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Resolution Open Bank Fiduciary Account

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Resolution Open Bank Fiduciary Account Powered By Docstoc
					    [Investor/Corporate DD Package]


                                        YEAR,
                                                  2009-2010
                        Documents Included

       Client Summary – [ 3 Pages ]
       Resolution of the Boar of Directors – [ 3 Pages ]
       Letter of Cease and Desist Confirmation – [ 1 Page ]
       History of Funds – [ 1 Page ]
       Non-Solicitation Letter – [ 1 Page ]
       Authorization to Validate & Authenticate – [ 1 Page ]
       Copy of Signatory Passport - [ 1 Page ]
       Irrevocable Mater Fee Protection Agreement – [ 4 Pages ]

                     IF YOU ARE PLACING CASH
   PLEASE PROVIDE: BANK STATEMENT, BCL or TEAR SHEET

            IF YOU ARE PLACING A BANK INSTRUMENT
     PLEASE PROVIDE: FULL INFORMATION WITH COPY OF
    BANK INSTRUMENT BACK AND FRONT, BANK SKR, BANK
        CONFIRMATION LETTER OF THE SKR, CERTIFY
               VALUATIONS, ETC, ETC, ETC




FULL PACKAGE MUST BE RECEIVED OR TRANSACTION WILL BE NOT PROCESS
           From the desk of Mr. xxxx xxxxxxxx
             Title:_______ of [Company Complete Name]
                          [Complete Address]
Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
         E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



                PROVIDE PASSPORT COPY
               SIGNATURE PAGE – PICTURE PAGE
                                From the desk of Mr. xxxx xxxxxxxx
                                   Title:_______ of [Company Complete Name]
                                                [Complete Address]
               Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                        E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                                           CLIENT INFORMATION FORM

To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell

In accordance with Articles 2 through 5 of the Due Diligence Convention and the Federal Banking Commission Circular of
December 1998, and under the US Patriot Act of 2002, as amended in February 2003 concerning the prevention of money
laundering and 305 of the Swiss Criminal Code, the following information may be supplied to banks and/or other financial
institutions for purposes of verification of identity and activities of the Client described below, and the nature and origin of
the funds which are to be utilized. The foregoing is subject to agreement by all parties to whom this information is
provided that they are obligated to respect the privacy rights of the Client and all individuals described herein, as well as
the generally accepted professional standards relating to the maintenance of confidential information, and to take all
appropriate precautions to protect the confidentiality of the information contained herein, This legal obligation shall
remain in full force indefinitely without restriction.

Amount of Funds Available:                   : USD or EURO 0,000,000,000.00

                                                         Corporate
Full Name of Institution                     :
Registration Number                          :
Date of Registration                         :
Domicile /Jurisdiction                       :
Postal Address                               :
Registration Address                         :
Physical Address                             :
(if different from Registration Address)
Business Telephone Number                    :
Business Facsimile Number                    :
E-mail Address                               :
Website                                      :
Corporate Officers and Titles                :

                         Details of Signatory to Contract – Corporate & Individual
First Name – Middle & Last Name       :
Date and Place of Birth               :
Nationality                           :
Passport Number                       :
Date of Issue of the Passport         :
Expiry Date of the Passport           :
Title in the Corporation              :
Mobile Phone Number                   :
Home Address                          :
Home Telephone Number                 :
Home Facsimile Number                 :
E-mail Address                        :
                                    PAGE 1 OF 3 (Continued on Page 2)
                          From the desk of Mr. xxxx xxxxxxxx
                             Title:_______ of [Company Complete Name]
                                          [Complete Address]
            Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                     E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


Legal Advisor Name                      :
Legal Advisor Address                   :
Legal Advisor Telephone Number          :
Legal Advisor Facsimile Number          :
                                        :
Do you speak English?                   :
If no, what language?                   :
     If English is not listed, please provide the name and co-ordinates of a person you designate to
     translate from English to your preferred language.
Translator Name                          :
Translator Address                       :
Translator Telephone Number              :
Translator Facsimile Number              :
Translator E-mail Address                :

