JOINT-STOCK COMPANY COMMERCIAL BANK «PRIVATBANK»

Registered address:
1D Hrushevskoho St., Kyiv, 01001, Ukraine
Contact us:
30 Naberezhna Peremohy St., Dnipro, 49094, Ukraine
Phones: 3700 (free from mobile in Ukraine)
(056) 735 32 82
www.pb.ua help@pb.ua
29.05.2024 00:05 № 3FH035RHT32S215K Page 1 of 3

Lytvyn Hanna

TIN: 1888604421, date of birth: 16.09.1951

NATIONAL PASSPORT НК 630562, issued by DESNIANSKYI RAIONNYI VIDDIL U MISTI CHERNIHOVI UPRAVLINNIA
DERZHAVNOI MIHRATSIINOI SLUZHBY UKRAINY V CHERNIHIVSKII OBLASTI date of issue 19.03.1999. Registration
address: Ukraine, 14032, region Chernihivska, city Chernihiv, street Dotsenka, building 14, flat 44

Statement of card/account 516874******4845 (UA783052990000026202681075686) and additional accounts of the

agreement SAMDNWFC00004883206 on 15.05.2014 for the period 01.01.2024 — 28.05.2024

Credit limit: 0,00 Total outflow: -26 816,89

Account currency: UAH Total inflow: 22 336,07
Opening balance: 4 480,82 Amount of charges: 5,00
Ending balance: 0,00 Amount of discounts: 0,00

Amount in Amount in Amount Amount

Transaction Balance after
Account Transaction details transactio card of of
date transaction
n currency currency charge discoun
516874******4845
23.05.2024 Contract No. SAMDNWFC000048832 Transfer to your card 51**28 via -8 020,28
06 -8 020,28 0,00 0,00 0,00
15:50 Privat24. UAH
from 15.05.2014

516874******4845
18.05.2024 Contract No. SAMDNWFC000048832 -10,75
06 EDEKA Kudwin, Magdeburg -465,37 0,00 0,00 8 020,28
15:23 EUR
from 15.05.2014

516874******4845
14.05.2024 Contract No. SAMDNWFC000048832 4 603,53
06 Pension fund, Pension 4 603,53 0,00 0,00 8 485,65
11:55 UAH
from 15.05.2014

516874******4845
14.05.2024 Contract No. SAMDNWFC000048832 -13,17
06 Rossmann 1820, Magdeburg -570,13 0,00 0,00 3 882,12
10:02 EUR
from 15.05.2014

516874******4845
07.05.2024 Contract No. SAMDNWFC000048832 -3,54
06 Lidl sagt Danke, Magdeburg -151,28 0,00 0,00 4 452,25
18:31 EUR
from 15.05.2014

516874******4845
12.04.2024 Contract No. SAMDNWFC000048832 4 603,53
06 Pension fund, Pension 4 603,53 0,00 0,00 4 603,53
13:46 UAH
from 15.05.2014

516874******4845
26.03.2024 Contract No. SAMDNWFC000048832 Transfer to your card 51**28 via -7 198,76
06 -7 198,76 0,00 0,00 0,00
12:26 Privat24. UAH
from 15.05.2014

516874******4845
14.03.2024 Contract No. SAMDNWFC000048832 4 603,53
06 Pension fund, Pension 4 603,53 0,00 0,00 7 198,76
13:37 UAH
from 15.05.2014

516874******4845
29.02.2024 Contract No. SAMDNWFC000048832 -6,83
06 aliexpress, Luxembourg -285,77 0,00 0,00 2 595,23
19:50 EUR
from 15.05.2014

516874******4845
29.02.2024 Contract No. SAMDNWFC000048832 -12,45
06 EDEKA Kudwin, Magdeburg -520,92 0,00 0,00 2 881,00
19:25 EUR
from 15.05.2014

516874******4845
29.02.2024 Contract No. SAMDNWFC000048832 REWE Sommer oHG, -9,94
06
-415,90 0,00 0,00 3 401,92
13:31 Magdeburg EUR
from 15.05.2014

516874******4845
29.02.2024 Contract No. SAMDNWFC000048832 -16,06
06 Lidl sagt Danke, Magdeburg -671,97 0,00 0,00 3 817,82
13:22 EUR
from 15.05.2014

