Requests must be submitted no later than December 2, 2013. Contact and Account Information. The following information must be provided for verification of your identity before any billing information can be sent to you: Full Current Legal Name: Tonia Parker Current Mailing Address: City, State, Zip Code: 85 Clayton Lane Tennille, Georgia 31089

(478) 232-4287 Current Contact Phone Number(s): __________________________________________________ Account Holder Name(s) as set forth on the AT&T telephone bills (if different than above): Billing Address(es) set forth on the AT&T telephone bills (if different than above): City, State, Zip Code: Please provide the Billing Telephone Account Number (BTN) for each AT&T landline account for which you are requesting a billing summary (Note: This is not simply your telephone number, it is the 13 digit account number located at the top of the first page of your AT&T landline telephone bill; 478 55 for former account holders, the BTN is identified on the Postcard Notice you received.): (_ _ _) _ _ 3 3 0 3 7 6 7 2 _ - _ _ _ _ _ _ _; (_ _ _) _ _ _ - _ _ _ _ _ _ _, (_ _ _) _ _ _ - _ _ _ _ _ _ _; (_ _ _) _ _ _ - _ _ _ _ _

_ _; (_ _ _) _ _ _ - _ _ _ _ _ _ _; (_ _ _) _ _ _ - _ _ _ _ _ _ _; (_ _ _) _ _ _ - _ _ _ _ _ _ _;

If you have any questions, additional information can be found at the website www.ATTthirdpartybillingsettlement.com, or by calling the Settlement Administrator at 1-866-242-0603, or by sending an email to info@ATTthirdpartybillingsettlement.com.

If you are a former customer and did not receive a Postcard Notice and do not know your prior Billing Telephone Account Number, please provide each landline phone number for which you are requesting a billing summary : (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _

_ ; (_ _ _) _ _ _ - _ _ _ _; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _ ; (_ _ _) _ _ _ - _ _ _ _.
If you received a Class Action Settlement Notice by postcard in the mail and you no longer have the postcard with the BTN you may still submit your request with the information requested above. Time period (MM/YYYY MM/YYYY) that you were or have been an AT&T landline customer (if known): Identity Verification (last four digits of customers Social Security or Tax I.D. number): _ _ _ _ .

I am a current AT&T landline telephone customer (please check if applicable). Please mail my Billing Summary to the Current Mailing Address above; or x Please e-mail my Billing Summary to the following e-mail address parkersgtgk4@gmail.com
Note: Billing summaries requested by email will come from "ATTthirdpartybillingsettlement@tgcginc.com" with the subject line "Billing Summary of ThirdParty Charges - Nwabueze, et al. v. AT&T, Inc., et al., Case No. 09-cv-1529 SI." To ensure that the email reaches your inbox, you should add ATTthirdpartybillingsettlement@tgcginc.com to your email address book or list of safe senders. COMPLETE AND SUBMIT THIS FORM ONLINE AT www.ATTthirdpartybillingsettlement.com, SEND VIA EMAIL TO info@ATTthirdpartybillingsettlement.com, OR MAIL TO: Garden City Group Nwabueze v. AT&T Inc. c/o GCG PO Box 35045, Seattle, WA 98124 ALTERNATIVELY, YOU MAY SUBMIT THE REQUEST BY TELEPHONE AT 1-866-242-0603 DEADLINE FOR ELECTRONIC OR TELEPHONIC SUBMISSION OR POSTMARK IS December 2, 2013 REQUESTS SUBMITTED LATE MAY BE REJECTED.

If you have any questions, additional information can be found at the website www.ATTthirdpartybillingsettlement.com, or by calling the Settlement Administrator at 1-866-242-0603, or by sending an email to info@ATTthirdpartybillingsettlement.com.

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