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Formular 1 - Dispozitie Emitere Ordin de Plata Conditionat - 2020.modificat
Formular 1 - Dispozitie Emitere Ordin de Plata Conditionat - 2020.modificat
Data/Date: ###
DISPOZITIE EMITERE ORDIN DE PLATA CONDITIONAT/REQUEST FOR ISSUANCE OF CONDITIONAL PAYMENT ORDER *
(Formularul se completeaza lizibil, manual cu majuscule sau prin procedeu automatizat/The form shall be filled in with capitals, legible
or automatically)
Numele Ordonatorului/Applicant's name: CIF Ordonator / Client ID- se va completa de catre Banca: CNP: 1560518227806
TUTUCA CONSTANTIN
Va rugam sa emiteti in numele meu/nostru prin Swift un Ordin de Plata Conditionat, reprezentand:/
Please issue via Swift Conditional Payment Order representing:
…RAMBURSARE TOTALA CREDIT NR. CONTRACT 7291933 DIN DATA 25/07/2019……………………………………………………………
………………………………………………………………………………………………………………………………………………………
si sa transferati din contul meu/nostru// and transfer from my/our current account:
suma de/amount:
SWIFT BRDEROBU
Numele Beneficiarului (inclusiv numele IFN)/Beneficiary's name (including Financial Institution, if case):
TUTUCA CONSTANTIN
CUI Beneficiar / Beneficiary URC 1560518227806
Valabilitatea/Expiry Date: 15 ZILE DE LA EMITERE. In cazul neindeplinirii conditiilor stipulate pana la aceasta data, suma
va fi returnata catre RBRO, fara dobanda/In case of nonfulfilment by this date of the above mentioned conditions the amount
will be refunded to RBRO without interest.
Comisioane aplicate/Commissions 2):
Emitere - aplicat la valoarea sumei transferate/Issuing - calculated to the transferred amount
Modificari/Amendments
Anulare/ Cancellation
Speze swift/Swift Charges
Comisioanele RBRO vor fi/ Raiffeisen Bank commissions will be:
- in sarcina mea/noastra/in our charge X in sarcina Beneficiarului/in beneficiary's charge
1)
Se vor mentiona conditiile de indeplinit si/sau documentele de 1)
Precedent conditions and/ or other documents to be presented
prezentat. should be mentioned.
2)
Comisioanele se vor percepe in valuta contului platitor, reprezentand 2)
Fees and commission will be charged from the paying account
contravaloarea comisioanelor exprimata in EUR calculata la cursul currency, by applying NBR exchange rate for EUR, valid on the date of
BNR din ziua platii. In cazul in care comisioanele se suporta de catre payment. In case the commission are indicated to be charged from the
ordonatorul platii, acesta are obligatia sa asigure sumele necesare ordering customer, he must make the due amounts available for the
incasarii de catre banca a contravalorii comisioanelor, prin debitarea Bank on the issuance date, in order to charge it through automatic debit
automata a contului platitor, la data emiterii ordinului de plata. transaction.
*) In cazul ordinelor de plata conditionate emise in vederea preluarii *) In case of Conditional Payment Orders issued for refinancing, we
unui credit, suntem de acord ca mesajul swift transmis sa contina si agree to include in the SWIFT message, the following condition: "The
conditia urmatoare: "Suma va fi utilizata exclusiv pentru lichidarea amount will be exclusively utilized for debts liquidation arising from the
datoriilor aferente contractului(lor) si/sau facilitatii(lor) nr. contract(s) and / or facility(ies) no. ………………………… date …..
…………………………din data de …..………….. acordata(e) de ………….. granted by the above mentioned bank to the above mentioned
banca mai sus mentionata beneficiarului mentionat mai sus" (datele se beneficiary " (data shall be filled in by the Applicant).
vor completa de catre Ordonator).
Subsemnatul ordonator declar pe propria raspundere, avand deplina The undersigned applicant, I declare on my own responsibility, having
cunostinte despre prevederile legale privind falsul in declaratii, ca full knowledge of the perjury regulations, that the funds subject to this
fondurile transferate au origine licita si au ca suport tranzactii reale, transfer are generated by real transactions, based on justifying
justificate prin documente. Prezenta operatiune respecta prevederile documents. This operation is compliant with the current regulations and
legale in vigoare, are caracter licit, nu are drept scop "spalarea" is not intended to "money laundering" or terrorist activities financing
banilor sau finantarea de acte de terorism si se circumscrie activitatii and is under my object of activity.
mele statutare. Totodata, ma oblig ca in termen de 2 zile sa prezint Also, I
orice documente solicitate de banca, cunoscand faptul ca banca isi agree that within 2 days to submit any other documents requested by the
rezerva dreptul de a nu efectua operatiunea in cazul neprezentarii bank, being informed that the bank reserves the right not to perform the
acestor documente. operation in case of non-presenting these documents.
De asemenea, in cazul anularii sau expirarii ordinului de plata Also, in case of cancellation or expiration of the conditional payment
conditionat, declar ca nu voi solicita dobanda aferenta perioadei order, I certify that I will not ask for interest related to the period
scurse din momentul transferarii sumei la emitarea ordinului de plata elapsed from the issuance of the conditional payment order up to the
conditionat si pana la data returnarii acesteia de catre Banca date that the amount is returned by the Beneficiary Bank.
Beneficiarului.