Beruflich Dokumente
Kultur Dokumente
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Piraeus Bank
Nicosia, Cyprus
hereby confirm with full legal and corporate responsibility and with full control of all funds, under the penalty of
perjury, that XXXXXXXXXXXXXXXXXXXXX is ready, willing and able to purchase with good, clean and cleared Euros
(€) of non-criminal origins, through our banking source, the following described Medium Term Notes (“MTNs”) derived from legal
ISSUANCE : HSBC UK or Top 25 Western European Banks “AA” rated or better by S & P.
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INTEREST : 7.5%
CURRENCY : EUROS
MODE OF DELIVERY : Electronic, SWIFT MT760 then hard copy courier delivery within 7 Days.
Note:
A- No price of beneficiary to be shown on any screen. The statement: “sale under private treaty” to be put in place
of price. The buyer and seller reserve the right to change banks or company with written notice one to the other.
B- Multiple banks and accounts may be used by buyer and seller to facilitate exhaustion of the contract. Buyer and seller
may change or add transaction banks by providing written notice within eight banking hours to each other both
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parties as well, shall be responsible for their own institutional cost, and accept liability for taxes, imposts, levies or
PROCEDURES
*Letter of Request indicating a contract amount of X00B Euros (€X00,000,000,000) with rolls and extensions or as agreed and
minimum first tranche of €X00M Euros (€X00,000,000,000) Buyer’s full banking info MUST be included on all applicable
documents.
*Client Information Sheet (CIS) and Colour, Full-Page Image of Passport of signatory
*History of Funds
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2. Upon Buyer passing initial compliance, Provider will issue contract to Buyer for review and signature. Buyer will review;
3. Within five (5) international banking days, Provider’s Bank wills SWIFT the Pre-Advice (RWA) of the Bank Instrument to
Buyer's Bank. Upon verification and confirmation of the Pre-Advice, Buyer's Bank shall SWIFT Conditional MT103 Field 23 to
4. Upon verification of the received MT103 Field 23 funds for the first tranche, Provider bank will send the instrument(s) Via
SWIFT to Buyer’s bank for the first tranche within five (5) banking days.
5. Upon receipt of instruments, Buyer(s) bank will authenticate and validate the instruments and upon acceptance release
6. Transactions will be continuous according to the agreed upon tranching schedule until contract is exhausted including rolls
and extensions.
7. Consultancy Fees to be paid simultaneously with the payment of each and every tranche of Medium Term Note’s.
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BANKING INFORMATION
BANK NAME :
BANK ADDRESS :
SWIFT CODE :
BANK OFFICER :
BANK PHONE :
BANK FAX :
ACCOUNT HOLDER :
ACCOUNT NUMBER :
IBAN :
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IBAN : TBA
BANK NAME :
BANK ADDRESS :
SWIFT CODE :
BANK OFFICER :
BANK PHONE :
BANK FAX :
ACCOUNT HOLDER :
ACCOUNT NUMBER :
IBAN :
Improper release of the above banking information, for any reason, without the written prior authorization of other
party, shall be considered as a Breach of Contract and will make a defaulted party to be actionable for damages
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sustained hereby. Each party is not allowed to contact the other party's bank without expressed written permission. Any
Agreed and Accepted by the BUYER: Agreed and Accepted by the SELLER:
Name : Name :
Passport Nº : Passport Nº :
VALIDITY:
1. This Agreement shall remain valid and in full force UNTIL THE FULL CONTRACT AMOUNT IN BG IS SATISFIED,
starting from the date of completion of signatures and endorsements between both parties. After the BG supply contract to Party
B has been completed by Party A, it shall, at such time, automatically expire. This Agreement, if unsigned, shall be rendered
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ARBITRATION:
1. This contract is a full recourse commercial commitment enforceable under the laws of jurisdiction of the countries where this
transaction is effectuated, and any dispute is to be resolved under the ICC rules for arbitration, unless the aggrieved party takes
legal action in a court of jurisdiction. The U.S.A., British or European Union country Law shall be the applicable law, as the
aggrieved party may choose, and shall govern the interpretation, construction, enforceability, performance, execution, validity
2. The Parties hereto acknowledge and agree that any discrepancy and/or dispute in application of this Agreement will be solved
3. Both Parties must honour all terms and conditions stated herein and with good faith. All negotiations shall be carried out with
due adjustments or amendments in accordance with investment fund Rules and Regulation 458 and comply with ICC 600
4. The parties agree to settle any dispute arising between them in an amicable manner. In the event of failure to an amicable
settlement, the Parties hereby agree to submit any irreconcilables to the ICC office in Geneva, Switzerland, by three arbitraries
5. This Agreement shall comply with the laws of, The European Union and the United Kingdom and the United States.
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1. The Parties herein agree the non-circumvention / non-disclosure rules of all issues from ICC, and the latest edition shall apply to
the transaction for a period of (5) five years from the date of execution of this Agreement by the undersigned, his / her beneficiaries,
intermediaries, assigns, agents, and / or heirs. This Agreement also applies to any and all other transactions direct or indirect.