516874******4845
29.02.2024 Contract No. SAMDNWFC000048832 -20,90
06 EDEKA Kudwin, Magdeburg -874,48 0,00 0,00 4 489,79
11:20 EUR
from 15.05.2014

516874******4845
28.02.2024 Contract No. SAMDNWFC000048832 -4,90
06 EDEKA Kudwin, Magdeburg -205,88 0,00 0,00 5 364,27
15:59 EUR
from 15.05.2014
JOINT-STOCK COMPANY COMMERCIAL BANK «PRIVATBANK»
Registered address:
1D Hrushevskoho St., Kyiv, 01001, Ukraine
Contact us:
30 Naberezhna Peremohy St., Dnipro, 49094, Ukraine
Phones: 3700 (free from mobile in Ukraine)
(056) 735 32 82
www.pb.ua help@pb.ua
29.05.2024 00:05 № 3FH035RHT32S215K Page 2 of 3

Amount in Amount in Amount Amount

Transaction Balance after
Account Transaction details transactio card of of
date transaction
n currency currency charge discoun
516874******4845
28.02.2024 Contract No. SAMDNWFC000048832 UZR*Pluspunkt Apotheke, -7,24
06 -304,20 0,00 0,00 5 570,15
15:51 Magdeburg EUR
from 15.05.2014

516874******4845
28.02.2024 Contract No. SAMDNWFC000048832 -16,42
06 Lidl sagt Danke, Magdeburg -689,92 0,00 0,00 5 874,35
09:20 EUR
from 15.05.2014

516874******4845
22.02.2024 Contract No. SAMDNWFC000048832 -9,55
06 EDEKA Kudwin, Magdeburg -402,95 0,00 0,00 6 564,27
17:13 EUR
from 15.05.2014

516874******4845
22.02.2024 Contract No. SAMDNWFC000048832 -10,00
06 Nordpark-Apotheke, Magdeburg -423,73 0,00 0,00 6 967,22
09:57 EUR
from 15.05.2014
516874******4845
21.02.2024 Contract No. SAMDNWFC000048832 -831,00
06 Transfer from your card -831,00 5,00 0,00 7 390,95
14:18 UAH
from 15.05.2014

516874******4845
19.02.2024 Contract No. SAMDNWFC000048832 -11,90
06 EDEKA Kudwin, Magdeburg -491,74 0,00 0,00 8 221,95
08:57 EUR
from 15.05.2014

516874******4845
17.02.2024 Contract No. SAMDNWFC000048832 -6,98
06 EDEKA Kudwin, Magdeburg -288,43 0,00 0,00 8 713,69
13:43 EUR
from 15.05.2014

516874******4845
15.02.2024 Contract No. SAMDNWFC000048832 -10,50
06 EDEKA Kudwin, Magdeburg -433,88 0,00 0,00 9 002,12
13:48 EUR
from 15.05.2014

516874******4845
14.02.2024 Contract No. SAMDNWFC000048832 KAUFLAND MAGDEBURG ALT, -0,81
06 -33,61 0,00 0,00 9 436,00
17:31 KANTSTRASSE 5A EUR
from 15.05.2014

516874******4845
14.02.2024 Contract No. SAMDNWFC000048832 4 262,74
06 Pension fund, Pension 4 262,74 0,00 0,00 9 469,61
13:15 UAH
from 15.05.2014

516874******4845
10.02.2024 Contract No. SAMDNWFC000048832 -2,89
06 EDEKA Kudwin, Magdeburg -118,93 0,00 0,00 5 206,87
14:33 EUR
from 15.05.2014

516874******4845
09.02.2024 Contract No. SAMDNWFC000048832 -8,64
06 Rossmann 1820, Magdeburg -354,10 0,00 0,00 5 325,80
16:23 EUR
from 15.05.2014

516874******4845
08.02.2024 Contract No. SAMDNWFC000048832 -3,59
06 Rossmann 1820, Magdeburg -147,13 0,00 0,00 5 679,90
13:53 EUR
from 15.05.2014

516874******4845
08.02.2024 Contract No. SAMDNWFC000048832 -0,75
06 Lidl sagt Danke, Magdeburg -30,74 0,00 0,00 5 827,03
13:30 EUR
from 15.05.2014

