AUTHORIZATION TO VERIFY FUNDSDATE:

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)

ผลลัพธ์ (เฮติครีโอล) 1:

OTORIZASYON pou wè ak je li FON

DAT: 31 desanm 2013
POUR: komès otorite / direktè pwogram
si: otorizasyon pou Vérifier

KÒD zafè INVESTISSEURS:

Savoir tout moun, pou lè sa a, men sa mwen menm, (non), nan adrès la montre pi wo pase, ban nou klè avi sa ou genyen m' pèmisyon dirèk ak tout otorite pou yo fè tout zafè nesesè pou konfime, wè ak je li, Et s' fon beneficially à lajan m' ak/oubyen aplikasyon asset(s) Et li asosye kanpe sou de pye bon compte estati, nan yon total de dola nan Etazini (ORTHOGRAPHE MONTAN) ($___, 000, 000.00 USD) sou yon baz bank bank. A sous te deklare beneficially compte à se lajan kach bon, sèvis ak kò mounn obtenue via legal mwayen de sa a, ki aktyèlman ap disponib nan ki pi ba coordonnées bank yo:

En total: ($___, 000, 000.00 USD)
Bank non: (non BANK lan),
Bank adrès ou: (ADRÈS BANK)
Compte non: (COMPTE non)
nimewo kont nan bank: (NIMEWO kont nan BANK)
Compte siyatè: (COMPTE SIYATÈ)
Bank ofisye & Tit: (BANK OFISYE / TITRE)

KOPI OTORIZASYON sa a VA ÊTRE te fè a, PWEZANTE li bay m' BANK OFISYE.

mwen, non COMPLET, jis kounye a konfime ke yon bloke lajan m' ki disponib ak MT799 ak MT760 posib te aksepte ke bank la.

nan témoin présentes mwen, (non), apwe sa sèmante under penalty of fo temwanyaj, ke a enfòmasyon ki te founi Document précis Et tout bon tankou dat sa a: 31 desanm 2013

pou Et non (non DE KONPAYI)


siyati: ___, SO KONPAYI

non / titre:
konpayi:
Paspò:
C.C.: (non DE BANK ak OFISYE BANK)

ผลลัพธ์ (เฮติครีโอล) 2:

OTORIZASYON POU VERIFYE FON DAT: 31 desanm 2013 POU: Manadjè Otorite Komès / Pwogram RE: Otorizasyon Pou verifye envestisè TRANZAKSYON KÒD: Konnen tout moun, pa sa yo se mwen menm, (NON), nan adrès ki endike anwo a, ba w yon avi klè ke ou gen pèmisyon dirèk mwen an ak otorite plen fè tout zafè ki nesesè yo konfime, verifye, ak legalized beneficier posede lajan lajan kach mwen ak / oswa aplikasyon byen (yo) ak bon kondisyon ki asosye li yo kont kanpe, nan yon kantite lajan nan (eple KANTITE LAJAN) nan United Etazini dola ($ _____, 000,000.00 USD) sou yon bank nan baz labank. Anba a deklare kont lan beneficier posede se nan bon, pwòp, ak otorize lajan lajan kach jwenn atravè mwayen legal, e se kounye a disponib nan bank la kowòdone pi ba a: Kantite lajan Lajan Kach: ($ _____, 000,000.00 USD) Non Bank: (NON BANK LA) , Bank Adrès: (ADRÈS BANK LA) Kont Non: (NON KONT) Nimewo Kont: (NIMEWO KONT) siyatèr Kont: (KONT siyen) Bank Ofisye & Tit: (BANK AN CHÈF / Tit) AP kopi Otorizasyon sa a DWE pase nwit lan epi prezante nan men lapolis labank mwen. Se mwen menm, NON KONPLÈ, deklar konfime ke yon bloke nan fon mwen ak MT799 ak MT760 se posib ak aksepte pa bank la. Nan temwen prezant Mwen, (non), mwen fè sèman sou pèn fo temwayaj, ke enfòmasyon ki dokiman sa a se egzak ak vre jan de dat sa a: 31 desanm 2013 Pou ak sou non (NON KONPAYI) Siyati: __________________________________ SEAL KONPAYI Non / Tit: Konpayi: Nimewo Paspò: CC: (NON BANK ak bank AN CHÈF)