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EnCompass LLC

Wire Authorization Agreement Form

Authorization Agreement

I hereby authorize EnCompass LLC


to initiate automatic deposits to my account at the financial
institution named below.

Further, I agree not to hold EnCompass LLC responsible for any delay or loss of funds due to incorrect
or incomplete information supplied by me or by my financial institution or due to an error on the part
of my financial institution in depositing funds to my account.

This agreement will remain in effect until EnCompass LLC receives a written notice of cancellation from
me or my financial institution, or until I submit a new wire authorization form to the Finance Office at
finance@encompassworld.com.

Account Information

Bank Name: Banco de Occidente S.A


Boulevard República de Francia,
Bank Address: Tegucigalpa
Bank SWIFT Code: BOCCHNTEXXX
Beneficiary Name: Leonel Edgardo Vásquez López
Colonia El Sitio, Bloque 37, Casa 6317,
Beneficiary Address: atrás de la posta policial
☐ Checking | ☐ Savings
Bank Account Number 214240138891
Beneficiary e-mail address rosariomontoya1919@gmail.com

Signature

Authorized Signature (Primary): Leonel Vásquez Date: 10/13/2023


Authorized Signature (Joint): Date:

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