                          Details of the Bank Account – Where Funds are held
Bank Name                             :
Bank Address                          :
SWIFT Code                            :
IBAN                                  :
ABA / Routing #                       :
Account Name                          :
Account Number                        :
Account Signatory Name & Title        :
Bank Officer Name & Title             :
Bank Officer Telephone Number         :
Bank Officer Fax Number               :
Bank Officer Email Address            :

                      Details of the Depository & Profit Depository Bank Accounts
Bank Name                            :
Bank Address                         :
SWIFT Code                           :
IBAN                                 :
ABA / Routing #                      :
Account Name                         :
Account Number                       :
Account Signatory Name & Title       :
Bank Officer Name & Title            :
Bank Officer Telephone Number        :
Bank Officer Fax Number              :
Bank Officer Email Address           :
                                     PAGE 2 OF 3 (Continued on Page 3)
                                  From the desk of Mr. xxxx xxxxxxxx
                                   Title:_______ of [Company Complete Name]
                                                [Complete Address]
               Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                        E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


1- Describe Corporate Activity:

2- What is the investment amount available for placement and in what form?

3- How were the investment funds earned?

4- Are the cash funds and/or the application asset beneficially owned by the undersigned?

5- Have the cash funds or the cash funds supporting the application asset been in the same bank account for the past
three (3) years? :

6- Are the cash funds and/or the application asset free and clear with no liens or encumbrances or governing
restrictions? :

7- Are the cash funds and/or the application asset restricted from being used to obtain credit lines?

Are the cash funds and/or the application asset governed and/or restricted by any “Depository Agreement(s)” that
would affect its implementation in a private business venture?

As the beneficial owner: I, hereby signatory warrant and attest that the cash funds and/or the application asset(s)
may be transferable, reserved, blocked, and is also unrestricted in regards to its use for credit lines.

That I, hereby signatory warrant and attest, with full personal and corporate responsibility that as the beneficial
owner; I have full legal title and authority with no governing restrictions over the herein described cash funds
and/or application asset(s) and am also acknowledged as such by my depository financial institution.

      We hereby grant THE TRANSACTING PRINCIPALS full permission and authority to verify, confirm, and
reconfirm said cash funds on a bank to bank basis and conduct standard background checks of the cash funds and/or
asset(s), and the corporate entity owning such.

      I warrant and attest that I have not authorized any other party to place these cash funds and/or Asset(s).

     I certify and attest that at no time has your organization or any agent and / or appointee on your
behalf made any offer or solicitation.

      Print Full Name:______________                                        Signature/Seal
      Passport No.:_________________
      Country of Issue:______________
      DATE: Friday, 15 July 2011
                                                       PAGE 3 OF 3
                         From the desk of Mr. xxxx xxxxxxxx
                            Title:_______ of [Company Complete Name]
                                         [Complete Address]
            Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                     E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                      LETTER OF REQUEST FOR INFORMATION
To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell

Re      : Request for Information

Dear Sir:
Please consider this letter to be our formal request for information regarding a private transactional
opportunity.

As the beneficial owner, I hereby confirm that we are accredited and experienced Clients and am/are
considering participation in a private transactional opportunity with an investment in the amount of <______
Million> U.S. Dollars ($___,000,000.00 USD) worth of assets, in the form of <_________>, acquired by legal
means, which are unencumbered by any liens, is freely transferable, is freely available for credit lines, and is
not restricted and/or governed by any agreements or understandings whatsoever. I respectfully request
assistance by your Company in entering into a private transactional opportunity without any financial
responsibility or advice given, or implied by you.

I further confirm that this transaction was not solicited by you or your Company and that this transaction
entails no payment of any “up front” fees for services you, or your Company mat provide to me. Furthermore,
I acknowledge that I had prior knowledge of such private placement opportunities before having encountered
your Company and that this is a non-securities transaction according to the Securities and Exchange Act of
1933 and 1934.


