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AGRINATURAL CANADA INC. (doing business as Mesghal Exchange)
CLIENT OWNERSHIP ATTESTATION

Please complete ownership information for your corporation or partnership and sign and date document. Include all owners with ownership percentage of 25% or more.

DECLARATION:

I as an authorized representative and owner of the corporation or partnership, hereby declare that the information included in this document is true, correct, and complete to the best of my knowledge and belief.

Receiver information

FullName

Printed Name

Date

Name of Corporation or Partnership

Owner 1 Information

Owner 1 Name

Address

Ownership Percentage (if 25% and above)

Owner 2 Information

Owner 1 Name

Address

Ownership Percentage (if 25% and above)

Owner 3 Information

Owner 1 Name

Address

Ownership Percentage (if 25% and above)

Owner 4 Information

Owner 1 Name

Address

Ownership Percentage (if 25% and above)

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AGRINATURAL CANADA INC. (doing business as Mesghal Exchange)
CLIENT OWNERSHIP ATTESTATION

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Attestation form

AGRINATURAL CANADA INC. (doing business as Mesghal Exchange) CLIENT OWNERSHIP ATTESTATION

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AGRINATURAL CANADA INC. (doing business as Mesghal Exchange)
CLIENT OWNERSHIP ATTESTATION