No.

CC-01/ABC/RA&MP/Dec2017

Jakarta, 23 Januari 2018

BCA
Jl. Melawai Kav. 13
Jakarta

Attn : Branch Manager

Dear Sir / Madam,c

In connection with the examination of our accounts / Financial Statement as of 2017, please furnish our auditors:
KAP Grace Florencia & Giashinta Muren, Dream Building Tower Lt. 7, Jl. Sudirman Kav. 127, Jakarta Pusat the
details and balances of our accounts with you as follows. Your prompt compliance with this request on or before
February 5, 2018 will be greatly appreciated.

Please send also the copy of audit confirmation to us.

Very truly yours,

PT ABC

Mark Lee Bambang Rahardja

Director Finance and Accounting Manager

1. Current Account
- Account number :
- Outstanding balances as of
Desember 31, 2017 :
- Interest rate :
- Accrued interest as of
December 31, 2017 :
- Interest paid during
January - December 31, 2017 :

2. Time and Call Deposit

- Deposit number :
- Outstanding balance as of
December 31, 2017 :
- Period covered :
- Interest rate :
- Accrued interest as of
Deecember 31, 2017 :
- Interest paid during
January – December 31, 2017 :
3. Bank Loan
- Loans agreement number :
- Original amount of loan :
- Outstanding balance as of
December 31, 2017 :
- Period covered :
- Repayment schedule :
- Interest rate :
- Accrued interest as of
December 31, 2017 :
- Interest received during
January – December 31, 2017 :
- Collaterals/guarantors in details :
- Loan covenant if any :
- Other relevant information :

4. Contingent Liabilities
- Total bills discounted for
your customer, with recourse :
- Collaterals/guarantors in details :
- Total acceptances :
- Total of forward exchange
contracts :
- Total of outstanding liabilities :
- Other of outstanding liabilities
under documentary credits :

5. Others (Pls specify) :

NB:

If the space provided is inadequate, please attached a detail statement. If the answer to any items is none, please so
state.
Except as stated above, according to our records, said Client had no other accounts with us at the above-mentioned
date.

Yours truly,
BCA

by : ____________________
Authorized Signature