Banco Rendimento

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I declare that the information provided is an expression of the truth. I authorize the Banco Rendimento S/A, headquartered at Av. Brigadeiro Faria Lima, nº 2092 - 19th floor, registered under the CNPJ/IMF (taxpayers Identification Number) number 68.900.810/0001-38, to provide or consult data or information consolidated in the Central Bank of Brazil, as well as the Credit Risk Central (in terms of responsabilities according to the provisions of the Resolution Nº2.724 of 05.31.2000), to the Brazilian Credit Protection Central Service (SCPC) and the Credit Reporting Agency - SERASA or other bodies of registration information, in order to address the law in force and allow an adequate and consistent analysis of the credits conceived or to be conceived.

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.



Potential / Temporary

_______________________________________ Signature

__________________________________________________________ Bonus __________________________________________________________

We assume any responsibility for the accuracy of the provided information, on demand of the originals of the Identification card, CPF (Individual Taxpayer Number) / CNPJ (Taxpayers Identification Number) documents and other evidences of additional elements presented, under the penalty application of the provision in the Article sixty Four of the Law nº8.383, from 12.30.91

____/____/_____ ____________________________________ Date Signature of the Account Manager


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