Sincerely,

Print Full Name:______________                                       Signature/Seal
Passport No.:_________________
Country of Issue:______________
DATE: Friday, 15 July 2011
                          From the desk of Mr. xxxx xxxxxxxx
                               Title:_______ of [Company Complete Name]
                                            [Complete Address]
            Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                     E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                                        LETTER OF INTENT (LOI)

To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell

Dear Sir:

Under penalty of perjury, with full corporate responsibility, I hereby irrevocably confirm that I am ready,
willing and able to enter into and participate in, a Private Placement Investment Opportunity.

Our initial participation will be, with the commitment of my beneficially owned assets, in the form of
<_________>, in the total amount of <____> Million U.S. Dollars ($___,000,000.00 USD), earned by legal
means, which are hereby identified as follows :
         Issuing Institution        :
         Location                   :
I confirm and attest that I have full authority over such beneficially owned asset(s) which are not restricted
and/or governed by any agreements or understandings whatsoever; and authorize you to confirm the validity,
and availability of same, as you may so require. May it be further stated that the Assets are also freely
available with no restrictions in regards to the securing of credit lines.

It is hereby understood and agreed that the rules of confidentiality and non-disclosure established by the
International Chamber of Commerce – Paris, France and by U.S.A. House Resolution Number 3723, are
incorporated herein by reference.
I hereby confirm and acknowledge that neither you, nor any of your employees, or agents have solicited us.
Further, it is hereby agreed that, any transaction and banking documents and/or correspondence which will
be exchanged between the Party(s) shall not be construed, in any manner, as solicitation. We further confirm
and attest that there has been no offer to buy or sell securities, and this letter is not intended as an offer to but
or sell any such securities.

Sincerely,

Print Full Name:______________                                          Signature/Seal
Passport No.:_________________
Country of Issue:______________
DATE: Friday, 15 July 2011
                         From the desk of Mr. xxxx xxxxxxxx
                            Title:_______ of [Company Complete Name]
                                         [Complete Address]
         Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                  E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                      LETTER OF AUTHORIZATION TO VERIFY FUNDS

To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell


Re: AUTHORIZATION

Know all men by these presents that I, the hereby signatory at the address shown above, give you clear notice
that you have my direct permission and full authority to do all matters necessary to confirm, verify, and
authenticate my beneficially owned cash funds and/or application asset(s) and its associated good standing
account status, in an amount <_____________>United States Dollars ($_____,000,000.00 USD) on a bank to bank
basis. The below stated beneficially owned account is of good, clean, and cleared cash funds obtained via legal
means, and is currently available at the bank coordinates below:


                Cash Amount: $<_____>,000,000.00 USD

                Bank Name & Address:


                Account Name:

                Account Number:

                Account Signatory:

                Bank Officer & Title:

Note: A copy of this Authorization to Verify Funds will be lodged and presented to my Bank Officer.

In witness hereof, I hereby attest, affirm and acknowledge this document by affixing my
signature on this Friday, 15 July 2011
Sincerely,

Print Full Name:______________                                      Signature/Seal
Passport No.:_________________
Country of Issue:______________

C.C.: <NAME OF BANK AND BANK OFFICER>
                          From the desk of Mr. xxxx xxxxxxxx
                              Title:_______ of [Company Complete Name]
                                           [Complete Address]
         Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                  E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                                  ORIGIN AND HISTORY OF FUNDS
The undersigned, having been duly sworn and with full authority and responsibility for this Affidavit of Origin
/ History of Funds and affirms all responses as follows as being accurate:

Current Location of Funds
Bank Name / Address    :
Account Holder’s Name :
Account Number         :

History of Funds: Funds have been on deposit at the above Bank Name for the past (___) years.. Note: If the
        subject funds were not on deposit for a minimum of three (3) years, applicant must state below the
        previous location of where the funds were held on deposit

Previous Location of Funds:
Bank Name / Address     :
Account Holder’s Name :
Account Number          :

Origin of Funds (Describe how funds were earned or obtained):
Certification:
1)       Funds and/or asset(s) are legally earned, beneficially owned, taxed, and includes no independent
third-party management situation and/or any governing restrictions whatsoever.
2)       All information supplied in the documentation submitted and the cash involved, are not in violation of
the Patriot Act of October 26, 2001, and amendments thereto, with its related financial crimes counterparts,
however interpreted, defined and enacted, whether within the United States its host jurisdiction of this
statement or internationally.
3)       Subject funds and/or assets have no liens, commercial obligations, or encumbrances of any kind
pertaining to said cash and/or asset, and is beneficially owned with free availability for credit line purposes.
4)       Funds owner is not a party to a law suit or pending adverse legal action, further, there are no pending
contracts existing, or about to exist, that could affect said cash assets.

