| VEREIT, Inc.

First Name *

Last Name *

Email *

Phone Number

Birth Date

Date of Consumer Request *

By submitting this form, I, the California Consumer identified above, request that VEREIT disclose the following information to me pursuant to the CCPA (check all that apply):

Specific pieces of personal information that VEREIT has collected about me;
Categories of personal information VEREIT has collected about me;
Categories of sources from which the personal information is collected;
Categories of personal info that VEREIT sold or disclosed for a business purpose about me;
Categories of third parties to whom the personal info was sold or disclosed for a business purpose;
The business or commercial purpose for collecting or selling personal information.

By submitting this form, I, the California Consumer identified above, request that VEREIT delete my personal information, to the extent permitted by law. *

Date

Name (First and Last) *

Authorized Agent's Name (If Applicable):



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Information Request