PLEASE ISSUE ON ASSET OWNERS LETTERHEAD

Sellers/Applicant Reference Code:

Index Number:
READY WILLING AND ABLE
DATE

To The Program Manager

Via

SECURE EMAIL:
Email:

Dear Sir/Madam,

I, (Name) bearer of (Country) passport number xxxx acting for and on behalf of myself or (Company
name if applicable) here by confirm that I am the Authorized Signatory, Beneficial Owner/Trustee and
Custodian Box Holder of these boxes stated herein.

BOX BOX ID BOX BOX Location of BOX

DESCRIPTION NUMBER SERIAL OR PADLOCK City, Country,
EG GOLDEN SEAL NUMBER Name of Security Warehouse and
GUN 5 BULLET NUMBER SKR receipt number
OR GOLDEN
TRUMPET
1
2
3
4
5

The stated box/es is/are held in safe keeping in a private security warehouse or Bank Security
facility in (City, Country). I hereby confirm with full legal and personal responsibility that I am
READY, WILLING, AND ABLE and of my own accord to proceed with the Sale of my Boxes at
the earliest opportunity.

My current location (as at Fe br uar y, 2 01 7 ) is (City, Country) and I can and will make myself
IMMEDIATELY AVAILABLE to par tic i pate i n a c all and attend a scheduled meeting an agreed
secure location eg HONG KONG, Switzerland or other by mutual agreement, subject to the
receipt of confirmation from you that such a meeting is to take place, along with a date, time, location
and a summary agenda.

I further reconfirm and attest to the fact that I am the de jure legal and beneficial owner of the
Boxes, and that I have unfettered access to them at the designated safe keeping facility.

My request I expectation is that the meeting will be held at a secure location, for our mutual and
personal security, and privacy, and the security and privacy of the assets, the transaction and
settlement process.

I look forward to your favourable reply via________________________.

Yours sincerely

NAME:
PASSPORT NUMBER:
DATE OF EXPIRY:
COUNTRY OF ISSUE:
PLEASE ISSUE ON ASSET OWNERS LETTERHEAD

PLEASE INSERT COPY OF SIGNATORY PASSPORT