Financial Polis

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Effective Date: ___________, _____, 2009

 

To    : Striker Gold Corporation –Las Vegas Nevada USA

Re   : TRANSACTION CODE      :

          SELLER CODE           :

  BUYER CODE            :

 

Dear Sir,

 

I, Mr. _____, for and on behalf of _____, in respect of the above-referenced Buyer Code, individually and for and on behalf of any business associated with this transaction, the undersigned, hereby confirm under penalty of perjury, that the funds available in my account at _________________Bank, and which will be reserved for the purpose of purchase pursuant to the contract bearing the above-referenced Transaction Code, Seller Code, and Buyer Code are of neither of criminal nor terrorist origin, nor are such funds at the disposal of any criminal or terrorist organization.

 

The history of the funds is described below:

 

______________________________________________________________________________

 

______________________________________________________________________________

 

The funds are derived from our normal commercial activities as described below:

 

______________________________________________________________________________

 

______________________________________________________________________________

 

The foregoing information is correct and true.

 

Dated effective as of this _____ day of ___________, 2009:

 

BUYER NAME:

 

Name:

Passport No.:

Expiry Date: