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Transferee Fica Affidavit - Deborah Lonetta Anneline Esau

This affidavit provides identifying information for Deborah Lonetta Anneline Esau, including her name, identity number, residential address, income tax registration number, contact details, and signature. It was signed and sworn before a commissioner of oaths.

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Deborah Esau
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229 views1 page

Transferee Fica Affidavit - Deborah Lonetta Anneline Esau

This affidavit provides identifying information for Deborah Lonetta Anneline Esau, including her name, identity number, residential address, income tax registration number, contact details, and signature. It was signed and sworn before a commissioner of oaths.

Uploaded by

Deborah Esau
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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AFFIDAVIT BY TRANSFEREE

Information required by Transfer Attorney to comply with Financial


Intelligence Centre Act, No. 38 of 2001
I, the undersigned,
DEBORAH LONETTA ANNELINE ESAU
IDENTITY NUMBER 611009 0216 087
DO HEREBY DECLARE UNDER OATH:
1. THAT my names and identity number are correct as reflected above;
2. THAT my residential address is the following:
3 Unie Street Bellville South 7530
3. THAT my income tax registration number is:
1469476145

CONTACT DETAILS:
Tel No Work: 031 9433082
Tel No Home: 021 9512525

Cellphone: 0813541918
e-mail ADDRESS: [email protected]

DEBORAH LONETTA ANNELINE


ESAU
SIGNED and SWORN/AFFIRMED to before me at on
this day of , the Deponent having acknowledged that
he/she knows and understands the contents of this Affidavit, which is deposed to in
accordance with the regulations governing the administration of an oath as more fully set out
in Government Notice R 1258 of the 21st July 1972, as amended by Government Notice 1648
dated the 19th of August 1977 and Government Notice 903 dated the 10th July 1998.

COMMISSIONER OF OATHS
FULL NAMES:Deborah Anneline Lonetta Esau
STATUS: Single
STREET ADDRESS: 3 Unie Street Bellville South 7530

Lexis® Convey 17.2.18.14

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