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The four ringleaders of the Hatton Garden raid have been ordered to pay £27.5 million or serve another seven years in jail each.
Brian Reader, 78, from Dartford, is serving six years and three months, and John 'Kenny' Collins, 77, Daniel Jones, 63, and Terry Perkins, 69, are each serving seven-year sentences, for their roles in the notorious burglary.
Judge Christopher Kinch said the men jointly benefited from an estimated £13.69m worth of cash, gold and gems stolen from the Hatton Garden Safe Deposit.
During a hearing at Woolwich Crown Court he ruled they must pay £27.5m based on their available assets.
If they fail to pay their share of the total sum, they will have seven years added to their jail sentences.
It means some of the gang members, who are unwell, could die behind bars.
Speaking at the confiscation hearing, the judge said: "A number of these defendants are not only of a certain age, but have in some cases serious health problems."