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LTN Information Form
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Aqui
To initiate your contact with SRM, describe your first LTN package using the LTN Information Form below.
Items followed by an asterisk (
*
) require completion.
*
Indicates required field
I am interested in the following:
*
Selling LTN
Trading LTN
Selling LTN with Integrated Trade
Other
Select All That Apply.
If Other, please specify:
*
I am:
*
The LTN owner (My LTNs are titled to me or to my company.)
The authorized legal representative of the LTN owner.
A consultant/broker working directly with the LTN owner
A consultant/broker working with other consultants
Select Only One.
Enter the FULL NAME of the title holder of the bonds described on this form.
*
Which language(s) does the LTN owner speak?
*
Quantity of Series H LTNs available (if none, enter "0"):
*
Quantity of Series Z LTNs available (if none, enter "0"):
*
Other LTN Series and Number of LTNs in each Series
*
Status of LTNs:
*
I have updated bond documents issued in 2017 or 2018.
I have older bond documents issued in 2016 or prior years.
I have current black screens.
I have Euroclear active registration or listing.
Select All That Apply.
Are your LTNs dematerialized?
*
IMPORTANT
: If you are a consultant, submit a separate LTN Information Form for each respective bond owner who has a package
that you would like to submit for this purchase program. Do NOT combine information for multiple bond owners on the same form.
How long (in years) have these LTNs been owned by current owner?
*
Are the LTNs held in private storage or a custodial bank?
*
In which country are the LTNs being held?
*
If required, I/we have funds available to:
*
To pay incidental expenses required to initiate transaction.
To register my bonds on Euroclear.
To place my bonds into a custodial bank account.
I have no funds available to pay any initial costs.
Select All That Apply.
Which of the following LTN documents are ready to submit?
*
STN Certificate of Repactuation *
STN Certificate of Recognition *
BACEN Transport Certificate *
STN Certificate of PU *
STN Certificate of Ownership / Control of Public Debt - CODIV *
Tax Report - GRU & Tax Paid Receipt
Front and Back pictures of bond(s)
Recibo
Issue Certificate
Forensic Report conclusion page OR Complete Pericia/Laudo
Black screens and Carta (only required for dematerialized LTNs)
Proof of Purchase / Ownership (if available, not required)
Select All Items That Are Available.
Do the first 5 LTN documents above that are marked with an asterisk (*) have official stamped dates in 2017 or later?
*
Your Name
*
First
Last
Your Email
*
Your Phone Number
*
Your Skype Name
*
Submit
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