Signature:      ______________________________
                <Name of Investor>
                Passport Number & Country: _________________
===================================================================
Notary acknowledgment: I do hereby certify that ______________________________, known to be the individual
described herein, personally appeared before me as to the above date and presented the documents indicated.
Subscribed to and sworn to before me this ______ day of ________________, 2009.

Notary Signature & Seal ______________________________
                         From the desk of Mr. xxxx xxxxxxxx
                             Title:_______ of [Company Complete Name]
                                          [Complete Address]
         Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                  E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



        RESOLUTION OF THE BOARD OF DIRECTORS (If Applicable)

At a meeting of the directors of (Name of Company ), held on (Current Date) at (Time of Day) Hrs, at the
offices of (Name of Company), located at (Address of Company), in accordance with the Articles of
Incorporation / Association, and at which were present (Name of Investor and Title) and (Mr./Mrs.
Names).

It was RESOLVED that (Name of Investor), with (Passport Number and Country of Issue), be granted full
signatory authority, to negotiate the final details and thereafter, execute and enter into a Contract for a Private
Transaction, for our beneficially owned cash funds and/or asset(s) in the amount of <_________> MILLION
UNITED STATES DOLLARS, ($___,___,___.00 USD).

Additionally, (Name of Client) is empowered to open and manage bank accounts, sign on and authorize credit
line agreements, enter into fee agreements as necessary, and to make selections as to which program or
programs will best suit the investment of these funds and the company’s requirements.

The necessary authority and power required to undertake this task is hereby granted (Name of Client) as our
representative as set forth above.

It was therefore resolved that the named officer shall have the authority so empowered by this resolution.

ACCEPTED AND AGREED:

WE HEREUNTO EXECUTE OUR HANDS OF THIS DATE;


                  Signature                                                        Signature


Signatory Name:                                                      Signatory Name:
Title:                                                               Title:
Passport No:                                                         Passport No:
Date:                                                                 Date:

                                                           CORPORATE SEAL:
                             From the desk of Mr. xxxx xxxxxxxx
                                Title:_______ of [Company Complete Name]
                                             [Complete Address]
              Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                       E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                                       LETTER OF CONFIRMATION

DATE                            :   Friday, 15 July 2011
INVESTOR’S CODE                 :   (Client’s own reference)
REFERENCE NUMBER

     To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
     c/o: Authorized Representative Mr. Oscar G. Morrell

I, ____________________________ the authorized signatory, hereby confirm with full personal and
corporate responsibility, that we wish to enter into contract for a private transaction with a minimum
sum of ________________________ million United States Dollars ($ ,000,000.00) consisting of a
portfolio supported by good, clean, clear funds/assets of non-criminal origin, legally earned and free of
all liens and encumbrances and that the application asset is callable, beneficially owned by us, and is
also freely transferable.

Said portfolio may be confirmed and is hereby evidenced by the enclosed current proof provided to us
by our Bank of which I am signatory, and which is readily available for placement into a private
transaction under terms to be agreed by both parties. Further, we hereby confirm and warrant that
said portfolio is: (a) in our sole, absolute and unconditional control and authority: (b) does not require
the further approval of any third party as to its use or application: (c) is not subject to the discretion of
any other third party in respect of any agreement, process, decision, or consensus appertaining to its
release or availability and there are no other currently valid or pending commitments whatsoever for
this portfolio: (d)1 If required, we are prepared to commit this portfolio for investment and place into a
bank custodial account: (e) That the subject portfolio (application asset) is beneficially owned and
such is immediately available for the securing of credit lines for the private transaction.

For compliance, we enclose a certified true copy of the passport (COLOR, SIZE A-4) of the
signatories of this letter and the Bank account. We confirm that we have initiated our actions of our
own free will and hereby confirm and acknowledge that neither your company, nor anyone acting on
your behalf, has solicited us for any investment, and further, that the documents we would like to
receive, and are hereby requesting from you, shall not be, nor is deemed or construed by us to be a
solicitation of funds or securities in connection with a Bank Secured Private Funds Placement.

The internationally accepted standards of confidentiality are implicit in this Letter of Confirmation that
is exclusive and valid from today's date. The facsimile of this document shall be deemed as original
and shall be legally binding with hard copy following.
     Sincerely,

     Print Full Name:______________                                     Signature/
     Passport No.:_________________
     Country of Issue:______________
                                From the desk of Mr. xxxx xxxxxxxx
                                   Title:_______ of [Company Complete Name]
                                                [Complete Address]
               Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                        E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


( May be applicable to USA based clients)



I HEREBY CERTIFY that on this ________ day of ________, 2009, before me the subscriber, appeared in person and

proved their identity to me by valid identification. Said Parties executed this document, consisting of one page, of

which this page was signed above by them in my presence as the Letter of Confirmation and confirmed under the

penalties of perjury that the facts and statements contained herein are true and correct and that he acknowledged

that he freely and voluntarily executed the foregoing for purposes specified herein.




                                          ____________________________________
                                                          NOTARY
                        From the desk of Mr. xxxx xxxxxxxx
                           Title:_______ of [Company Complete Name]
                                        [Complete Address]
            Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                     E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                        AFFIDAVIT OF NON-SUBMITTAL TO OTHERS

To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell

Re      : PRIVATE PLACEMENT INVESTMENT PROGRAM

Dear Sir,

I, [We], the undersigned, hereby confirm, under penalty of perjury and with full personal [Corporate]
responsibility, that the Investor Package submitted to you for processing, including, but not limited to the
assets utilized, has not and is not currently submitted to any other source for application to the “Private
Transaction”.

Furthermore I [we] hereby warrant and represent that, in the event I [we] had previously submitted my [our]
Investor Package to any other source for application to the “Private Placement, for the procurement of the
aforementioned and herein desired “Private Transaction”, that I [we] subsequently have issued the required
“Cease and Desist Orders” to that other source, canceling all activities thereto.

Facsimile documents, when properly endorsed are hereby declared as originals, and originals may be
obtained upon request.

Sincerely,

Print Full Name:______________                                    Signature/Seal
Passport No.:_________________
Country of Issue:______________
DATE: Friday, 15 July 2011
                        From the desk of Mr. xxxx xxxxxxxx
                            Title:_______ of [Company Complete Name]
                                         [Complete Address]
            Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                     E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



                             LETTER OF EXCLUSIVITY
To: PROGRAM MANAGER / PROVIDER OF PRIVATE FINANCIAL TRANSACTIONS
c/o: Authorized Representative Mr. Oscar G. Morrell

Re      :        PRIVATE PLACEMENT INVESTMENT PROGRAM

Dear Sirs,

I, the undersigned, hereby confirm, under penalty of perjury and with full corporate responsibility that the
Application Package submitted to you for processing, including the utilization of our investment assets
detailed in the package, hereby confirm that we hereby grant to the Program Manager receibin this Letter
from our hereby representative the exclusive authority to place our investment assets in a Private Placement
Investment Program. This authority is hereby granted for the period of 60 days from the date hereof.

Facsimile documents, when properly endorsed are hereby declared as originals, and originals may be
obtained upon request.

In witness whereof, I hereby execute this document affixing my signature on this Friday, 15 July 2011

Sincerely,
                                                                                   Signature/Seal
Print Full Name:
Passport No.:
Country of Issue:
                              From the desk of Mr. xxxx xxxxxxxx
                                 Title:_______ of [Company Complete Name]
                                              [Complete Address]
              Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                       E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



               IRREVOCABLE MASTER FEE PROTECTION AGREEMENT
 (THIS IS A FEE PROTECTION AGREEMENT IS BETWEEN THE INVESTOR(S) AND THE CONSULTANT(S) OR INTERMEDIARY(IES) AND PAYMENT
   OF ALL COMMISSIONS ARE THE SOLE RESPONSIBILITY OF THE INVESTOR(S) and/or PROGRAM MANAGER/TRADER as per CONTRACT)


DATE                                 :   Friday, 15 July 2011
INVESTOR’S CODE                      :   (Client’s own Transaction Code)
REFERENCE NUMBER                     :
PAYOR/ INVESTOR’S                    :
NAME
FUNDS/ASSETS                         :   (Cash Amount or detail of Security)

To: Whom it may concern, Beneficiaries, Paymasters and Program Manager
c/o: Authorized Representative Mr. Oscar G. Morrell

Please be advised that I, ____investor Name_____ holder of (country) Passport No: xxxxxxxxxxxxxx,
under penalty of perjury, and with full legal responsibility, agree to pay a fee/commission of Continuing fee
with R. & E. of 10% out of the weekly received returns from trade distribution amount to be paid to
Paymasters/Beneficiaries as per following instructions. FURTHERMORE I the hereby investor and
signatory do Authorize the Program Manager/Trader to deduct the herein agreed 10% from my weekly gross
investment returns and make direct payments to the hereby Beneficiaries.

This fee protection and pay order agreement shall be valid upon commencement of this transaction and shall
apply to renewals, extensions, rollovers, additions and/or any new agreements between the Source and/or
assigns; heirs or other authorized representatives of Source, except if superseded by a separate, specific, and
mutually agreed upon, fee protection and pay order agreement for any such renewals, extensions, rollovers
and/or additions. Payor’s bank coordinates where fees are to be disbursed to the payees weekly and
simultaneously with the completion of every transaction, sent via S.W.I.F.T. wire or fed wire.

PAYOR/INVESTOR COMMISSION PAYING ACCOUNT COORDINATES
Bank Name                                  :
Bank Address                               :
SWIFT Code                                 :
IBAN                                       :
ABA / Routing #                            :
Account Name                               :
Account Number                             :
Account Signatory Name & Title             :
Bank Officer Name & Title                  :
Bank Officer Telephone Number              :
Bank Officer Fax Number                    :
Bank Officer Email Address                 :
                 (PAYOR has the right to change his Bank Coordinates with sole purpose to pay the Fee on Time)
                            (PAYOR must notify Beneficiaries prior to any change of paying bank)
            NOTE: TRADER MAY ACT AS THE PAYOR IF STATED IN A SEPARATE AGREEMENT.
                                   From the desk of Mr. xxxx xxxxxxxx
                                       Title:_______ of [Company Complete Name]
                                                    [Complete Address]
                 Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                          E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



PAYEES (BENEFICIARY’S) BANK COORDINATES:
10% of the weekly received returns from trade distribution amount to be paid to Beneficiaries as Follows.

                                                                GROUP 1
                                    100% OF 5% of the weekly gross investment returns
PAYMASTER:
BANK NAME:
BRANCH ADDRESS:                           (CLOSED)
ACCOUNT NAME:
ACCOUNT NUMBER:
SWIFT CODE:
BENEFICIARY:
SPECIAL INSTRUCTIONS: Same day transfer and immediate credit.
ALL TRANSFER INSTRUCTIONS SHALL STATE: “The remitter is know to us. Funds are clean and clear, of non-criminal origin
and are payable in cash immediately upon receipt by beneficiary’s bank.



