Deutsche Leasing

DEUTSCHE LEASING IBERICA, E F C., S A.U

CIF A84838200
Plaza Europa 9-11, 8" plant (Torre Inbisa)
08908 L Hospitalet de Llobregat - Barcelona
Spain/Spam

REQUEST FOR DATA INFORMATION FROM CIR BANCO DE ESPAÑA

The undersigned holder authorises Deutsche Leasing Ibérica, EFC , S AU to request the latest risk report available
on its behalf at the Banco de España Risk Information Centre
(CIR)

HEADLINE

NIF/CIF/DNI Name or business name of the holder

REPRESENTATIVE

Firma
NIF

Firma
2 NIF:

Charge:

In , a from C/ie/c? from 202

It is necessary to attach a copy on both sides of the DNI, NIE.CIF, passport or other valid document that identifies
the holder, copy on both sides of the DNI or other valid document that identifies the representative of the holder, as
well as the power of attorney or other public document proving your right to obtain information. __

For the purposes of Organic Law 15/1999. of 13 December, the Protection of Personal Data contained in this form shall be
incorporated into an automated personal data file, under the responsibility of Deutsche Leasing, in order to manage the response
of this request, being able to exercise the rights that the aforementioned Organic Law recognizes, by writing to DEUTSCHE
LEASING IBERICA, E.F.C., S.AU. Plaza Europa, 9-11, 8aplanta (Torre lnbisa)08908 L'Hospitalet de Llobregat - Barcelona -
Spain/Spam
5 Finanzgruppe
DEUTSCHE LEASING IBERICA. E.F.C., SAU. A84838200 Commercial Register of Madrid, Volume 23282, Folio 71, Sheet M 417406,