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efta-efta00308491DOJ Data Set 9Other

Seller Agreement Number.

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DOJ Data Set 9
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efta-efta00308491
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Seller Agreement Number. 194805 Arc number. Arc Name. The Haze Trust Mailing Address .1 he Haze Trust 6100 Red Hook Quarter, B3 00802 St Thomas United States Outlying Islands CHRISTIE'S Account Address The Haze Trust 6100 Red Hook Quarter, B3 00802 St Thomas United States Outlying Islands ALL INSTRUCTIONS MUST BE INCLUDED ON THIS FORM - ATTACHMENTS WILL NOT BE ACCEPTED PAYMENT DETAILS • CONFIRMATION Thank you for your recent consignment to Christie's. To ensure you receive funds due by your preferred method, please review the information below to ensure the information we hold is appropriate. If the details below are correct, please sign and date the form below. If the bank details require amendment, please complete the form 'Payment - New Instructions' (Page 2). If you would prefer to be paid by cheque please indicate here, sign and return this page only. Please note: Payments will only be made to the name stated on the Seller Agreement (A/c name' above). Payment will be made in the primary currency of the auction unless otherwise requested and agreed by us. If you would like receipt of funds in an alternative currency, this can be arranged. For more information around the terms and conditions please contact your local sale site. We will make settlement, in accordance with the Seller Agreement slated above, to the relevant account(s) above, upon receipt by us of a signed copy of this Payment Instruction fomi. By signing this document you maps the above conditions, whit* if *tent from the Seller Agreement, will prevail. Unsigned forms will not be accepted. Signature Name (Please Print) Date EFTA00308491 Seller Agreement Number: 194805 Arc number. - Arc Name. The Haze Trust PAYMENT • NEW INSTRUCTIONS CHRISTI E'S Please complete, sign and date the form. Sale Site: Currency*: Account name** : Bank Account Number Sort/Routing Number IBAN** Bank Name** Swift Code** Branch Address Additional Information: Correspondent/Intermediary Bank DemiLs (if applicable): Bank Name Swift Code** Account Number Branch Address ** Mandatory, fields for transfers to European banks Please tick here if you would like this to be the primary payment method for the sale site: 0 Please note: Payments will only be made to the name stated on the Seller Agreement ('A/c name' above). *Payment will be made in the primary currency of the auction unless otherwise requested and agreed by us. If you would like receipt of funds in an alternative currency, this can be arranged. For more inforntation around the terms and conditions please contact your local sale site. We will make settlement, in accordance with the Seller Agreement stated above, to the relevant account(s) above, upon receipt by us of a signed copy of this Payment Instruction fonn. By signing this dimmer's you accept the above conditions, whit* if Afferent from she Seller Agreement, will prevail. Unsigned forms will not be accepted. Signature Name (Please Print) Date EFTA00308492

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