BUYER MANDATE ATTESTATION  

I, _____________________________, attest, under PENALTY OF PERJURY of law, that I have authorization to submit this order and that I have on file an NCND and LOI, both signed by the buyer within the past 96 hours for this transaction.  

Portfolio Description:_________________________________________________ 

(Initial applicable item below) 

____ I am a mandate to the buyer with written authority to sign and/or act on behalf of the buyer for this transaction. 

____ I am a mandate to the buyer without signatory authority.  I do not have written authority to sign and/or act on behalf of the buyer for this transaction. 

____ I am not a direct mandate, but I have written authorization to submit this package on behalf of the buyer.    

Name:______________________________________________________ 

Signature: ______________________________   Date: ______________________ 

Contact Info: 

Company: __________________________________________________________ 

Address:____________________________________________________________
Phone:_______________________________  Fax:__________________________ 

Email:________________

 

Buyers Name:_______________________ 

_______________________________ 

Buyers Signature 

NOTE:  Attach NCND to this order and return to: 

Email:  _____________________________ 

Phone: _____________________________ 

Fax: _______________________________ 

Upon completed Master NCND and Mandate Attestation (from authorized mandate/rep to the seller mandate), I will tell the buyer/rep/mandate who to make the LOI and POF and Master Fee Agreement out to and give direct contact info to the person holding the LOA and Tape, and the buyer can send their info direct without any intermediary contact.