For internal use by the bank Kundenstammnr.: Konto-/Depotnr.: Baader Bank Aktiengesellschaft Weihenstephaner Strasse 4 85716 Unterschleissheim Germany T 00800 00 222 337* F +49 89 5150 2442 [email protected] www.baaderbank.de Please return duly signed: Baader Bank Aktiengesellschaft Customer Service Weihenstephaner Strasse 4 85716 Unterschleissheim Germany *Toll-free from (inter)national landline networks. Charges may apply from other networks. Account/deposit power of attorney for an individual for an individual account/deposit for all accounts/deposits under one client reference number for the entire business connection 1 Information regarding the account holders First account holder Second account holder Surname, first name Surname, first name Address Address City, postcode City, postcode Account/deposit number Account/deposit number 2 Empowerment I/We hereby empower the person named below as an authorised representative: Surname, first name Nationality Address Profession City, postcode Telephone number Date of birth Mobile phone number Place of birth E-mail address This person will be able to represent me/us in business dealings with Baader Bank Aktiengesellschaft. The power of attorney applies to all of my/our existing and future accounts/deposits under the following client reference number/account/deposit number: Client reference number 30.100 en – as of February 2011 Account/deposit number Page 1 of 2 Account/deposit power of attorney for an individual 3 Regulations 3.1 Scope of the power of attorney The power of attorney confers empowerment with respect to the Bank to carry out all transactions which are directly connected with the account/ deposit power of attorney. In particular, the authorised representative can:* - Avail himself/herself of prevailing credit balances (for example by means of credit transfers) - Open additional accounts/deposits for the account holder under the abovementioned client reference number - Avail himself/herself of credits granted - Avail himself/herself of the possibility of temporary overdrafts in accordance with standard banking practices - Purchase and sell securities and foreign currencies and demand delivery thereof to himself/herself - Receive and acknowledge account statements, bank statements, value instrument statements, deposit and earnings statements as well as other statements and notifications. * If non-applicable, please delete. This power of attorney does NOT confer empowerment to: - Open additional accounts/deposits under a number other than the above mentioned client reference number - Conclude or amend credit agreements - Conclude financial futures transactions - - - - - Provide and withdraw securities Accept notices of termination of accounts and credits Carry out options transactions Issue substitute powers of attorneys zur Erteilung von Untervollmachten. 3.2 Closure of accounts/deposits The authorised person shall not be entitled to close the accounts/deposits until after the death of the account holder. In the event of there being several account holders, this authorisation shall only pertain following the death of all of the account holders. 3.3 Duration of the power of attorney The power of attorney may be revoked by the account holder at any time with respect to the Bank or the authorised representative. If the account holder revokes the power of attorney with respect to the authorised representative, he/she is to immediately inform the bank thereof in writing. In the case of several account holders, the revocation of the power of attorney by one account holder shall result in the cancellation of the power of attorney. The power of attorney shall not be cancelled upon the death of the account holder(s). It shall remain in force for the heirs of the deceased account holder in each case. If one of several co-heirs revokes the power of attorney, the authorised representative shall only be entitled to continue to represent those co-heirs who have not revoked their power of attorney. In this case, the authorised representative shall only be entitled to use the power of attorney jointly with the revoking party. The Bank shall be entitled to require the revoking party to prove that he/she is an heir. Place, date Place, date Signature Signature 4 Note to the authorised representative The Bank is legally obligated to record the name and address of the authorised representative. Therefore, the Bank will store this data. Signature of the authorised representative: Place, date Signature of authorised representative Bearbeitungsvermerk der Bank Erteilung der Vollmacht: Die Unterschrift des Vollmachtgebers wurde in meiner Gegenwart vollzogen. Der Vollmachtgeber hat die zuvor geleistete Unterschrift mir gegenüber anerkannt. Dem Vollmachtgeber wurde der Empfang der Vollmacht durch Einschreibebrief mit Rückschein eigenhändig; Rückschein eingegangen am mit PostIdent-Verfahren bestätigt. Die Unterschrift wurde geprüft. Datum Legitimation des Bevollmächtigten Ausweis (Art des Dokuments, Nr., ausgestellt von, am, gültig bis): Durch PostIdent Anderweitige Form der Legitimation: Unterschrift/ Sachbearbeiter Bearbeitungshinweis 30.100 en – as of February 2011 Page 2 of 2
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