Professional Documents
Culture Documents
Yaneth Arevalo Solano: Client Information Sheet
Yaneth Arevalo Solano: Client Information Sheet
In accordance with Articles Two (2) through Five (5) of the Due Diligence Convention and the Federal
Banking Commission Circular of December 1998, concerning the prevention of money laundering, and
Article 305 of the Swiss Criminal Code, the following information may be supplied to banks and/or other
financial institutions for the purpose of verification of identity and activities of the investing Member, and
the nature and origin of the funds which are to be utilized. All parties have an obligation to respect
professional secrecy and to take all appropriate precautions to protect the confidentiality of the
information each holds in respect of the other's activities. This legal obligation shall remain in full force
and effect at ALL times.
Directions: This document should be completed in full. If a line item does not pertain then insert the term:
“N/A” (non-applicable).
Corporate Information
Telephone Number : NA
Languages / Translator
Languages : NA
Does the Signatory speak English? : NA If
No, Name of Translator : NA
Tel Number : NA Email
Address : NA
Legal Advisor
Full Name : NA
(You may duplicate the section above for each Director involved in transaction)
Investment
Are these funds free and clear of all liens, encumbrances and third party interests:
1. I, YANETH AREVALO SOLANO , hereby declare as the undersigned, having the full signatory
power to transfer, assign, pledge or reserve upon terms satisfactory to me, with full authority
to execute all documents and agreements relating to the same.
2. I, YANETH AREVALO SOLANO, hereby grant permission to contact all parties and institutions
named within this document, including the authorization to verify these disclosures.
3. I, YANETH AREVALO SOLANO hereby swear under penalty of perjury, that the information
provided herein is accurate and true as of this date: 26 DE JULIO 1991.
4. I, FRANCISCO JAVIER LOPEZ DIAZ, as sole signatory, do hereby swear, under penalty of
perjury, that the information given above is accurate and true as of .
Signature
Signature: _____________________________
Name: YANETH AREVALO SOLANO
D.T.I. No.:37325988 of Ocaña Colombia
Date of Issue: 26 DE JULIO 1991
YANETH AREVALO SOLANO
LINE PASPORT N° Av379533 by COLOMBIA
yaneth0226@gmail.com, skype Ferned1968@gmail.com