Download Formulario_-_Bono_del_Tesoro_Noviembre

Ministry of Economy and Finance
Directorate of Public Financing
Public Auction of Public Debt Instruments
Panama,
Mrs. Katyusca Correa de Jimenez
Director of Public Financing
Ministry of Economy and Finance
E.
S.
D.
I, _________________________, in my capacity as authorized representative of __________, hereby present
irrevocable application for the acquisition of Public Debt Instruments denominated Treasury Bonds in the
authorized Public Auction to be held on November 20, 2013, for which I declare under oath severity the
following:
1.
That this application is submitted on behalf of:
Own behalf Third party
PRIVATE ENTITY
GOVERNMENT ENTITY
2. That subject to the terms, conditions and procedures established in the Ministerial Resolution No. 017-2013DdCP of November 14, 2013 my proposal is the following:
ISIN Code Maturity
PAL634445OA2
Requested amount
Letters and numbers (US $)
Price
(Expressed in two (2)
decimal places)
ISIN Code Maturity
Requested amount
Letters and numbers (US $)
Price
(Expressed to two (2)
decimal places)
3. That, in case the Ministry of Economy and Finance selects my application, I commit to pay the entire amount
acquired in 'PUBLIC DEBT INSTRUMENTS' within a T+3 period, through CENTRAL
LATINOAMERICANA DE VALORES, S.A. (LATINCLEAR).
____________________________
Signature of the Authorized Agent
Position no. ______
License no. ______