INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –AAFFIDAVIT OF OWNERSHIP AND EXCLUSIVITY & AUTHORIZATION TO VERIFY ASSETS DATE : TO : ADDRESS : TELEPHONE/FAX : E-MAIL: CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE : REFERENCE OF ASSETS : { Details of Proof Of Funds}
I, ............................................ , THE AFFIANT TO THIS AFFIDAVIT AS THE SIGNATORY BEING OF LAWFUL AGE, HEREBY SOLEMNLY SWEAR AND TESTIFY UNDER OATH AND MAKE THIS AFFIDAVIT UNDER THE PENALTY OF PERJURY AS FOLLOWS: 1. THE AFFIANT MAKES THE AFFIDAVIT KNOWING THAT THE RECIPIENT HEREOF WILL RELY ON ALL REPRESENTATION MADE HEREIN AND THAT THE AFFIANT WILL BE LIABLE FOR CLAIMS RESULTING FROM ANY MISREPRESENTATION OF ANY MATERIAL FACT, AND 2. THE AFFICANT CONFIRMS, THE AFFIANT’S COMPANY IS THE CURRENT LAWFUL OWNER OF THE ASSETS THAT ARE THE SUBJECT OF THIS AFFIDAVIT 3. THAT THE AFFIANT STATES THAT SAID ASSETS WERE LAWFULLY OBTAINED AND CONSIST OF CLEAN, CLEARED FUNDS OF NONCIRMINAL ORIGIN, AND 4. THAT THE AFFIANT FURTHER STATES THAT AFFIANT HAS FULL AND COMPLETE LEGAL TITLE AND AUTHORITY, AND 5. THAT THE AFFIANT STATES THAT THERE ARE NO TAXES, LEVIES, DUTIES, CHARGES, LIENS, CONTRACTURAL OBLIGATION OR ENCUMBRANCE OF KIND SECURED BY OR AGAINST SAID ASSETS, AND 6. THE AFFIANT CONFIRMS THAT THE SAID ASSETS ARE AUTHENTIC AND VERIFIABLE AND NO SIGNIFICANT FACTS EXIST WHICH HAVE LED TO OR COULD LEAD TO NON-VALIDATION OF SAID ASSETS, AND
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT 7. THAT THE AFFIANT HEREBY AUTHORIZED THE TRANSACTION BANK CONSULTANT TO CONFIRM AND VERIFY SAID ASSETS, THAT THE AFFIANT MAKES SAID ASSETS EXCLUSIVELY AVAILABLE AND NO OTHER ENTITIES FOR GENERATION OF A FIRM CONTRACT OF SUBMISSION OF ALL REQUIRED ORIGINAL AND/OR 8. THE TRANSACTION REQUIRED, AND AFTER SIGNING AGREEMENTS THE AFFIANT WILL MAKE SAID ASSETS EXCLUSIVELY AVAILABLE FOR A MUTUALLY AGREED TERM TO COMPLETE THE TRANSACTION REFERRED ABOVE AND ALL MUTUALLY AGREED ROLLS AND EXTENSIONS OF IT, AND THE AFFIANT DECLARES ALL FORMS (FACSIMILES, ETC.) OF THE TRANSACTION DOCUMENTS ARE EQUAL TO THE ORIGINALS.
___________________
DATE:
, 2009_____
TITLE: AUTHORIZED SIGNATORY PASSPORT NUMBER: COUNTRY OF ISSUE : DATES ISSUE/ EXPIRES: PROFIT PROVIDER COMPANY NAME, REGISTRATION N°, REGI STERED STATE/NATION, ADDRESS
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –B-
BIOGRAPHY OF EURO OR USD PRINCIPAL
DATE: NAME: NAME OF FATHER: NAME OF MOTHER: SISTERS: BROTHERS: DATE OF BIRTH: PLACE OF BIRTH: NATIONALITY: PASSPORT NO.: MARITAL STATUS: NO. OF CHILDREN: DAUGHTERS: SON: QUALIFICATION: PROFESSION:
SIGNATURE:
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –CName of Applicant Registered Mailing Address, City, State/Province, Country Phone Number - Cell Number Fax Number - E-Mail Address
Date: Subject: Applicant Profile Attestation Dear Sir: In accordance with Articles 2 and 5 of the Due Diligence and Federal Banking Commission Circular of December 1999 concerning the prevention of money laundering, and Article 305 of the Swiss Criminal Code, the following information may be supplied to banks and financial institutions for verification of identity and activities of the investing member, and the nature and origin of the funds which are to be utilized. All parties are obliged to respect professional secrecy and take all necessary precautions to protect confidentiality of the information each holds in respect to the other’s activities. The legal obligations shall remain in full force at all times. Applicant Company Information: (if applicable) Company Name Mailing Address City, (Province/State) + Zip Code, Country Country/Province/State where registered Company Registration Number Registered Company Address Company telephone number Company Facsimile number Company E-mail Address Date Company established Type of business activity
: : : : : : : : : : :
Individual Applicant or authorized Signatory Representative of Company Individual Name : Title/Position/Authority : Residence Mailing Address : City (Province/State) + Zip Code, Country : Telephone number : Mobile/Cell Phone number : Facsimile Number : E-Mail Address : Place of Birth : Passport Number :
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT Individual Applicant or Authorized Signatory - continued Country Issuing Passport : Date of Passport Issue : Date of Expiration : Bank Details Name of Bank and Branch Full Street Address of Bank City, (Province/State) + Zip Code, Country Name of Bank Officer Account Name Account Number (prefer IBAN number) SWIFT Code – BIC Bank Number Telephone Number Facsimile Number E-mail Address of Bank Officer Name(s) of Account Signatory (ies) Date Account established Attorney: (if applicable) Name of Attorney Name of Law Firm Address City, (Province/State) + Zip Code, Country Law Firm’s telephone number Attorney’s telephone number Attorney’s Cell phone number Facsimile Number Attorney’s E-Mail Address Auditor/Accountant: (if applicable) Name of Firm Auditor/Accountant Name Firm Address City, (Province/State) + Zip Code Firm Telephone number Auditor/Accountant Telephone number Cell Phone Number Facsimile Number Auditor/Accountant E-mail Address
: : : : : : : : : : : :
: : : : : : : : :
: : : : : : : : :
General Information Proposed amount of funds available for placement or purchase. : What is source/origin of proposed funds? : How long have funds been on deposit at Bank from which Funds Capability is issued. If less than three years, please provide previous banking information and describe the form in which
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT assets were deposited and/or transferred, or : provide documentation how proposed funds were : generated/earned. : Transfer date to current Funds Capability Account : Does applicant signatory have sole, full discretion to invest funds upon satisfactory terms.
: :
Does applicant signatory have discretionary power to transfer, reserve and/or block said funds? If not please accurately describe responsibility to funds.
: : :
Has applicant placed or tried to place said funds elsewhere? If yes, where, when and with whom? Has a Cease and Desist been issued. If yes, when and to whom. Please attach copy(ies) of all Cease and Desist letters relating to proposed funds
: : : :
Are the proposed placement funds free and clear with no liens and encumbrances?
:
: :
ACKNOWLEDGEMENT: I hereby confirm and verify that I have the power on behalf of [name of company] to place these assets and that I am the sole signatory on the bank account, that the assets are not commingled with assets contributed by others and that I have full authority to execute all contracts and agreements relating to the private bank secured placement. I hereby swear and attest under penalty of perjury that the statements and information provided in this document, the Applicant Profile and Attestation, four pages in all, dated _______________, are true and correct to the best of my knowledge and belief. ON BEHALF OF [Name of Individual or Company Applicant] ______ (SIGNATURE) _______ [SEAL]
