Gemios Financieros

Páginas: 7 (1593 palabras) Publicado: 27 de julio de 2012
Authorization for Information
and Certificate of Authority
Section 1: Authorization for Information in Connection with a Business Account Application (“Authorization for Information”)
Legal Name of Business (Include Trade or DBA Names used, if applicable)
By signing this Authorization for Information, I authorize Wells Fargo Bank, N.A. (the “Bank”) to obtain verifications and reports fromagencies on my accounts
and financial affairs from time to time, such as credit bureau reports and account status reports on me as an individual, in connection with this business account
application and any other account applications by this business. I understand that the Bank requests this information to reduce fraudulent accounts, to prevent access to financial information and accounts byunauthorized persons, and for other legitimate business reasons. Should the information obtained from
any such verification or report cause the Bank to decide to deny the account application for the above-named business, I also authorize the Bank to communicate, either explicitly or implicitly, to any co-applicant and to any co-owner, director, officer, or employee of the business that the denial wasbased in
whole or in part on such information. I also authorize the Bank to use such information and to share it with its affiliates in order to determine whether the
business is qualified for other products and services offered by the Bank and its affiliates.

Print Full Legal Name of Owner, Partner, Officer, or Member
Signature

Date

Print Full Legal Name of Owner, Partner, Officer, orMember
Signature

Date

Print Full Legal Name of Owner, Partner, Officer, or Member
Signature

Date

Print Full Legal Name of Owner, Partner, Officer, or Member
Signature

Date

Section 2: Certificate of Authority
Each person who signs below certifies that:
A. The use of any Bank deposit account, product or service by the customer of the Bank for which this Certificate ofAuthority is issued (the “Customer”)
will confirm the Customer’s receipt of, and agreement to be bound by, the Bank’s applicable fee and information schedule and account agreement
that includes the Arbitration Agreement under which any dispute between the Customer and the Bank relating to the Customer’s use of any Bank
deposit account, product or service will be decided in an arbitration proceedingbefore a neutral arbitrator as described in the Arbitration Agreement
and not by a jury or court trial.
B. Each person who signs at the end of this Section 2, or whose name, any applicable title and specimen signature appear in Section 4, below,
is authorized on such terms as the Bank may require to:
(1) Enter into, modify, terminate and otherwise in any manner act with respect to accounts at theBank and agreements with the Bank or its affiliates
for accounts and/or services offered by the Bank or its affiliates (other than letters of credit or loan agreements);
(2) Authorize (by signing or otherwise) the payment of Items from the Customer’s account(s) listed on this Authorization for Information and
Certificate of Authority or from accounts that the customer opens after the date ofthis Authorization for Information and Certificate of
Authority (including without limitation any Item payable to (a) the individual order of the person who authorized the Item or (b) the Bank or any
other person for the benefit of the person who authorized the Item) and the endorsement of Deposited Items for deposit, cashing or collection
(see the Bank’s applicable account agreement for thedefinitions of "Item" and "Deposited Item");
(3) Give instructions to the Bank in writing (whether the instructions include the manual signature or a signature that purports to be the
facsimile or other mechanical signature including a stamp of an Authorized Signer as the Customer’s authorized signature without regard to
when or by whom or by what means or in what ink color the signature may...
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