Regarding this transaction and its possible extensions and rollovers, each Party and their respective intermediaries warrant not to
reveal the banking coordinates, provided herein, to any individual or institution other than those banking officers necessary for
[DETAILS TO BE ADVISED]
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In accordance with Articles two (2) through five (5) of the Due Diligence Convention and the Federal Marketing
Commission Circular of December 1998, concerning the prevention of money laundering, the following information may
Business Address :
Business Registration Nº :
Telephone :
Facsimile :
E-Mail Address :
Title :
Nationality :
Passport Nº :
Date of Issue :
Date of Expiration :
Date of Birth :
Place of Birth :
Address :
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Telephone :
Mobile Telephone :
Facsimile :
E-Mail Address :
3) Legal Counsel :
Address :
Telephone :
Facsimile :
E-Mail Address :
Name of Bank :
Bank Address :
Account Name :
Account Signatory :
Account No. :
S.W.I.F.T. Code :
IBAN / Routing Nº :
Bank Officer :
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Telephone :
Facsimile :
E-Mail Address :
5) Funds Information
Origin of Funds :
Declaration: I hereby swear under penalty of perjury, that the information provided is both true and accurate. I am the
signatory on the aforementioned bank account. All monies engaged in this transaction are derived from non-criminal
origin; and, are good, clean and cleared. The origin of funds is in compliance with Anti-Money-Laundering Policies as
(FATF) 6/01.
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Attorney
Name :
Passport Nº :
Issuing Country :
THIS IS TO CERTIFY THAT THE BOARD OF DIRECTORS OF XXXXXXXXXXXXXXXXXXXXXXXXX HAVING IT’S ADDRESS AT
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DIRECTORS MEETING WHICH WAS DULY ANDREGULARLY CALLED, NOTICED AND HELD ON XXTH XXXXXXXXX 2010,, AT
THE COMPANY’S ABOVE REFERENCED ADDRESS AT WHICH THERE WAS PRESENT A QUORUM THEREOF, WHEREIN THE
RESOLVED: THAT MR. XXXXXXXXXXXX , WITH XXXXXXX PASSPORT NUMBER XXXXXXXXXXXXXXX, SHALL BE AND
HEREBY IS APPOINTED TO SERVICE AS DIRECTOR OF FINANCE OF THE COMPANY FULLY AUTHORIZED TO ACT
INDIVIDUALLY AS THE SOLE REPRESENTATIVE OF THE COMPANY TO EXECUTE ALL NECESSARY DOCUMENTS ON BEHALF
OF THE COMPANY IN CONNECTION WITH A BG TRANSACTION, AND TO EFFECT THE OPENING AND OPERATION OF BANK
ACCOUNTS ON BEHALF OF AND FOR THE BENEFIT OF THE COMPANY AT ANY BANK [S] HE SHALL SELECT, AND BE A
SIGNATORY THEREON, TO ACCEPT AND DISBURSE FUNDS THERE FROM, AT HIS DISCRETION AND DETERMINATION, AND TO
EXECUTE INVESTMENT OR DEPOSIT CONTRACTS WITH HIS SELECTED SOURCES AND BANKS WITH RESPECT TO THE
COMPANY’S DEPOSITS THEREIN, AT HIS DISCRETION, FOR AND IN THE BEST INTEREST OF THE COMPANY.
IT IS FURTHER CERTIFIED THAT THE FOREGOING RESOLUTIONS HAVE NEVER BEEN ABOVE NAMED DIRECTOR OF THE
COMPANY HAS BEEN DULY ELECTED AND APPOINTED TO HOLD OFFICE AND IS PRESENTLY HOLDING OFFICE AND IS
EMPOWERED TO ACT FOR AND ON BEHALF OF THE COMPANY, AND THAT THIS CORPORATE RESOLUTION’S FAX OR
PHOTOCOPIES SHALL BE OF EQUAL VALUE TO THEIR ORIGINAL AND SHALL BE ACCEPTED AS SUCH BY EVERYONE, FOR ALL
PURPOSES, EVERYWHERE.
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IN WITNESS WHEREOF, I HAVE HEREUNTO SET MY HAND AND SEAL OF THE COMPANY IN CERTIFICATION OF THE ABOVE
_______________________________________
Name:
Title:
Passport #:
Country of Issue:
Date of issue:
Date of expiry:
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POWER OF ATTORNEY
Power of Attorney is made this day, XX, XXXXXX 2010 in XXXXXXXX, by Mr. XXXXXXXXXXXX with Passport Number
XXXXXXX issued by XXXXXXXXX as authorized signatory for XXXXXXXXXXXXXXXXXXXX, with Buyer Code:
XXXXXXXXXX, to provide me with specific confidential information and documentation regarding the currently available for
NOW THEREFORE, in light of the foregoing, and for the reasons, Mr. XXXXXXXXXXXX, holder of XXXXXXXX Passport
XXXXXXX, XXXXX of XXXXXXXXXXXXXXXXXXXX, is herein appointed to act as signatory, as required, and on any
documentation and/or contracts with accredited Providers/Sellers for purchase MTN. Beneficiary Name:
XXXXXXXXXXXXXXXXXXXXX.
THIS POWER OF ATTORNEY shall in all respects be interpreted in accordance with United States of America, English and
Switzerland laws.
This Power of Attorney is valid until the duties prescribed are completed.
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COMPANY
______________________________________
Name :
Passport Nº :
Issuing Country :
Issue Date :
Expiration Date :
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To: Provider/Seller
for XXXXXXXXXXXXXXXXXXXXXXXXXXX., do hereby confirm that I have requested your organization via our
Letter of Intent dated XXXXXXX,XX,2010, with Buyer Code: XXXXXXXXXXXX, to provide me with specific
confidential information and documentation regarding the currently available for purchase – prime medium term notes
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I further confirm that I have requested such information to serve only my interests and purposes and the information
shall not be for further distribution. I hereby agree to keep all information I receive from your organization strictly
I hereby declare that I am fully aware that the information you have or will give me is in direct response to my request,
and that it should not in any way be considered or intended to be a solicitation of funds of any sort, or any type of
offering. I hereby confirm that the information is intended for my general knowledge only and that I consider myself an
experienced and sophisticated investor. I hereby affirm, under penalty of perjury, declare that I have requested all
information from you and your organization of my choice and free will, and further that your organization has not
solicited me in anyway.
I understand that the contemplated transaction is strictly one of private commercial investment transaction and in no
way does it rely upon or relate to the United States Securities Act 1933 or 1934, as amended, or related regulations in the
USA, its jurisdictions or other nations similar securities laws and regulations. I agree that this private commercial
investment transaction is exempt from the aforementioned securities act and it is not intended for the general public with
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COMPANY
Title :
Name :
Passport No. :
Issuing Country :
Issue Date :
Expiration Date :
HISTORY OF FUNDS
Date:
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I, XXXXXXXXXXXXXXXXXXXX, the undersigned, having been duly sworn and with full authority and responsibility
Certification:
1) Funds in the amount of XXXXXXXXXXX Million Euros/USD (€ XXX,000,000) are available in our Company name
in our bank and said Funds are legally earned, taxed, and include no independent thirdparty managed funds.
2) All information supplied in the documentation submitted and the cash involved, are not in violation of the Patriot Act
of October 26, 2001, and amendments thereto, with its related financial crimes counterparts, however interpreted,
defined and enacted, whether within the United States its host jurisdiction of this statement or internationally.
3) Subject Funds have no liens, commercial obligations, or encumbrances of any kind pertaining to said Funds.
4) Funds owner is not a party to a law suit or pending adverse legal action, further, there are no pending contracts
5) Funds were derived from the following forms of commerce and/or investments over at least a period of three years;
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COMPANY
Title :
Name :
Passport No. :
Issuing Country :
Issue Date :
Expiration Date :
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To: Provider/Seller
I, XXXXXXXXXXXXX, holder of Passport Number XXXXXXXXXXXX issued by XXXXXXXXXXXXX, hereby, with full
personal and legal responsibility, under penalty of perjury of law, represent, warrant, and attest as follows:
1. I currently have available under my control € X00,000,000 (XXXXXXXXXXX Million Euros/USD) (herein referred to as
2. I warrant and attest that the Funds are good, clean and cleared EUROS that have been legitimately earned and are of non-
criminal origin.
3. I warrant and attest that the Funds are completely free and clear of any liens or encumbrances of any kind or any rights of
4. I warrant and attest, with full responsibility that I have bank acknowledged signatory control and full legal title and authority
5. I warrant and attest to be the Authorized Signatory over the Funds and duly empowered to sign all documents related to this
transaction.
6. I warrant and attest that the Funds are freely transferable and may be reserved and / or blocked on request by the relevant
Bank.
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7. I warrant and attest that I have full legal title, rights, interest, control, and authority to commit and invest these Funds and
have chosen to do so of my own free will and sole decision without any solicitation or influence from the transacting principals
or anyone else.
8. It is agreed that facsimile and/or email copies of this Sworn Statement and Funds Affidavit, or any other associated
___________________________________________________
Name :
Passport Nº :
Issuing Country :
Issue Date :
Expiration Date :
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To: Provider/Seller
Dear Sirs,
XXXXXXXXX with issue date XX/XX/XXXX and expiration date XX/XX/XXXX, with personal and full corporate
responsibility, under penalty of perjury, and duly authorized and signatory of the above referenced bank account with
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above named Bank Officer or its assigns’ Bank Officer to verify and authenticate the availability of my clean and clear
unencumbered funds in the amount of € XXX0,000,000 (XXXXXXXXXXXX Million Euro/USD) of non criminal origins
I further declare that this “Authorization to Verify and Authenticate Funds” has been lodged with my bank under the
same Bank Ref Code as written above. I reconfirm that my bank is fully informed and aware of the requested
transaction.
Furthermore, my bank has been instructed and agreed to provide proof of the availability of our funds on an acceptable
Account Name:
Bank Name:
Account Signatory:
Account number:
Bank Officer:
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___________________________________________________
Name:
Passport No:
Issuing Country:
SELLER’S PASSPORT
BUYER’S PASSPORT
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