Banking Forms - Registration Form Legal Entity

Bank used only

Branch

Date

Opening date

Action

Code

1 Identification

Company or Trade name *

Trade name

CNPJ (Taxpayers Identification Number) *

State registration

Municipal registration

Name of the Economic group

Headquarter address *

Telephone *

District *

City *

Country *

ZIP CODE *

Established on *

Capital Stock

Company(ies) to which succeed and succession date(s)

Branches

2 Activities

Industry

Number of employees

Pay roll

Imports

Exports

Purchases of the last period

Imports

Sales of the last period

Exports

Instructions

Main sold products

% Overchange

Market Share

Installed capacity x real production Main competitors

3 Shareholding Control

Shareholder/Partner/Holter *

CNPJ (Taxpayers Identification Number)

CPF (Individual Taxpayer Number)

Nationality *

Entry month/year *

% Voting Stock *

% Total *

Instructions

Note: In the case of an economic group, attach an Organization chart.

Directors/Director-Shareholders *

CNPJ (Taxpayers Identification Number)

CPF (Individual Taxpayer Number)

Formation *

Title *

Title period / Mandate until *

Job *

4 Company real state

Type

Localization

Market value

Land (area - m2)

Constructed area (m2)

Mortgage

5 Shareholdings of the Company in other companies

Company

CNPJ (Taxpayers Identification Number)

Headquarter

Capital Stock

% Voting Capital

6 Current Relevant Shareholdings and previous of the Director-Shareholders

Shareholder

Company

CNPJ (Taxpayers Identification Number)

% Voting Capital

Title

Period (from/to)

7 Hired insurances

Insurer

Broker

Modality

Coverage Value

Premium Value

Due date

8 Commercial Relations

Main dealers

What do they supply?

% Purchases

Term of payment

City

Main Customers

% Sales

Term of Receiving

City

9 Leasing

Asset type

Qty.

Agreement value

Leasing companies

Agreement date

Due date

10 Financial institution references (Indicate the institutions where you maintain or maintained credit operations

Institutions *

Agency *

Limits

11 Contact(s) for the clarification of Balance/Registration

Contact for the clarification of Balance/Registration

Telephone

12 Necessary Documents

Last three balances
Articles of organization (certified copy)
Minutes of Constitution (certified copy)
Statutory amendments in the last 17 months (certified copy)
Annual report of the Board of Directors with activities of others companies of the group
Demonstrations of results (profits and losses)

13 Company History

Company History (a brief history)

14 Marketing Scheme

Marketing Scheme (direct sales, geographic regions of concentration etc.)

15 Seasonal aspects

Seasonal aspects (sale's peak, crops, period with a greatest need of resources etc.)

16 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.

Relationship

Place

Date

Signature of the person in charge of the company

Reset Signature

Stamp and signature of the account manager

Reset Signature

17 Destined to the use of the Department of Registration

Destined to the use of the Department of Registration (describ the bank and commercial information)

Place *

Date