2019 - Corporate Authority To Verify

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On Letterhead

CORPORATE AUTHORIZATION TO VER IFY

DATE: MONDAY, JULY 23, 2018

TO: Enter the Corporate Name

Enter the Signatories Name and Title

Enter the Signatories email address and phone number

INVESTOR TRANSACTION CODE: xxxx

I, Enter the Signatories Name and Titile on behalf of Enter the Corporations Name at the
address shown above give George Coutts and Assigns my direct permission and full authority
to do all matters necessary to confirm, verify, and authenticate my beneficially owned describe
the asset in full, with a face value in United States Dollars/Euro at that time of $XXXXXX
(XXXXX million Dollars/Euro). The below stated beneficially owned describe the asset but in
short form ie cash deposit is of good, clean, and cleared funds obtained via legal means, and is
currently available at the bank coordinates below:

Asset:

Amount:

Issued by:

Rating:

Issued Date:

Maturity Date:

Depository Bank Name:

Depository Bank Address:

Account Name:

Account Number:
On Letterhead

Account Signatory:

Bank Officer & Title:

A copy of this Authorization will be lodged with my Bank Officer. My Bank Officer will
then email me a copy of this Authorization and cc that email to both George Coutts and
Assigns who shall then have my Authority and the Bank’s Authority to both call and
otherwise communicate with the Bank for the purpose intended by this letter (to verify
the Asset).

In witness hereof I, Enter the Signatories Name and Title on behalf of Enter the Corporations
Name hereby swear under penalty of perjury, that the information provided herein is accurate
and true as of this date:

For and on behalf of Enter the Corporations Name

Signature: __________________________________

Name: Enter the Signatories Name

Title

Passport Number: XX

Date of Issue: XX

Date of Expiry: XX

Country of Issuance: XX

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