Notary Acknowledgement
*** Please attach an enlarged copy of individuals Passport or Proof of Identification.
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –DON PROFIT PROVIDER LETTERHEAD PAPER CURRENCY EXCHANGE LETTER OF REQUEST TO HIS BANK OFFICER
DATE : COPY TO : USDP OR EUROP ADDRESS : TELEPHONE/FAX : E-MAIL: CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
To be sent to : PROFIT Provider Bank Officer xxx Dear Sir, I am informing you that I am ready to proceed with the exchange of my XXXX deposited on my bank account N°…………… , for YYYY fun ds as per contract transaction codes referenced above, which was filled up with you on or around xxxxxxxxxxxxx, 200X. As you are aware, this above referenced contract and transaction codes is to be done with USDP OR EUROP Thank you for your attention in this project Client Letterhead Letter of authorisation to verify funds
DATE :
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT TO : ADDRESS : TELEPHONE/FAX : E-MAIL: CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
I, MR...................................................................., REPRESENTING ............................................ WITH FULL PERSONAL AND CORPORATE AUTHORITY, DO HEREBY AUTHORIZE_______ AUTHORISED LEGITIMATE MANDATE, TO VERIFY THAT THE CONFIRMATION OF ALLOCATED FUNDS CAN BE ISSUED BY MY BANK AND THAT THE FUNDS ARE GENUINELY AVAILABLE AS REFERENCED BELOW, BOTH VERBALLY AND ON A BANK-TOBANK BASIS VIA FAX OR SWIFT. I, MR..................................................................., ON BEHALF OF ______________, “PROFIT” PROVIDER, ALSO STATE THAT THE FUNDS REFERRED TO ARE CLEAN, CLEARED, OF NON-CRIMINAL ORIGIN, AND ARE FREE OF ANY LIENS AND/OR ENCUMBRANCES. I, MR..................................................................., ON BEHALF OF ______________, “PROFIT” PROVIDER, ALSO HEREBY CONFIRM THAT OUR BANK OFFICER IS FULLY AWARE OF THE REFERENCED TRANSACTION XXXX REFERENCE CODES, AND IS READY TO DISCUSS PROCEDURE AND CLOSING OF THIS TRANSACTION WITH H.B.A.O. PROVIDER’S BANK OFFICER. I, MR..................................................................., ON BEHALF OF ______________, “PROFIT” PROVIDER, HEREBY FORMALLY AUTHORIZE H.B.A.O. CORPORATION’S BANK OFFICER TO CONTACT OUR BANK OFFICER FOR A SOFT PROBE AT HIS EARLIEST CONVENIENCE ON ANY BANK-TO-BANK DAYS IN ORDER TO CONTROL, FINALIZE AND CLOSE THIS TRANSACTION. BANK COORDINATES: BANK NAME: ADDRESS: BANK OFFICER: ACCOUNT NUMBER: ACCOUNT NAME: SWIFT CODE: BANK CODE: THE UNDERSIGNED, UNDER THE PENALTY OF PERJURY, HEREBY ATTESTS THAT HE IS DULY AUTHORIZED TO ISSUE THIS LETTER, GRANTING PERMISSION TO VERIFY WITH _______________ ________BANK THIS XXXTH DAY OF XXX 2009.
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT SIGNED AND SEALED THIS XXXXTH DAY OF XXXX 2009. _______________________________________ SIGNATURE _______________________________________ NAME PASSPORT NO: ______________
[email protected]
COUNTRY OF ISSUE: ____________
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –EPROFIT PROVIDER COMPANY NAME, REGISTRATION N°, REGI STERED STATE/NATION, ADDRESS
ON “PROFIT” PROVIDER COMPANY NAME LETTERHEAD PAPER LETTER OF EXCLUSIVE MANDATE -AUTHORIS ATION I, Mr.... .........................., acting as representant of the COMPANY NAMED ...................... hereby inform, to whom it may concern, that Mr XXXXX......................., Passport N° ......... .............., Nationality :............................, Address: ..............................................................................., is hereby the exclusive authorized as “PROFIT” PROVIDER’S MANDATE on behalf of the undersigned company regarding transactions involving PRIVATE FOREIGN EXCHANGE CURRENCY AGREEEMENT referenced with following Codes: : USDP OR EUROP CODE :. “PROFIT” PROVIDER CODE : Mr .XXXX...................................., is the only one person exclusively authorized to negotiate and consummate contacts with the XXXX PROVIDER, on behalf of signatory company or its legal representatives and firm documents as may be required from time to time regarding such transactions. Mr. .XXXXX ..................................................., is also recognized to be also as PAYMASTER, commited of all