Wire Transfer Services Outgoing Wire Transfer Request Toy’ Dae 106/05/2020 Fark ISONTA LINON-MARISCAL Fantr Phone: (525/237-2712 french Nambe joo3s2 Saker A joo02156 as ago Reference Numer: |pwoo02156157638211 ePorfotRumber, jvos3s Barr |ps205-011 Ranney FARGO ‘uagung wes can ony be senor es Fargo customers Provide the Cstoer Copy tthe custome ensuring yu gue ban the Wie Taser Aeement on pages 3nd 6 Nate: Ws Fargo Wire Tarr Sorwces wl outers basen corespardx: barking estas Se tba Wire rar Inormation fr explanations! the Mexican LAGE number the SIF Ite oternational Routing Coe (RC). dan Fnancal System Code FSC) arene lremational Bank Aeeunt Numb (BAN), Originator's Information rgratontne Ser hae DENISE A FREEMAN 3305 SE 22ND ST APT 11 _ Pry Type: Pinay ID Desens peat tine 2 LIC ngocce028 Primary D SuCuy/Por —PrimaylD ive Date” Primary DExprtion Date Jee ine 3 TA jon/aiy2019___|10/31/2020 i : a Secondary I ype Secndr I Desert: ey Es TORN Token ID DES MOINES [Za at Secondary DStatelCoury: Soca IDlsue Date: Seunday DExproionDetz | Pesta Cade Corny = 50320-1949 _ jus Nome Pane ines Phone: (447-8662 Lo Wire Amount and Source of Funds Crate, ‘Deni Wt Fargo Aco ankc00, Amount (US Dal) [ooo21s6 6911396437 jo0001 Beneficiary/Recipient Information (ris tno uitimateresipient a the wi re transfer funds) Tinatcay Reopanc fone Ramseraarons ne FOO PAI YEAN Prima S-a, Jalan ‘Benficiary Account Number BAN (Foreign /CLABE(encok Name/Adcress Line? iz [ro7asi2475 Serena [63000 Cyberjaya, i Ppoie of Func Nhe Line ‘ational wrag603 72.20 5¥P) Sending Money for Cor Virus Relief Selangor, MY BonociryPron umber, Page 10r4Wire Transfer Services Outgoing Wire Transfer Request Beneficiary Bank (this isthe financial nstiution where the beneficiary maintains tir acount) Tan ‘SHIT Terry nk Name eu ne BMY KL, CIMB BANK BERHAD ener Bank Rees iy Gates KUALA LUMPUR [MY Financ: Wire Foes ‘eas Fargo wie vast os wil cargo oe Oignatrs Debi Account. Wals Fargo Wr Tanda Fos aro Godin your moa zak Fas and inorabon Sede oad ‘elated emendmersarcf appcabl on te Wl Farge Coie sos for Outgoing Conse Ierational Wes, Adel fees rrntrmeciry anc ene bank may be chorgeto interratealrarsctons My sigraturc hare ncaa goarent 1 altho tan nts Ougoing Wie ransfer Request andthe tems an conn ths request el Farg satrizad tory onthelrermationn hs Reqs n making Ys equ fonds are Customer Signature Theknawtedg have reed a had an oppatrity orev thi Outgoing Consumer Intemational Wre Tule Request (Request the Wire Taser Agecement on pages 3 ana fs Request, and separate Wal Fungo Contant Dados fr Outgoing CasumerterationlWirestor ts wanton Yau ahnoelecge that you re responsi or roving Wels Fugo with alinvarmation required he Beetiy’sbark including the ean or pays equa, Sing ies without He ecu nformation un ease ‘hewee tobe delay turned er ssste acitonal ees, By sgnng,|oeiy alla he wformtan ons Request iscaret. The beneficiary aceount number and, beneficiary bank identification number (e.g-IBAN, RTN, IFSC or SWIFT BIC) I provide aro completo and accurate, and | understand I could lose the transfer amountif this information isincorret. autre Ws Fago ore onthe formation n ths Request whan mahing te equated we terse, Ongiater tame ENISE A FREEMAN agian Sgr By sunmcranuaty i Sorausenotregiras Page 20r4 R603 (2:20 590)