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DECLARATION

The undersigned:

1. Mr. HEIZ SCHMEIL, born in Birstein on the 12th of

September 1942, the holder of Passport Number: 331203984,

Deutcsh Citizen;

2. Mrs. TATTY SURYATI, born in Jakarta on the 22 nd of April

1957, the holder of Passport Number: 33120428 Deutcsh

Citizen

- Both residing at Rotstein Weh II, 55442 Stromberg,

Schindlerdof, Germany;

- In this matter acting in the capacity as owner of

Condotel Nusa Dua Bali Carnation 3 03 unit.

hereby declare that:

- the distribution of Coefficient of Condotel Nusa Dua

Balit Carnation 3 03 unit may be transferred to the

account as detailed below:

Account No:

Account Name BUDI WIDJAJA

BCA Permata Hijau Branch

- we release and indemnify Metafora Internasional from and

against any and all claims or demands whatsoever arising

out of or in relation to its capacity as the Distributing


Party of Coefficient as may be brought or filed by any

other parties with respect to this Transfer Order.

This is made voluntarily and without coercion or undue

pressure for appropriate purposes.

Jakarta,

Declarant

Revenue Stamp IDR 6000

HEINZ SCHMEHL TATTY SURYATI

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