Generic mandate to deactivate the Editran service

Branch: XXXX <BANK/SAVINGS BANK>

EDITRAN SERVICE DEACTIVATION

Dear Sirs,

Please take the necessary steps for us to receive the account statements in AEB format (Norma 43) for the following accounts that we hold with you:

ESXXXXXXXXXXXXXXXXXX

Instructions for the branch of <BANK/SAVINGS BANK>

To process the activation of the service, please follow this procedure: fill in the form <XXXXXX>:

It is NOT necessary to create a new connection.

The connection already exists: Quantyca with Remoto: 730517

For any additional information needed: EMAIL@BANK/SAVINGS BANK CONTACT PHONE OF BANK/SAVINGS BANK CONTACT

Looking forward to your reply, kind regards. For the record, I sign this letter on DD/MM/YYYY

<FIRST NAME AND SURNAME OF ACCOUNT OWNER>

Signed: