Letter Of Intent / Contract Page 20
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21ON THE LETTERHEAD OF THE BUYER
Transaction Code :
Seller’s Code:
Buyer’s Code:
Buyer as Master Paymaster and its Bank co-ordinates for payment of fees:
Bank Name:
Bank Address:
SWIFT Code:
Tele-fax
Account Name:
Account Number:
In the event that the transaction was not performed or only performed in part, the paymasters or
beneficiaries listed above shall not hold the undersigned Payer responsible for any expenses, charges
and/or cost, or hold the Payer liable for any civil and criminal actions. The unperformed part of this
Irrevocable Master Fee Protection Agreement will therefore automatically become null and void.
Approved and agreed by
[Name of the BUYER]
(ADD CORPORATE SEAL)
___________________________
Legal & Authorized Signatory
Date:
Signatory Full Name:
Title:
Nationality:
Passport #:
Date of Issuance:
Date of Expiration:
NOTARY PUBLIC
ON THIS (DATE)
BEFORE ME, THE UNDERSIGNED NOTARY PUBLIC, PERSONALLY APPEARED
____________________ HOLDING PASSPORT NUMBER PRESIDENT /DIRECTOR OF
___________________________________________________________, TO ME KNOWN TO BE
THE INDIVIDUAL DESCRIBED IN AND WHO EXECUTED THE FOREGOING INSTRUMENT,
AND ACKNOWLEDGED THAT HE EXECUTED THE SAME AS HIS FREE ACT AND DEED
MY COMMISSION EXPIRES:
Buyer’s initial:
Page: 20/21
Seller’s
Initial:
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