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"5;5D>=/$0:A: E-mail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` &5=B@0;5= >D8A =0 "#=8@548B 878=3" , 3@. !>D8O, 1C;."&0@83@04A:> H>A5" 40, 5B. 3/ ;>= =0 "#=8@548B 878=3"  2 3@.H 4@5A 70 4>AB02:0 A :C@85@ /70 A<5B:0 =0 ;878=3>?>;CG0B5;O/:$ ! =0AB>OI>B> 45:;0@8@0<:T @8;030< :>?8O >B I>DL>@A:8B5 :=86:8 =0 ;8F0B0, :>8B> I5 C?@02;O20B !." ?;< 020I0 ;8E20 2 52@>, D8=0=A>2 ;878=3 A >B2>@5= :@09F D8=0=A>2 ;878=3 AJA 70B2>@5= :@09 8 :0?8B0;870F8O =0 ! BG EU MK TR RU @C38 4J@6028:k J;=><>I=>B> 70 C?@02;5=85 =0 ! 40 1J45 874045=> A ?@02> 70 ?@5C?J;=><>I020=5 =0 B@5B8 ;8F0 B5:CI - 200AB0BJG=0 AC<0 70 ?>30AO20=5$ 2@. AJN7$ 0:54>=8O! "C@F8O  CA8OO8. .@848G5A:8 ;8F0, 2 :>8B> ;8F5B>/D8@<0B0 5 A>1AB25=8:, AJ4@C6=8: 8;8 0:F8>=5@J9. @0B:0 8AB>@8O =0 D8@<0B0 8 >A=>2=8 ?@>4C:B8 - * ! ! " $ UNICREDIT LEASING AD 1. LesseeCompany / Name:Contact person:*The company is managed and represented by: 2. VendorUIN:Make:Model:Type of the leasing contract:RMV will travel in:%5. List of persons who will drive RMV Full namePINMV driving licence NoValid byA power of attorney with a right to re-authorise shall be issued only to lessees  legal entities to be empowered to re-authorise their employeesOSPECIAL SECTION  BRIEF FINANCIAL INFORMATION FOR COMPANIES AND NATURAL PERSONSB6. Presentation of the company  TO BE FILLED IN BY COMPANIES ONLYSectorBusiness Information Amount of TFAMotor vehicles (number)Net sales revenueDepreciation expensesYear-end profit.Number of employees under employment contracts SignatureX8. Legal entities whereof the natural person/company is an owner, partner or shareholderT9. Brief history of the company and key products - TO BE FILLED IN BY COMPANIES ONLY;10. Family status - TO BE FILLED IN BY NATURAL PERSONS ONLY5Family status (married, single, cohabitating, other):j11. Information about outstanding and settled credits and leasing contracts  TO BE FILLED IN BY COMPANIES_12. Information about existing bank accounts  TO BE FILLED IN BY COMPANIES AND NATURAL PERSONSauthorizing the Company to process, transfer and use, upon its discretion, the whole or part of the information provided, including through third parties,on the territory of the Republic of Bulgaria and outside it, by preserving the confidential nature of the information in accordance with the effectiveI/We hereby declare that, during the last 5 years, no claims or court actions have been initiated against the person/company, which may have impact on meI/We hereby declare that the financial position of the person/company allows him/her/it to fulfil all obligations, which will arise from the concluding ofthe leasing contract.{responsibility for damages caused to the Company due to untrue data provided, in accordance with the effective legislation.;Address for receipt of a power of attorney for RMV driving: Place, DateSignature / Sealh40, Tsarigradsko Shousse Blvd., floor 3, 1784 Sofia, tel. 9765 100, fax 9765 320 www.unicreditleasing.bgLEASING APPLICATION Telephone:Fax: Correspondence address:Telephone/Fax: Asset type: New Second-hand 4. Financing& floating interest in EUR fixed interest in EUR& open-end finance leasing" closed-end finance leasing@ closed-end finance leasing with VAT capitalisation otherInitial instalment - %:Leasing term in months: Bulgaria- The European Union$ Macedonia! Turkey! Russia Other countries:n The power of attorney for RMV driving shall be issued with a right to re-authorise third parties a power of attorney with a right to re-authorise shall be issued only to lessees  legal entities to be empowered to re-authorise their employees current - 20q7. Legal entities and natural persons partners or shareholders of the company - TO BE FILLED IN BY COMPANIES ONLYP Name Share (%) PIN / UINUINPlace of work:Number of family members:*Number of years with the current employer:Net monthly salary (BGN):11. Information about outstanding and settled credits and leasing contracts  TO BE FILLED IN BY COMPANIES AND NATURAL PERSONS:CreditorType of financingPurpose.Residue amount for settlement BeginningEndInstalment amountBankAnnual account turnoverCurrency9 Branch of UniCredit Leasing AD in the town ofI Address for delivery by a courier /at expense of the lessee/: I hereby declare:W I enclose copies of the driving licences of the persons who will drive RMV.11. =D>@<0F8O 70 AJI5AB2C20I8 8 ?