coordination before transaction commencement as sending to the Beneficiaries from “PROFIT” PROVIDER’S side, INDIVIDUAL PAYORDERS endorsed by the “PROFIT” PROVIDER’S BANK along with acknowledgment that the “PROFIT” PROVIDER BANK has been given proper and concise direction regarding the Swift wiring of the commissions immediately to the Parties and Beneficiaries ‘s designated Bank accounts holders. Mr XXXXXX .........................................................................has an exclusive authorization as a MANDATE which shall remain in full enforceable and effect until such time is terminated, in writing pre advise, by the undersigned or the undersigned’s duly authorized agent representatives. The transactions are previously subjected to “PROFIT” PROVIDER approval, and fully instructed as per XXXX PROVIDER basic guidelines and procedures. The signatory “PROFIT” PROVIDER company is fully agreed on the above statements and working terms by his Board of Directors, “PROFIT” PROVIDER, COMPANY (name) hand signed herein and stamped this document in original similar hard copy on the XXXXXX XXXXXXXX 2009. “PROFIT” PROVIDER, Company represented by MR . XXXXXXX WITH PASSPORT: ................................-Issuing Country............................... who is our exclusive Mandate for the transaction reference above. SIGNATORY OF “PROFIT” PROVIDER COMPANY CEO PASSPORT NATIONALITY DATE :
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT PROFIT PROVIDER COMPANY NAME, REGISTRATION N°, REGI STERED STATE/NATION, ADDRESS Bank Letterhead paper
[email protected]
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED -FPROOF OF FUNDS (for L2L PROCEDURE or MT103/MT107 PROCEDURE or BLUESCREEN PROCEDURE) ***NOTE : THIS PROOF OF FUNDS HAS TO BE ISSUED OR CONFIRMED BY A WORLD MONEY CENTER BANK.
DATE : TO : ADDRESS : TELEPHONE/FAX : E-MAIL:
CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
WE ................................BANK, REGISTERED IN ACCORDANCE WITH THE LAW OF .......(country) ............HEREBY CONFIRM WITH FULL BANK RESPONSIBILITY THAT WE ACKNOWLEDGE THAT AN AMOUNT OF USD/EUROS 00,000,000.00 (XXX USD/EUROS) IN CASH FUNDS (equivalent to minimum 500 000 000 –Five Hundred Million EUROS) ARE ON ACCOUNT NUMBER .................................FOR THE EXCLUSIVE USE AND BENEFIT OF PRESENT CONTRACT ISSUED BY TO : _________WITH “ PROFIT” PROVIDER NAME : .............................................. AND “ XXX “ PROVIDER NAME : ________. WE ALSO CONFIRM THAT OUR CLIENT NAME .........................................HAS FULL CUSTODY OVER SAID FUNDS IN THE ACCOUNT NUMBER ........................................ WE FURTHER CONFIRM THAT THESE FUNDS ARE GOOD, CLEAN, CLEARED, UNENCUMBERED, FREELY AVAILABLE AND TRANSFERABLE FOR INVESTMENT. WE, BANK. . . . . . . . . . . . . . . . . . ON BEHALF OF …………………………….., HEREBY ACKNOWLEDGE ALL TERMS AND CONDITIONS OF THE ABOVE REFERENCED CONTRACT PROCEDURE AND CONFIRM THAT OUR CLIENT AGREES TO EXCHANGE XXXX FOR USD/EUROS AS PARTICIPATION TO HUMANITARIAN INVESTMENT PROGRAMS OF THE HUMANITARIAN ORGANIZATION REPRESENTED BY ______________.
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
Bank Name:
………………………………………………………………. ………………………………………………………………. Registration Number : ................................................................................ Address: ………………………………………………………………. ……………………………………………………………… Telephone: + …………………………………………………………… Fax: + …………………………………………………………… SWIFT: ……………………………………………………………… Bank Managers Names: --------------------------------------------------------
DATED: _____ /_____________ / 2009 No.:______________,
BANK
PLACE: ___________ _________________
BANK
SIGNATURE ______________________, N°.........................
(Bank
REGISTERED
SEAL:
officer
1)
ID
NAME : SIGNATURE ______________________, N°.........................
(Bank
officer
2)
ID
NAME : FOR VERIFICATION PURPOSES, THIS MAY BE CONFIRMED WITH MR. ____________________ (BANK OFFICER & TITLE) AT TELEPHONE NUMBER____________________, FAX NO: _____________ WHO IS THE OFFICER IN CHARGE OF THE ACCOUNT, IN DUE COURSE AND ON INSTRUCTION WE WILL SUPPLY AN MT 760 ON A BANK-TO-BANK BASIS ONLY. ***NOTE: THIS PROOF OF FUNDS HAS TO BE ISSUED OR CONFIRMED BY A WORLD MONEY CENTER BANK.