                                                                 GROUP 2
                                     33% OF 5% of the weekly gross investment returns
 WIRE RECEIVING BANK NAME :
            BANK ADDRESS :
            ACCOUNT NAME:
          ACCOUNT NUMBER:
                SWIFT CODE:
             ABA- ROUTING #:
        BANK OFFICER NAME :
         FURTHER CREDIT TO:                 (CLOSED)
                BANK NAME :
            BANK ADDRESS :
            ACCOUNT NAME:
          ACCOUNT NUMBER:
                SWIFT CODE:
             ABA- ROUTING #:
        ACCOUNT SIGNATORY:
     SIGNATORY PASSPORT #:
        BANK OFFICER NAME :
            TO the Benefit OF:
 SPECIAL INSTRUCTIONS: Same day transfer and immediate credit.
ALL TRANSFER INSTRUCTIONS SHALL STATE: “The remitter is know to us. Funds are clean and clear, of non-criminal origin and are payable in
cash immediately upon receipt by beneficiary’s bank. Send Email to xxxxxxxxxxxxxxxxxxx notifying that a wire was sent on his benefit. Thanks
                              From the desk of Mr. xxxx xxxxxxxx
                                 Title:_______ of [Company Complete Name]
                                              [Complete Address]
               Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                        E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx


                                                      GROUP 2
                               34% OF 5% of the weekly gross investment returns
PAYMASTER:
BANK NAME:
BRANCH ADDRESS:                    (CLOSED)
ACCOUNT NAME:
ACCOUNT NUMBER:
SWIFT CODE:
BENEFICIARY:
SPECIAL INSTRUCTIONS: Same day transfer and immediate credit.
ALL TRANSFER INSTRUCTIONS SHALL STATE: “The remitter is know to us. Funds are clean and clear, of non-criminal origin
and are payable in cash immediately upon receipt by beneficiary’s bank.



                                                      GROUP 2
                               33% OF 5% of the weekly gross investment returns
PAYMASTER:
BANK NAME:
BRANCH ADDRESS:                    OPEN
ACCOUNT NAME:
ACCOUNT NUMBER:
SWIFT CODE:
BENEFICIARY:
SPECIAL INSTRUCTIONS: Same day transfer and immediate credit.
ALL TRANSFER INSTRUCTIONS SHALL STATE: “The remitter is know to us. Funds are clean and clear, of non-criminal origin
and are payable in cash immediately upon receipt by beneficiary’s bank.


                                   By way of Swift or FED Wire transfer

The paymasters will pay this money to associates, with deductions as agreed and bank transfer fees or as
imposed by law as directed. All taxes are the independent responsibility of each of the parties hereto.
These sums shall be paid without protest immediately upon the completion of each tranche to the bank
coordinates as stated for immediate distribution.

This fee protection pay order agreement is unconditional, assignable, divisible, and transferable. The
transaction code, and the bank (s) fiduciary trustee bank or trustees, shall remain unaltered until the
transaction has been completed or the tranches between the buyer and seller are exhausted. The irrevocable
bank instructions to pay, as stated in this irrevocable agreement, shall be lodged simultaneously along with
the first tranche, to the payee in compliance with this fee agreement and contract. Irrevocable disbursement
instructions will be furnished at that time.

All parties herein agree not to circumvent nor attempt to circumvent any of the parties in and of this
transaction including all renewals, rollovers, additions, or any new agreements between the client and/or his
assigns or his clients and the provider and/or assigns.
                            From the desk of Mr. xxxx xxxxxxxx
                               Title:_______ of [Company Complete Name]
                                            [Complete Address]
              Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                       E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx

The client/PAYOR agrees to issue all relevant information to facilitate bank/trader/Program Manager
acceptance of the herein consultant fees and to provide the Herein beneficiaries and/or Legal
representative(s) with a bank/trader/Program Manager endorsed copy of this Agreement, or copy of the
contract from which the fee is to be paid for and any other information which may prove necessary to assist
in facilitating acceptance of funds by his bank/trader/Program Manager. This fee protection agreement shall
be lodged and an e-mail a copy of acknowledgment to Beneficiaries or to their designated paymaster
coordinates.

