Professional Documents
Culture Documents
that the funds are free from any liens and encumbrances and freely transferable.
VENEZUELA, Issuing Date: 02/04/2016 do solemnly swear/ attest the following statements to
be true.
2) That my VISA CARD Number 4208-4916-0002-5814 holds all the necessary funding for
this transaction
3) I further declare that these funds are current and valid currency, lawfully obtained and
constitute clean, cleared funds of legitimate, non-criminal, commercial origin. There are no
liens, contractual obligations, or encumbrances of any kind against these funds.
4) I have full and complete, legal ownership of, and the unrestricted right and authority to
pledge or otherwise utilize these funds. The funds are ready for transfer or release upon my
instruction.
5) These funds are authentic and verifiable. I am not aware of any matter which could or might
cause the non-validation of these funds and I hereby indemnify the Interim Merchant and/or
assignees, intermediaries, or other parties involved, against any claims, demands, civil and/or
criminal in nature, and liabilities, damages, or expenses including without
limitation any attorney’s fees which may arise, whether in whole or in part, caused by reason of
reliance upon this sworn declaration.
I, the undersigned, ANTONIO YAZARET ISAAC PORTILLA, holder of Financia Credit VISA
DEBIT CARD 4208-4916-0002-5814 agree that I will NOT request a charge back or credit to
my debit/credit card in connection with any charge made pursuant to the agreement made
with DOCTYS sarl, on 24th of June 2021. I hereby expressly waive my rights to request any
charge back against my VISA CARD number 4208-4916-0002-5814, now and in the future.
If I do attempt a charge back to my credit card, then in the event of a lawsuit being filed by
me or my card issuer, in relation there to, the prevailing party shall be entitled to recover all
related damages, attorneys' fees, and cost of suit.
In the event of a breach, the interim merchant, reserves the right in its sole discretion to seek
all legal recourse and remedy against the cardholder and cardholder’s issuing bank.
Cardholder shall reimburse the Interim Merchant any and all costs associated with defending
or litigating the chargeback, including but not limited to actual costs, costs of reasonable
value and time, legal fees, court cost, and associated costs.
The Interim Merchant reserves the right, in its sole discretion, to report chargeback abuse and
incidents of chargeback fraud to the appropriate processing authorities, in addition to adding
the card user to the applicable chargeback user database(s).