Bank Name:
………………………………………………………………. ………………………………………………………………. Registration Number : ................................................................................ Address: ………………………………………………………………. ……………………………………………………………… Telephone: + …………………………………………………………… Fax: + …………………………………………………………… SWIFT: ……………………………………………………………… Bank Managers Names: --------------------------------------------------------
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT DATED: _____ /_____________ / 2009 No.:______________,
BANK
PLACE: ___________ _________________
BANK
SIGNATURE ______________________, N°.........................
(Bank
REGISTERED
SEAL:
officer
1)
ID
NAME : SIGNATURE ______________________, N°.........................
(Bank
officer
2)
NAME :
ON “PROFIT” PROVIDER COMPANY NAME LETTERHEAD PAPER Full Address/phone/fax/email
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ID
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED -GRESOLUTION OF THE BOARD OF DIRECTORS OF (NAME OF CORPORATION)
Date: CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
All the directors of the Company were in attendance in person or by telephone conference. A general discussion was then held concerning the issues, and all aspects of the same were fully explained in detail to the satisfaction of the Board Members. The Board of Directors of (Name of Corporation) in a meeting held this ______ day of adopted the following Resolutions: RESOLUTION N°1 : It is resolved at this meeting of the Board of Directors that (Name of Signatory) holder of (Issuing Country) passport no. ___________ be appointed as Director of the Company and as an authorized Representative / Signatory to act for the Company with regard to the herein contemplated financial transactions.
RESOLUTION N°2 : it is resolved that ( Name of Signatory ), is hereby authorized to sign contractual agreements, resolutions, irrevocable instructions, and any other documents necessary to accomplish the objective(s) as stated herein, advancing the interests of ( Name of Corporation ). RESOLUTION N°3 : It is resolved that ( Name of Signatory ), is hereby authorized to add other party(ies)/entity(ies) as signatory to our bank account, on behalf of ( Name of Corporation ), to accomplish the task he deems necessary.
Our assets are: Asset: Cash funds in Account No. __________________ / ( Name of Bank and Location ) in the amount of ( Amount in Words ) Million US Dollars. Depository Officer: Telephone No: Whereupon, on motion duly made and seconded, the above Resolutions were unanimously adopted.
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT (City, State, Country) Date : XXth XXXX, 2009
____________________________ Print Name of Secretary/Treasurer ( On Buyer’s Letterhead )
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –H-1LETTER OF REQUEST
Date: To: I, the undersigned, confirm I have requested of your organization specific confidential information and documents as the EURO Provider (EUROP) whose intent is to participate in a foreign currency exchange agreement, USD/EURO, with a 15/10 discount. I understand that the maximum permissible contract amount is one trillion USD with possible E/R (extensions/rolls). I further understand that I must demonstrate a minimum Proof of Funds (POF) capability of 500M Euros and that I can do this with either a tear sheet signed by two bank officers or upon request via an MT799. I hereby state that I will provide my POF via __________. I hereby agree to keep all information received strictly confidential and will not disclose it to any third party. I hereby declare that I am fully aware that the information received from you is in direct response to my request and it is not in any way considered or intended to be a solicitation of funds of any sort, or any type of offering and is intended for our general knowledge only. I hereby affirm, under penalty of perjury, that you have not solicited me in any way. I understand that the contemplated transaction is strictly one of private currency exchange and is in no way relying on, or related to, the United States Securities Act of 1933, as amended or related regulations and does not involve the sale of securities. Further, I hereby declare I am not a licensed broker or government employee and understand that neither are you or your organization. I further understand that this private currency transaction is exempt from the Securities Act and not intended for the general public and all materials are for private use only. This signed Letter of Request and Non-Solicitation is a binding document executed under the Penalty of Perjury of Law. The above document, if transmitted by facsimile or electronic mail shall be considered an original, legally enforceable document. By: (printed name) Dated:
,2009 Letterhead
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ___________________________________________________________________
Date: To: EURO P OR USD P Code:
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –H-2LETTER OF REQUEST
Date: To: I, the undersigned, confirm I have requested of your organization specific confidential information and documents as the EURO Provider (EUROP) whose intent is to participate in a foreign currency exchange agreement, USD/EURO, with a 15/10 discount. I understand that the maximum permissible contract amount is 500 BILLIONS USD with possible E/R (extensions/rolls). I further understand that I must demonstrate a minimum Proof of Funds (POF) capability of 50M Euros and that I can do this with either a tear sheet signed by two bank officers or upon request via an MT799. I hereby state that I will provide my POF via __________. I hereby agree to keep all information received strictly confidential and will not disclose it to any third party. I hereby declare that I am fully aware that the information received from you is in direct response to my request and it is not in any way considered or intended to be a solicitation of funds of any sort, or any type of offering and is intended for our general knowledge only. I hereby affirm, under penalty of perjury, that you have not solicited me in any way. I understand that the contemplated transaction is strictly one of private currency exchange and is in no way relying on, or related to, the United States Securities Act of 1933, as amended or related regulations and does not involve the sale of securities. Further, I hereby declare I am not a licensed broker or government employee and understand that neither are you or your organization. I further understand that this private currency transaction is exempt from the Securities Act and not intended for the general public and all materials are for private use only. This signed Letter of Request and Non-Solicitation is a binding document executed under the Penalty of Perjury of Law. The above document, if transmitted by facsimile or electronic mail shall be considered an original, legally enforceable document. By: (printed name) Dated:
,2009 Letterhead
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT Date: To: EURO P OR USD P Code:
[email protected]
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED -IHISTORY OF FUNDS AND INFORMATION
Origin/ History: 1. Amount available for the transaction first tranche: 2. Funds are clean, clear of non-criminal origin, free of any liens and encumbrances. 3. Account is operated by single signature. 4. Funds are freely transferable and the signatory has the discretionary power to invest funds and to transfer funds. The origins of funds are in compliance with anti-money laundering policies as set forth by the financial action task force of June 2001 and the US Patriot Act, The origin of foreign assets control [Nationals and Blocked Person Embargoed] and other applicable laws and are not from terrorist sources. All business activities are legal.
BRIEF DESCRIPTION OF CORPORATE ACTIVITES
Funds were obtained through normal business activities including……..
ATTESTATION OF INFORMATION GIVEN HEREIN AS TRUTHFUL
I hereby declare and affirm, under penalty of perjury laws, that the information provided herein is both true and accurate. I confirm that I am in control of said funds/assets described herein and that I am the signatory on the aforementioned bank account with complete control of the bank accounts mentioned herein. I have full authority to execute all contracts relating to the private placement transaction envisage. The origin of the funds/assets are derived from non-criminal origin, are good, clean and cleared and are in full compliance with Anti-Money-Laundering laws and Policies of The USA and the European Union and with all international and local banking regulations as set forth by the Financial Action task Force (FATF) 6/01. In witness I hereby set my hand and sign with my name as my free act.
