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S.W.I.F.T. ­ WIRE FORMAT MT799: NOTIFICATION DELIVERY STATUS PRIORITY / DELIVERY MESSAGE INPUT REFERENCE : : : :

------------------------------------------MESSAGE HEADER-----------------------------------------SWIFT INPUT SENDER : MT799 PROOF OF FUNDS :

BANK NAME BANK ADDRESS SWIFT CODE BANK OFFICER AMOUNT ACCOUNT NAME ACCOUNT NUMBER : : : : : : :

RECEIVER

:

BANK NAME BANK ADDRESS SWIFT CODE BANK OFFICER ACCOUNT NAME ACCOUNT NUMBER IN FAVOR OF : : : : : : :

-------------------------------------------SWIFT MESSAGE TEXT-----------------------------------------TRANSACTION CODE TRANSACTION NUMBER : :

WE, ---INSERT NAME & LOCATION OF SENDING BANK--- REPRESENTED BY THE UNDERSIGNED OFFICERS, HERBY CONFIRM, WITH FULL BANK RESPONSIBILITY AND LIABILITY ON BEHALF OF OUR ACCOUNTHOLDER ---INSERT NAME OF ACCOUNT HOLDER/SIGNATORY---, CASH FUNDS IN THE AMOUNT OF ---INSERT AMOUNT IN WORDS--MILLION UNITED STATES DOLLARS (USD $XX,000,000.00) IN ACCOUNT NUMBER ______________ AS OF THE DATE OF THIS TRANSMISSION. DATE RECORDED BANK OFFICER: PIN: : (INSERT DATE) BANK OFFICER: PIN

------------------------------------------MESSAGE TRAILER------------------------------------------

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