LODE Account Login Information and Beneficiary Form

Please fill in this form on your computer and print off the number of copies you need. This form constitutes Beneficiary access to your LODEwallet which is an asset.

DO NOT SAVE A COMPLETED COPY OF THIS FORM ON A DIGITAL DEVICE

Date:

Member ID:

LODE Login Details:

- Email used:

- Password:

- 6 Digit Login PIN:

- 12 Word-Recovery-Phrase (Your Private Key). You are using these 12 words in the event that you have to RESTORE your account on a new computer and/or in the event of a lost, stolen or upgraded phone. When entering the Recovery Words, enter them exactly as written, in the exact order of 1 – 12.

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12.

Avalanche AVAX Address:

(Click on Receive (below Home), Avalanche AVAX, Copy Address and Paste above)