DECLARATIONS. By accepting this policy, you agree that all the statements in your application and the declarations are true and that you have provided us with all material information about your pet’s health. You agree that this policy and any endorsements or riders issued to you is the entire and only agreement between you and us.
DECLARATIONS. To make possible the fullest attainment of the above-stated objective, the following declarations shall apply:
DECLARATIONS. 1. Each State Party shall submit to the Secretary-General of the United Nations, not later than 30 days after this Treaty enters into force for that State Party, a declaration in which it shall:
DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature DETACH OWNER'S COPY AT TIME OF APPLICATION HOME OFFICE COPY Allocated Retention. Pool -- Effective 10/1/2008 Between HLIC and TFLIC EXHIBIT VI CONDITIONAL RECEIPT OR TEMPORARY INSURANCE AGREEMENT EFFECTIVE OCTOBER 1, 2008 [LOGO] HARTFORD LIFE INSURANCE COMPANY THE HARTFORD HARTFORD LIFE AND ANNUITY INSURANCE COMPANY 500 BIELENBERG DRXXX, XXXXXXXX, XX 55125 P.O. BOX 64271, ST. PAUL, MN 55164-0200 TEMPORARY INSURANCE AGREEMENT PROPOSED PRIMARY INSURED: NAME: DATE OF BIRTH: Under this Temporary Insurance Agreement ("Agreement"), Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company ("Company") agrees to provide a limited amount of life insurance coverage, for a limited period of time, subject to the terms and conditions set forth below. WHEN COVERAGE BEGINS Temporary life insurance coverage under the Agreement becomes effective on the date this Agreement is signed, subject to ALL of the following conditions:
DECLARATIONS. Each of the undersigned declares, understands and agrees that: - The answers provided above are complete and true to the best of his/her knowledge and belief. - If the answers to the Health Questions contained in this Agreement or the Application are incorrect, incomplete or untrue, the Company will have the right to deny benefits under this Agreement. X Date: ----------------------------------- ------------------------------ Proposed Primary Insured Signature X Date: ----------------------------------- ------------------------------ Proposed Policy Owner Signature (if other than the Proposed Insured) RECEIPT OF PAYMENT A premium payment of $ has been submitted with the Application or Request. Additional premium may be required upon Policy delivery. All premium checks must be made payable to Hartford Life Insurance Company or Hartford Life and Annuity Insurance Company. Do not make check(s) payable to the Agent or leave the payee blank. X Date: ----------------------------------- ------------------------------ Agent Signature OWNER'S COPY Allocated Retention Pool (Excess Risks) -- Effective October 1, 2008 Between HLAIC and Canada Life 104 EXHIBIT VII REINSURANCE REPORTS EFFECTIVE OCTOBER 1, 2008
DECLARATIONS. If requested by Landlord at any time during the Term, Tenant promptly will execute a declaration in the form attached hereto as Exhibit B.
DECLARATIONS. □ I declare that I have received, acquainted myself with and unconditionally accept the General Terms and Conditions for the providing of payment services to legal entities of Raiffeisenbank (Bulgaria) EAD, an integral part of this Agreement-Application. □ I declare that I have acquainted myself with and unconditionally accept the General Conditions for using Raiffeisen ONLINE. □ I declare that I have acquainted myself with and unconditionally accept the Instruction for Using of hardware device - Token □ I declare that I have acquainted myself with and unconditionally accept the Instruction for Confirmation of payments with SMS codes in Raiffeisen ONLINE □ I declare that I have acquainted myself with and unconditionally accept the General Conditions for using the Raiffeisen E-Bank Statements service. □ I declare that I have acquainted myself with and unconditionally accept the General Conditions for using Xxxx International. □ I declare that I have received, acquainted myself with and unconditionally accept the General Business Conditions of Raiffeisenbank (Bulgaria) EAD. □ I declare that I have received, acquainted myself with and unconditionally accept the Fees and Commissions Tariff for legal entities of Raiffeisenbank (Bulgaria) EAD. □ I declare that I have received, acquainted myself with and unconditionally accept the current Interest Rates Bulletin for Legal entities of Raiffeisenbank (Bulgaria) EAD. □ I declare that by signing this Agreement, I confirm the truth and accuracy of all the information I have provided, and I allow the Bank to check it at any time, and I undertake, if any relevant change occurs, to inform the Bank immediately. □ I declare that I agree to provide the Bank with the necessary information and documents, related to Law on the Measures against Money Laundering (LMML) and the Rules for the Application of the LMML, and the applicable Bulgarian legislation - upon request by the Bank, related to the implementation of a concrete operation. □ I declare that I am responsible for all actions undertaken on my behalf or by persons I have authorized after access to the Raiffeisen ONLINE service has been granted. □ I declare that I am responsible for all actions undertaken on my behalf or by persons I have authorized after access to the Xxxx International service has been granted. □ I declare that I shall undertake to archive the documents generated via the Raiffeisen E-Bank Statements service on my own information carrier for a period of...
DECLARATIONS. The Declarations to this Agreement shall form an integral part of this Agreement.
DECLARATIONS. 4.1. In case the Customer is an individual who signs the mandate as the Customer’s representative also personally provides the declarations, confirmations and guarantees of the Customer and is personally bound due to this. He also declares that he has full authority to contract and perform FX Transactions, has received the required authorizations and has proceeded with all the actions that are necessary for the undertaking and the fulfillment of the obligations under the FX Transactions Terms.
DECLARATIONS. In signing this Agreement and taking entry to the Let Property, the Tenant confirms that he or she: • has made full and true disclosure of all information sought by the Landlord or Letting Agent in connection with the granting of this tenancy • has not knowingly or carelessly made any false or misleading statements (whether written or oral) which might affect the Landlord's decision to grant the tenancy. • read and understood all of the terms of this Agreement including the accompanying legal commentary. Tenant 1 Signature Tenant Full Name (Block Capitals) Tenant Address Date: Tenant 2 Signature Tenant Full Name (Block Capitals) Tenant Address Date: Tenant 3 Signature Tenant Full Name (Block Capitals) Tenant Address Date: Tenant 4 Signature Tenant Full Name (Block Capitals) Tenant Address Date: Tenant 5 Signature Tenant Full Name (Block Capitals) Tenant Address Date: Landlord Signature Landlord Full Name (Block Capitals) Landlord Address Date: Landlord Signature Landlord Full Name (Block Capitals) Landlord Address Date:
