Professional Documents
Culture Documents
DATE :
TO :
ADDRESS :
TELEPHONE/FAX :
E-MAIL:
4. THAT THE AFFIANT FURTHER STATES THAT AFFIANT HAS FULL AND
COMPLETE LEGAL TITLE AND AUTHORITY, 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
director@bancofinancieroprivado.com -1-
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,
director@bancofinancieroprivado.com -2-
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –B-
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:
director@bancofinancieroprivado.com -3-
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –C-
Name of Applicant
Registered Mailing Address, City, State/Province, Country
Phone Number - Cell Number
Fax Number - E-Mail Address
Date:
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.
director@bancofinancieroprivado.com -4-
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 :
General Information
Proposed amount of funds available for placement or
purchase. :
What is source/origin of proposed funds? :
director@bancofinancieroprivado.com -5-
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 :
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.
director@bancofinancieroprivado.com -6-
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –D-
DATE :
ADDRESS :
TELEPHONE/FAX :
E-MAIL:
CORPORATION CODE :
PROVIDER CODE :
Dear Sir,
As you are aware, this above referenced contract and transaction codes is to be
done with USDP OR EUROP
Client Letterhead
DATE :
director@bancofinancieroprivado.com -7-
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:
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-TO-
BANK BASIS VIA FAX OR SWIFT.
BANK COORDINATES:
BANK NAME:
ADDRESS:
BANK OFFICER:
ACCOUNT NUMBER:
ACCOUNT NAME:
SWIFT CODE:
BANK CODE:
director@bancofinancieroprivado.com -8-
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
_______________________________________
SIGNATURE
_______________________________________
NAME
director@bancofinancieroprivado.com -9-
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –E-
director@bancofinancieroprivado.com - 10 -
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
director@bancofinancieroprivado.com - 11 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED -F-
PROOF OF FUNDS
DATE :
TO :
ADDRESS :
TELEPHONE/FAX :
E-MAIL:
director@bancofinancieroprivado.com - 12 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
director@bancofinancieroprivado.com - 13 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
director@bancofinancieroprivado.com - 14 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED -G-
Date:
The Board of Directors of (Name of Corporation) in a meeting held this ______ day of
adopted the following Resolutions:
Whereupon, on motion duly made and seconded, the above Resolutions were
unanimously adopted.
director@bancofinancieroprivado.com - 15 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
____________________________
Print Name of Secretary/Treasurer
( On Buyer’s Letterhead )
director@bancofinancieroprivado.com - 16 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –H-1-
LETTER OF REQUEST
Date:
To:
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.
Dated: ,2009
Letterhead
director@bancofinancieroprivado.com - 17 -
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:
director@bancofinancieroprivado.com - 18 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –H-2-
LETTER OF REQUEST
Date:
To:
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.
Dated: ,2009
Letterhead
director@bancofinancieroprivado.com - 19 -
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:
director@bancofinancieroprivado.com - 20 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED -I-
Origin/ History:
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:
director@bancofinancieroprivado.com - 21 -
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:
director@bancofinancieroprivado.com - 22 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –J-
DATE :
TO :
ADDRESS :
TELEPHONE/FAX :
E-MAIL:
Dear Sir:
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
director@bancofinancieroprivado.com - 23 -
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.
Sincerely,
___________________________ _______________________
DATE : .......................
Signature Company Stamp & Seal
Name:
Represented by :
Title: President /CEO
director@bancofinancieroprivado.com - 24 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
ATTACHED –K-
NON-SOLICITATION STATEMENT
DATE :
TO :
ADDRESS :
TELEPHONE/FAX :
E-MAIL:
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.
director@bancofinancieroprivado.com - 25 -
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.
Notarization:
Notary:_______________________________ Seal:
My commission expires: _________________, 2009_
director@bancofinancieroprivado.com - 26 -
INTRUDER BANK/REPRESENTANT (USD DOLLAR) and (EURO)
JOSE ALBERTO PEREZ MOLINA passport Spain BD-979929
PRIVATE FOREIGN CURRENCY EXCHANGE AGREEMENT
INTRUDER BANK
USD PROVIDER
EURO PROVIDER
director@bancofinancieroprivado.com - 27 -