516874******4845
06.02.2024 Contract No. SAMDNWFC000048832 Woolworth GmbH Fil 13, -2,00
06 -81,97 0,00 0,00 5 857,77
13:46 Magdeburg EUR
from 15.05.2014

516874******4845
02.02.2024 Contract No. SAMDNWFC000048832 -7,66
06 EDEKA Kudwin, Magdeburg -317,84 0,00 0,00 5 939,74
09:28 EUR
from 15.05.2014

516874******4845
01.02.2024 Contract No. SAMDNWFC000048832 -2,73
06 aliexpress, Luxembourg -112,81 0,00 0,00 6 257,58
20:30 EUR
from 15.05.2014

516874******4845
01.02.2024 Contract No. SAMDNWFC000048832 -1,69
06 Rossmann 1820, Magdeburg -69,83 0,00 0,00 6 370,39
18:23 EUR
from 15.05.2014

516874******4845
01.02.2024 Contract No. SAMDNWFC000048832 -1,65
06 Rossmann 1820, Magdeburg -68,18 0,00 0,00 6 440,22
18:19 EUR
from 15.05.2014

516874******4845
29.01.2024 Contract No. SAMDNWFC000048832 -5,10
06 EDEKA Kudwin, Magdeburg -213,39 0,00 0,00 6 508,40
09:00 EUR
from 15.05.2014
JOINT-STOCK COMPANY COMMERCIAL BANK «PRIVATBANK»
Registered address:
1D Hrushevskoho St., Kyiv, 01001, Ukraine
Contact us:
30 Naberezhna Peremohy St., Dnipro, 49094, Ukraine
Phones: 3700 (free from mobile in Ukraine)
(056) 735 32 82
www.pb.ua help@pb.ua
29.05.2024 00:05 № 3FH035RHT32S215K Page 3 of 3

Amount in Amount in Amount Amount

Transaction Balance after
Account Transaction details transactio card of of
date transaction
n currency currency charge discoun
516874******4845
26.01.2024 Contract No. SAMDNWFC000048832 -1,14
06 EDEKA Kudwin, Magdeburg -47,50 0,00 0,00 6 721,79
15:52 EUR
from 15.05.2014

516874******4845
18.01.2024 Contract No. SAMDNWFC000048832 -4,14
06 Rossmann 1820, Magdeburg -173,22 0,00 0,00 6 769,29
18:17 EUR
from 15.05.2014

516874******4845
13.01.2024 Contract No. SAMDNWFC000048832 -5,13
06 Lidl sagt Danke, Magdeburg -216,46 0,00 0,00 6 942,51
18:21 EUR
from 15.05.2014

516874******4845
13.01.2024 Contract No. SAMDNWFC000048832 -3,25
06 DM-Drogerie Markt, Magdeburg -137,13 0,00 0,00 7 158,97
18:00 EUR
from 15.05.2014
516874******4845
12.01.2024 Contract No. SAMDNWFC000048832 4 262,74
06 Pension fund, Pension 4 262,74 0,00 0,00 7 296,10
13:30 UAH
from 15.05.2014

516874******4845
09.01.2024 Contract No. SAMDNWFC000048832 KAUFLAND MAGDEBURG ALT, -11,72
06 -496,61 0,00 0,00 3 033,36
17:44 KANTSTRASSE 5A EUR
from 15.05.2014

516874******4845 Transfer to a PrivatBank card via

04.01.2024 Contract No. SAMDNWFC000048832 -850,00
06 Privat24 application. Beneficiary: -850,00 0,00 0,00 3 529,97
19:45 UAH
from 15.05.2014 Булах Людмила Миколаївна
516874******4845
02.01.2024 Contract No. SAMDNWFC000048832 KAUFLAND MAGDEBURG ALT, -2,37
06 -100,85 0,00 0,00 4 379,97
15:34 MAGDEBURG EUR
from 15.05.2014

Deposits are guaranteed pursuant to the Law of Ukraine "On the System of Guaranteeing Natural Person Deposits". For
more details, see the Reference about the system of guaranteeing deposits of natural persons on the web-site fg.gov.ua.

The certificate is issued to be provided upon request

Head of the Operations & Administrative

Support Directorate (HO) Kozlovskyi Andrii

Formed by Privat24 self-service system

The facsimile seal and signature are used by agreement of the parties in accordance with Article 207 of the Civil Code of Ukraine
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