EL EURO PROVIDER DEBE CUMPLIMENTAR EN SU TOTALIDAD LOS PUNTOS QUE LE CORRESPONDEN ANTES DE PRESENTARLO AL USD PROVIDER.
Transaction Reference#
Buyer Currency:
Seller Currency:
Client Information
On Buyer Letterhead
NAME:
PROFESSION:
NATIONALITY-
PASSPORT NUMBER:
ISSUEED BY THE GOV. OF:
CITY OF ISSUE:
DATE OF ISSUE:
AND EXPIRY DATE:
COUNTRY / ID NUMBER:
DRIVER’S LICENSE #:
DRIVER’S LICENSE ISSUE DATE :
EXPIRY DATE:
TAX CODE:
DATE & PLACE OF BIRTH:
HOME LEGAL ADDRESS AT PRESENTTIME: .
HOME TELEPHONE #:
HOME FAX #:
E-mail:
BUSINESS NAME:
BUSINESS ADDRESS:
BUSINESS TAX NUMBER:
REGISTERED LOCATION/COUNTRY:
REGISTERED NUMBER:
BUSINESS TELEPHONE #:
BUSINESS FAX #:
bank to receive payment of commission :
NAME OF BANK:
BRANCH & ADDRESS:
ACCOUNT NAME: .
ACCOUNT NUMBER:
SWIFT CODE:
BANK OFFICER:
NAME OF ACCOUNT SIGNATORY:
NAME OF GROUP PAYMASTER:
COUNTRY & PASSAPORT:
THE ABOVE INFORMATION WAS PREPARED THIS __ DAY OF THE MONTH OF July , 2008 YEAR
AND I HEREBY ATTEST AND CONFIRM under penalty of perjury laws of jurisdiction and under EACH OF the EUROPEAN UNION COUNTRIES, u.s.a. laws, AND IN THE COUNTRY OF ABODE OF THE SIGNATORY, THAT THE INFORMATION GIVEN ABOVE IS CORRECT, ACCURATE AND TRUE, AND UNDER PENALTY OF PERJURY LAWS OF JURISDICTION, I SET MY SIGNATURE AND SEAL HEREIN BELOW:
SIGNATURE : DATE: xx-__-2009
NAME: TITLE:
PASSPORT #: __________________ ISSUED IN: ___________ EXPIRY DATE: __________________________
SIGNED IN THE CITY OF________________________ AND IN THE COUNTRY OF:_______________________
Witness of signature:__________________________ Date: ________________
Name: __________________________________ passport #: ________________ Country & dates:
Address:
Tel.#:
fax:
E-mail:
NOTE: IMPORTANT- REQUIRED FOR DUE DILIGENCE: EACH PARTY TO SUBMIT COPY OF PASSPORT OR DRIVER’S LICENSE WITH THIS FORM. P. 1 / 1 P.
Transaction Reference#
Buyer Currency:
Seller Currency:
Client’s Letterhead
PURCHASE ORDER
Date:
To:
Reference:
Dear Sirs,
We present this purchase order with full corporate authority requesting that you assist us with exchanging currency.
We confirm that funds are available, in our account, to make the necessary deposit required for the buy and sale.
Our currency trade Instructions are as follow (please specify):
Currency we have: USD___ CAD___ EURO___ GBP___ JPY___ OTHER_____
Currency to purchase: USD___ CAD___ EURO___ GBP___ JPY___ OTHER_____
Transactions amount:
Desired First Tranche:
Subsequent Tranches:
Settlement mode: Bank to Bank wire payments.
Exchange rate: Market rates.
Transactions Type: Forward Contracts___ Spot buy___
To ensure information privacy and security, we will submit our settlement bank instructions separately.
We thank you for your consideration in this matter and await your timely reply with the necessary contract.
Please send copy s of your invoice.
Enter this order in accordance with the prices, terms, delivery method, and specifications listed above.
Send all correspondence to:
[Name]
[Street Address]
[City, ST ZIP Code]
[Phone]
[Fax]
Authorized signature by
Date
Transaction Reference#
Buyer Currency:
Seller Currency:
Client’s Letterhead
SETTLEMENT BANK INFORMATION
Date:
To:
c/o DC JONES
Reference:
Dear Sirs,
We present this settlement information to be utilized to receive our exchanged currency.The currency that this account is ready to receive is ________________.We confirm that you may verify this account by calling our bank officer listed below.
Client Name:
Company:
Address:
City, State, Zip:
Business Telephone:
Business Fax:
Bank Name:
Bank Address:
Contact Bank Officer:
Contact Bank Officer Direct Tel No:
Location:
Telephone No:
Fax No.:
SWIFT Code:
Wire Transfer:
Routing Number:
Account No.:
Account Name:
Signatory Name:
Transaction Reference#
Buyer Currency:
Seller Currency:
CONSULTING FEE AGREEMENT
Gentlemen,
Xxxxxxxxxxxxxxxxxxxxxxx is pleased to issue this consulting fee agreement to you. This fee agreement will be honoured upon successful conclusion of the direct trade foreign exchange transaction referenced above between Buyer’s Provider _________________ and Seller’s Provider. The conditions of our acceptance are as outlined below:
1. TERM. This agreement will ends upon closing of every tranche of the above-referenced transaction.
2. DUTIES. Your duties included:
2a. Identifying a seller and buyer.
2b. Explaining services and gathering information.
2c. working with the buyer and the seller.