Date:
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT Name:
__________________________________ Signature Passport No. Country of issue: Date of issue: Date of expiry:
[email protected]
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –JON PROFIT PROVIDER LETTERHEAD PAPER LETTER OF REQUEST DATE : TO : ADDRESS : TELEPHONE/FAX : E-MAIL:
CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
Dear Sir: I, Mr........................................................................., authorized signatory of ......................................................, under penalty of perjury, holder of Passport No. .................................. issued (country Name).......................... do hereby solemnly declare that I have capacity to participate to the Humanitarian Programs of the Humanitarian Organisation USDP and then to exchange xxxxxx xxxxx, starting with minimum 20 M , with Rolls and Extensions, starting as per ANNEX B of the contract referenced above, duly agreed by our banking group. We are seeking ........................... in exchange for our xxxxxx under foreign currency exchange agreement at the current rate of exchange but having a LEGAL PROFIT/BENEFIT BONUS PARTICIPATION to humanitarian Programs of USDP of XXXX% ( XXX Percent) with XXX% ( XXX Percent) for my benefit as “PROFIT” PROVIDER and XX% (XX Percent) paid to the mandates and intermediaries. The LEGAL PROFIT/BENEFIT BONUS PARTICIPATION to humanitarian Programs of USDP is free of all local and governmental taxes including Force Major taxes which will be paid by the Humanitarian Organisation USDP. The COPYRIGHTS and ROYALTIES (if any) will be paid as per contract referenced above. I would like the exchange to take place using SWIFT MT103, Euroclear, ..... Bank to Bank transactions / or Ledger to Ledger method, or both, or else and as per Federal Regulations. The bank that we use is ............................, this is also where the Master Fee Protection Agreement will be lodged under the care of the bank officer of ............................. My bank has been made fully aware of my request and has given us a Bank Confirmation Receipt; I have attached a colour copy of my passport, my client information summary (CIS), and MFPA to protect those who have contributed to make this transaction a success. In addition I have attached the NON SOLICITATION letter, the Letter of authorisation to verify, the Letter stating the origin of the
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT Funds, the Bank Proof of Funds if any, the Board Resolution, the AFFIDAVIT OWNERSHIP of the funds, the Exclusive Mandate Letter (if any), the NCND Agreement, the Invoices acceptations and returned the Invitation Letter to USDP OR EURO P. The email/facsimile transmission of this document shall be considered a binding and enforceable instrument, treated as original copy. Original may be obtained upon request. Sincerely, ___________________________ DATE : ....................... Signature Name: Represented by : Title: President /CEO
_______________________ Company Stamp & Seal
PROFIT PROVIDER COMPANY NAME, REGISTRATION N°, REGI STERED STATE/NATION, ADDRESS. IT IS THE ONE WHICH GETS PAID A LEGAL BONUS.
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT ATTACHED –KON “PROFIT” PROVIDER COMPANY NAME LETTERHEAD PAPER NON-SOLICITATION STATEMENT
DATE : TO : ADDRESS : TELEPHONE/FAX : E-MAIL:
CONTRACT REFERENCE NCND CODE : CORPORATION CODE : PROVIDER CODE :
I, as authorized signatory, do hereby confirm that I have requested of you and your organization, specific confidential information and documentation on behalf of myself regarding the contract referenced ..................in order to serve only my interest, education, and not for further distribution. I am hereby agreeing that all information received from you is in direct response to my request, and is not in any way considered or intended to be a solicitation of any sort, or any type of offering, and for my general knowledge only. I hereby affirm under penalty of perjury, that I have requested this information from you and your organization of my choice and free will and further, and that you have not solicited me in any way. I hereby represent that I am not an informant, nor am I associated with any government agency of the United States of America, or any other country, such as the Secret Service, Internal Revenue Service, Federal Bureau of Investigation, Central Intelligence Agency, Securities and Exchange Commission, Banking Commission, or any agency whose purpose is to gather information regarding such offerings. I understand that the contemplated transaction is strictly one of private transaction, and is in no way
Initials:_____ Non-Solicitation Statement NON-SOLICITATION STATEMENT – continued
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
relying upon, or relating to, the United States Securities Act of 1933, as amended, or related regulations, and does not involve the sale of securities. Further, I hereby declare that you have disclosed that you are not a licensed Security trader, attorney, bank officer, certified public accountant or financial planner. Any information, work or service conducted hereunder is that of a private individual and that this is a private transaction that is exempt from the Securities Act and not intended for the general public but Private Use only. The facsimile transmission of this document shall be considered a binding and enforceable instrument, treated as original copy. Original may be obtained upon request.
Signed: ________________________ Name of Signatory & Title Company Name Passport Number: Issued By:
Date: _______, __th, 2009
PROFIT PROVIDER COMPANY NAME, REGISTRATION N°, REGI STRATION STATE/NATION, ADDRESS
Notarization: On __th of__________, 2009, before me, (Name of Signatory), the undersigned, a Notary Public in ________________, ___________ personally appeared Mr. (Name of Signatory) who is the bearer of (Country) Passport Number (Number), whose identity was known to me, or satisfactorily proven to be the person who subscribed to the foregoing Non-Solicitation Statement, and acknowledged to me that he executed the same of his own free will. Notary:_______________________________ Seal: My commission expires: _________________, 2009_ Initials:_____
Non-Solicitation Statement
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INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO) JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929 PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
INTRUDER BANK INTRUDER FED and U.S. TREASURE USD PROVIDER EURO PROVIDER
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