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CIS FORM VERONICA G. VAZQUEZ
CIS FORM VERONICA G. VAZQUEZ
CIS FORM VERONICA G. VAZQUEZ
In accordance with Articles 2 and 5 of the due diligence and federal banking commission
circular of December 1999, concerning the prevention of money laundering, and Article 305 of
the Swiss Criminal Code, the following information may be supplied to banks and to financial
institutions for purposes of verification of identity and activities of the investing member, and
the nature and origin of the funds which are to be utilized.
I hereby swear under penalty of perjury that the information given above is accurate and true.
Any information, work, or service conducted hereunder is that of a private transaction that is
exempt from the Securities Act and not intended for the general public but for Private Use
Only.
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VERONICA GUADALUPE VAZQUEZ
SIGNATURE
Signatory: ________________________________
Title: Individual
Passport: 580588445
Country: USA
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VERONICA GUADALUPE VAZQUEZ
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VERONICA GUADALUPE VAZQUEZ
BANKING COORDINATES
IBAN # TBA
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VERONICA GUADALUPE VAZQUEZ
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