>30A5=8 :@548B8 8 ;878=3>28 4>3>2>@8 - * ! " $   $'! & Mobile phone: Post code:3. Leasing asset(Leasing asset as per the vendor s offer:Purchase price VAT exclusive:confirming the data provided by me /us. I/We give my/our consent and authorise the banks and companies related to UniCredit Leasing AD to provide the leasingcompany with any information regarding our relations. By means of my/our signature/s, I/we authorise the receipt of the necessary personal data under Art. 19, para 2 of the my/our express, unconditional and irrevocable consent in the meaning of Art. 19, para 1 of the Personal Data Protection Act by confirming the voluntary nature thereof andI/We give my/our consent and authorise the Company to carry out the required checks in connection with the Leasing Application, which the Company deems necessary forPersonal Data Protection Act, as contained in this Application (as well as in documents enclosed thereto), including amendments and supplementations thereof, I/we givedor on my ability/the ability of the company to fulfil my/its obligations under the leasing contract.For RMV leasing asset^ Head Office of UniCredit Leasing AD, 40 Tsarigradsko Shousse Blvd., floor 3, Sofia - in case the insurer under a  Casco insurance refuses payment, I agree on all consequences of a possible occurrence of the risk  Theft in any of the8 purchase price under the leasing contract; - I am aware that I will be issued a Power of Attorney only after settlement of all overdue pay<ables to the Lessor and the insurance broker; - I am aware that Powers of Attorney will not be issued in case the Leasing Application is of incomplete contents or missing documents. - G5 AJ< 8=D>@<8@0= 70 @8A:0 ?@8 ?JBC20=5 2 A;54=8B5 4J@6028: ;10=8O, 0:54>=8O, !J@18O, CA8O, #:@09=0, 5;0@CA, >;4>20, @<5=8O, @C78O, >A>2>,  - 2 A;CG09, G5 70AB@0E>20B5;OB ?> 70AB@0E>2:0 "0A:>" >B:065 ?;0I0=5 AJ< AJ3;0A5= 2A8G:8 ?>A;548F8 >B 525=BC0;=> =0ABJ?20=5 =0 @8A: "@0610" 2 871@>5=8B5 - 70?>7=0B AJ<, G5 ?@8 :0@0610 =0 ! 2 871@>5=8B5 ?>-3>@5 4J@6028 AJ< 4;J65= 40 70?;0BO >AB0BJ:0 >B 3;02=8F0B0, @5A?5:B82=> F5=0B0 70 ?@5420@8B5;=> - 70?>7=0B AJ<, G5 J;=><>I=> I5 <8 1J45 874045=> A0<>, A;54 ?>30AO20=5 =0 2A8G:8 ?@>A@>G5=8 704J;65=8O :J< 878=3>40B5;O 8 70AB@0E>20B5;=8O 1@>:5@; - 70?>7=0B AJ<, G5 ?@8 8A:0=5 70 ;878=3 A =5?J;=> AJ4J@60=85 8;8 ;8?A20I8 4>:C<5=B8, ?J;=><>I=8 =O<0 40 1J40B 874020=8./ 87:C?C20=5 ?> ;878=3>28O 4>3>2>@;o ?>-3>@5 4J@6028 40 A0 A0<> 8 548=AB25=> 70 <>O A<5B:0 8 =O<0 40 8<0< ?@5B5=F88 :J< 878=3>40B5;O; '5@=0 >@0, @0:, >A=0 8 %5@F53>28=0, ?>@048 B>20, G5 =0 B5@8B>@8OB0 =0 B578 4J@6028 =5 5 20;84=0 70AB@0E>2:0 "0A:>" 70 70AB@0E>20B5;5= @8A: "@0610";#!2845B5;AB2> 70 C?@02;5=85 =0 ! !legislation. I/We undertake to notify the Company, in writing and in the shortest term, in case of change of my/our personal data.I/We hereby declare that the information I/we provide in connection with the Leasing Application is true and correct. I/We am/are aware that I/we bear - that I have been informed of the risk of travelling in the following countries: Albania, Macedonia, Serbia, Russia, Ukraine, Belarus, Moldova, Armenia, Georgia, Kosovo, aforementioned countries to be only and exclusively at my expense, and I will not have claims against the Lessor; - I am aware that in the event of theft of RMV in any of the aforementioned countries, I am obliged to pay the residue of the principal, respectively the preliminary Monte Negro, Iraq, Bosnia and Herzegovina, for the reason that the  Casco insurance for the insurance risk  Theft is not valid on the territory of these countries;IUIN (Unified Identification Number)/PIN (Personal Identification Number):SAddress of storage location (address of the parking for RMV (road motor vehicles)):< Q3@. !>D8O 1784, 1C;.&0@83@04A:> H>A5 40, 5B. 3, B5;. 9765 100,e-mail: direct.sales@unicreditleasing.bg, D0:A 9765 320 www.unicreditleasing.bg40 Tsarigradsko Shousse Blvd., floor 3, 1784 Sofia, tel. 9765 100,e-mail: direct.sales@unicreditleasing.bg, fax 9765 320 www.unicreditleasing.bgo pFrfsJiuz W_wW Bk; ƝٟXu\:¦`9{˶ cc  $yo  dMbP?_*+%&R&6R-001-120407&i4F?'i4F?(\.?)\.?M6hp LaserJet 1320 PCL 6XC 4dXXA4DINU"4$]'$IUPH dA4 [none] [none]Arial4P d?RALITZA.TONTCHEA<Automatic>  di j. m EXCEL.EXE" dXX `?jZ?cU} $     ;@ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @ @! @ X XX X XX KLLLLLLLLM ?@llm ?@@@A BCCCDBCCCD O PPPUUUUUV 8 UV 9 UV : UUV O PUUUUUUUV ?; @@nnnno <   UUUUUUUUV KLLLLLLLLM ?@@@A ?@@@A BCCCDBCCCD  UUUUUUUUV =UUUV > UUV K LLLLLLLLM ? @@@@A ? 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