3. COMPENSATION. The compensation for your services shall be five percent (5%) of the total amount of the transaction. Payable to you no later than 5 banking days upon closing of every tranche of the above-referenced transaction. Such payment shall be made via SWIFT wire, without protest, delay or deduction and free of any bank charges (except for normal bank transfer charges), local and national taxes and liens, to the extent legally permissible. Other out-of-pocket costs should be born by you.
4. CONSULTANTS BENEFICIARIES.
Group1A: 0.83% of the TCV (XXXM R/E) Payable to the BUYER’S Mandate
The amount is payable in XXX currency to the designated bank account, as follows:
Paymaster’s Name: ………..
Passport Number:
Name of Bank:
Address:
BANK BENEFICIARY:
Account No.:
Swift Code:
Bank Officer:
Telephone No.:
Group 1B: 0.21 % of the TCV ( XXXM R/E ) Intermediates
The amount is payable in XXX currency to the designated bank account, as follows:
PAYMASTER NAME
J I S C
Beneficiaries in Sub Fee Agreement
0.042:GROUP A: J I S C
0.042:GROUP B: J M I F
0.042:GROUP C: J M G
0.042:GROUP D: V M M
0.042:GROUP D: S R A
Represented By
J I C
Title
Email
@hotmail.comPassport Number
Nationality
Spain
Bank Name
Bank Address
Account No.
Account IBAN
Account Name
J I S C
Address:
Telefone/Fax No.
Bank Officer
A A A
Bank Telephone /Fax
Special Instructions
All Wire transfers shall incorporate below Text Message and a copy of Bank Wire Transfer slip shall be emailed to:
@Gmail.com and
H@MP.com and
@hotmail.com for legal verification and documentation pursuant to Patriot Act/Banking regulations with One Original Contract copy to be filed with Bank.Text Message: The S.W.I.F.T. or Clearstream text message covering all remittances shall clearly state the following: "CLEAN, CLEARED, LIEN FREE AND UNENCUMBERED FUNDS, EARNED FROM FINANCIAL CONSULTING FEES ON COMMERCIAL ENTERPRISES OF NON-CRIMINAL AND NON-TERRORIST ORIGINS, KNOWN BY BUYER or SELLERS CODE: "XXXX-XXXX-XXXX", FOR SAME DAY SETTLEMENT/IMMEDIATE CREDIT.”
Group 1B: 0.21 % of the TCV ( 500B R/E ) Intermediates
The amount is payable in XXX currency to the designated bank account, as follows:
PAYMASTER NAME
Beneficiaries in Sub Fee Agreement
Represented By
Title
Email
Passport Number
Nationality
Bank Name
Bank Address
Account No.
Account IBAN
Account Name
Address:
Telefone/Fax No.
Bank Officer
Bank Telephone /Fax
Special Instructions
All Wire transfers shall incorporate below Text Message and a copy of Bank Wire Transfer slip shall be emailed to:
@Gmail.com and
H@MP.com and
@hotmail.com for legal verification and documentation pursuant to Patriot Act/Banking regulations with One Original Contract copy to be filed with Bank.Text Message: The S.W.I.F.T. or Clearstream text message covering all remittances shall clearly state the following: "CLEAN, CLEARED, LIEN FREE AND UNENCUMBERED FUNDS, EARNED FROM FINANCIAL CONSULTING FEES ON COMMERCIAL ENTERPRISES OF NON-CRIMINAL AND NON-TERRORIST ORIGINS, KNOWN BY BUYER or SELLERS CODE: "XXXX-XXXX-XXXX", FOR SAME DAY SETTLEMENT/IMMEDIATE CREDIT.”
Group 2A: 1.25 % of the TCV (15B R/E) Payable to the Seller’s Provider’s Intermediaries CLOSED
The amount is payable in XXX currency to the designated bank account, as follows:
Paymaster’s Name:
Passport Number:
Name of Bank:
Address:
BANK BENEFICIARY:
Account No.:
Swift Code:
Bank Officer:
Telephone No.:
Group 3A: 2.5% of the TCV Payable to the SELLER CLOSED
The amount is payable in XXXX currency to the designated bank account, as follows:
Paymaster’s Name:
Passport:
Name of Bank: To be given later
Address:
Account No.:
Swift Code:
Bank Officer:
Telephone No.
5. CONFIDENTIAL INFORMATION. It is understood that in the performance of your duties, you obtained information about both the buyer and the buyer’s associates, and that such information may include financial data, client lists, and methods of operating, policy statements, and other confidential data. You agree to restrict your use of such above-mentioned information to the performance of duties described in this agreement.
6. NON-ASSIGNABLE. This Agreement is personal in nature and is not assignable by the consultant or by the buyer.
7. ARBITRATION. Any controversy or claim arising out of the interpretation of this Agreement shall allows either party to submit the disputed clause to arbitration under the arbitration Act of, Ontario, Canada. The costs of such arbitration to be borne by the party raising claim.
8. ENTIRE AGREEMENT. This letter constitutes the entire agreement of the parties. It may not be changed orally but only by an agreement signed by the party against whom enforcement of any waiver, change, modification, extension, or discharge is sought.
9. Facsimile copies of this Agreement shall be deemed Original.
SIGNED THIS xxxxxxxxx, February __, 2009
FOR AND ON BEHALF OF xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
CORPORATE SEAL
SIGNATORIES FULL NAME:xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
TITLE: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx
[*] = CERTAIN INFORMATION ON THESE PAGES HAVE BEEN OMITTED AND WILL BE FILED SEPARATELY BETWEEN THE BUYER AND SELLER. CONFIDENTIAL TREATMENT HAS BEEN REQUESTED WITH RESPECT TO THE OMITTED PORTIONS.
