授权查询函(中英版)_授权查询函中英版

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资金查证同意书

The agreement of the funds certificated

本人，______，为配合增值理财业务顺利进行，在此同意贵方赴本人之存款银行，______银行______分行______支行，进行查证资金状况，并将所存本案资金文件交予贵方为作业查证报备之用，本人______特立此同意书为证。

I, Mr.______hereby agree that you can certificate my deposit in XXXX branch bank of XX bank, and provide you the document of the funds in order to certificate the funds，I, Mr.XXX sinded the agreement in witne。

本同意书有效期限：自即日起至______年____月____日，逾期本同意书自动失效。Date of expiration:from now on ,to ______（Year）______（Month）______DayThis agreement will become invalid automatically as the date of expiration。

附：资金证明及银行对账单（含金额）

Annex:Certification of the funds and Bank statements(Include amount)

账号 Account number:_________________

存单号码 Deposit number:_____________

户名 Account name:__________________

合计金额：人民币________美元_____欧元________

Total amount:RMB_______________USD_______EURO_____

以上资金来源清白、合法、自由可运用；若有法律责任，本人愿负全责，与他人无关。I hereby confirm with legal responsibility under the penalty of perjury that the funds above are clean、clear of legal origin and available to be freely used。

立同意书人名称Signatory_____________________

(盖公司章）___________________

立同意书人执照号码 Number:______________________

立同意书人代表姓名Name____________

(签章）Signatory and seal_________________

签章人身份证号码：______________________

护照号码：____________

______年（Year)___月（Month)______日（Day)

注明：本同意书须由当事人签名盖章，不可由被授权委托人签名盖章