Non-circumvention and Non-disclosure: All parties agree not to circumvent, avoid, bypass or obviate each
other directly or indirectly to avoid payment of commissions or fees in any transaction pending. Also all
parties do herein agree that the non-circumvention and non-disclosure rules (NCND) rules and regulations
set forth by the ICC shall apply to this transaction for a period of five (5) years from date of execution of this
agreement by the undersigned. This NCND also applies to any and all other transactions direct or indirectly
initiated by these intermediaries. The undersigned agree that this agreement shall not be amended without the
express written consent of the parties.

The signatory (ies) hereby agree to keep completely confidential the names of all clients, corporations,
banks, institutions, individuals or groups of individuals, buyers or sellers, introduced respectively by the
named signatory (ies), or their associates. Such identity shall remain confidential for the duration of this
agreement, and shall include telephone and facsimile numbers, addresses, emails, account numbers, etc. Such
information is considered property of the named signatory(ies) and may not be disclosed under any
circumstance.

CONFIDENTIALITY: It is fully understood that the commerce contemplated between the parties hereto is
absolutely CONFIDENTIAL. The Specific Terms and Conditions of this document shall be held as private
and privileged and strictly confidential by all parties named herein and by all beneficiaries of the said fees.


Penalty: In the event of circumvention of this agreement by either party, directly or indirectly, the
circumvented party shall be entitled to a legal monetary penalty equal to the maximum compensation they
should realize from such a transaction of EUR/USD 10,000,000.00 whichever is greater plus any and all
expenses, including but not limited to all legal costs and expenses incurred to recover the lost revenue.

All negotiations terms and conditions are between the principal parties only; all intermediaries are
considered introducers and held harmless from any legal actions brought on by either party.The standards of
the international chamber of commerce, Paris, France, regarding payment of fees and commissions are
deemed to be included in the body of this document, even thought not explicitly stated herein.

Once this agreement is executed and signed, it is deemed to be an original document binding all parties in all
and any jurisdiction, including when sent by fax, email, and scanned copy or via post/Currier mail. All
counterparts shall be deemed a legally binding & executed contract between the parties.
                         From the desk of Mr. xxxx xxxxxxxx
                            Title:_______ of [Company Complete Name]
                                         [Complete Address]
             Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                      E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx

Investor acknowledged prior to the execution of this document:
“I fully understand the legal obligations in connection with this Fee Agreement and have executed this
document freely and with out reservation”

This constitutes the entire FEE PROTECTION AGREEMENT by and between The Parties. No other
rights, title, interest, duties or requirements is intended or implied.

Sincerely,

ACCEPTED BY PAYOR/INVESTOR:


                           Signature


Signature                                                          CORPORATE
                                                                      SEAL
Print Full Name:
Passport No.:
Country of Issue:



THIS FEE PROTECTION AGREEMENT HAS BEEN WITNESS BY
(A Country Legal Notary …. OR … Attorney)



_______________________________________________
(SIGNATURE AND SEAL)
PRINT NAME                          :
ON BEHALF OF (COMPANY NAME)        :
DESIGNATION OR TITLE               :
PASSPORT NUMBER                    :
                         From the desk of Mr. xxxx xxxxxxxx
                             Title:_______ of [Company Complete Name]
                                          [Complete Address]
          Telephone: xxxxxxxxxxx Fax Number: xxxxxxxxxxx Mobile: xxxxxxxxxxxx
                   E-Mail: xxxxxxx@xxxxxx.xxx Website: www.xxxxxxx.xxx



                   PROVIDE PROOF OF FUNDS/ASSETS (POF)
                        NO MORE THAN 15 DAYS OLD

                      COPY OF ORIGINAL BANK STATEMENT
                                    -OR-
                              BANK TEAR SHEET

                  IF YOU ARE PLACING A BANK INSTRUMENT
PLEASE PROVIDE: FULL INFORMATION WITH COPY OF BANK INSTRUMENT BACK AND
FRONT, BANK SKR, BANK CONFIRMATION LETTER OF THE SKR, CERTIFY VALUATIONS,
                              ETC, ETC, ETC.
       Make sure that the copy is good & clear. [Copy & paste, drag and drop or insert Picture/File in box below]

				
DOCUMENT INFO
Description: Resolution Open Bank Fiduciary Account document sample