CLAIM FORM FOR FIRST REQUEST FOR CASH …

*FVSSCONE* 1 Ford Transmission Settlement P.O. Box 404000 Louisville, KY 40233-4000 FVS FOR CLAIMS PROCESSING LC ONLY OB CB DOC REV RED A B CLAIM FORM FOR FIRST REQUEST FOR CASH PAYMENTS FOR SOFTWARE FLASHES

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Class Action Settlement

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EXHIBIT 1 - Ford PowerShift Transmission Settlement

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1 In the United States District Court for the Central District of California Vargas v. Ford Motor Co Case No. 2:12-cv-08388-AB-FFM STIPULATION AND AGREEMENT OF SETTLEMENT

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