Professional Documents
Culture Documents
8 BB-1123
MGM ENERGY GROUP November 23 2020
I, CARD HOLDER / SENDER, Mr. Wojciech Henryk Jarguz , the undersigned, with passport
number: CDV050605 , domicile in Solaskie, POLAND, declare that:
I am over the age, am competent and willing to issue this affidavit. I confirm with full legal
authority and under the risk of penalty and perjury that:
1. I am the legal Owner and Possessor of the VISA DEBIT CARD Number: 4191 7345 7124
8934;
2. MR. Wojciech Henryk Jarguz holding deposit of EURO $6,800,000,000.00 (SIX
BILLION AND EIGHT HUNDREDS MILLION EUROS),
3. The Transaction is executed in method: ON-LINE - MODE: ONLINE 6 DIGITS
MANUAL PUNCHING POS Universal Machine and download with 6 digits; OR
OFFLINE 6 DIGITS;
4. Further declare also to have on any legal right of refund on any download on my VISA
DEBIT CARD,
5. 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:
In witness hereof l, Mr. Wojciech Henryk Jarguz, hereby swear under penalty of perjury, that the
information provided herein IS accurate on this date: NOVEMBER 23, 2020
THE ABOVE MENTIONED BENEFICIARY RESERVES THE RIGHT TO CHANGE THE BANK
COORDINATES STATED HEREIN AT ANY TIME BY PROVIDING WRITTEN REQUEST TO THE
UNDERSIGNED.
Special Instructions: SAME DAY TRANSFER AND IMMEDIATE CREDIT Required Message: “The
Remitter is known to us. This is done with Full Banking Responsibility and we are satisfied as to the
Source of Funds sent to us.”
Account Name
Currency
Signed by Sender
____________________________________________
Date :
Signed By Receiver
MR
Date: