Branch

Date

Opening date

Code

Action 1º Registration   Renewal

CNPJ (Taxpayers Identification Number)

Company or Trade name

Trade name

State registration

Municipal Registration

Name of the Economic group

Headquarter address

Telephone

District

City

State

ZIP Code

Established on

Capital stock - R$

Company(ies) to which succeed and succession date(s)

Branches

Industry

Foreign trade Import Export

Purchases of the last period - R$

Imports - R$

Sales of the last period - R$

Exports - R$

Note: In the case of an economic group, attach an Organization chart.

• Last three balances
• Articles of organization (certified copy)
• Minutes of Constitution (certified copy)
• Statutory amendments in the last 17 months (certified copy)
• Annual report of the Board of Directors with activities of others companies of the group
• Demonstrations of results (profits and losses)

(direct sales, geographical regions of concentration etc...)

DECLARATION OF THE PURPOSE OF THE CLIENT'S RELATIONSHIP WITH THE INSTITUTION In accordance with Circular Letter 3461 of the Central Bank of Brazil, the client declares and the financial institution accepts the purposes of the relationship described below, indicating: In Column 1, only one option for the main relationship, and in Column 2, as many options as required for potential/temporary relationships.