AUTHORIZATION TO VERIFY FUNDS
DATE: December 31, 2013
TO: Trade Authority / Program Manager
RE: Authorization to Verify
INVESTOR TRANSACTION CODE:
Know all men, by these that I, (NAME), at the address shown above, give you clear notice that you have my direct permission and full authority to do all matters necessary to confirm, verify, and authenticate my beneficially owned cash funds and/or application asset(s) and its associated good standing account status, in an amount of (SPELL AMOUNT) United States Dollars ($_____,000,000.00 USD) on a bank to bank basis. The below stated beneficially owned account is of good, clean, and cleared cash funds obtained via legal means, and is currently available at the bank coordinates below:
Cash Amount: ($_____,000,000.00 USD)
Bank Name: (NAME OF THE BANK),
Bank Address: (ADDRESS OF BANK)
Account Name: (ACCOUNT NAME)
Account Number: (ACCOUNT NUMBER)
Account Signatory: (ACCOUNT SIGNATORY)
Bank Officer & Title: (BANK OFFICER / TITLE)
COPY OF THIS AUTHORIZATION WILL BE LODGED AND PRESENTED TO MY BANK OFFICER.
I, FULL NAME, herewith confirm that a blocking of my funds with MT799 and MT760 is possible and accepted by the bank.
In witness hereof I, (NAME), hereby swear under penalty of perjury, that the information provided herein is accurate and true as of this date: December 31, 2013
For and on behalf of (NAME OF COMPANY)
Signature: __________________________________ SEAL OF COMPANY
Name / Title:
Company:
Passport Number:
C.C.: (NAME OF BANK AND BANK OFFICER)