|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
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|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |  |  |  |  |  |  |  |  |
| InvoiceSum of Acctd Amount Due                                                                                                                                                                                                                                                                                        CurrencyRemaining                                                                                                                                                                                                                                                                                                                              Code |
| Customer Name                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          | CustomerNumber | PostalCode | City | Address1 | Address2 | Country | Due Date | Trx                                                        GrandNumber       EUR               USD          Total |
| AL JOMAIH BOTTLING PLANTS                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | 126164 | 11411 | RIYADH | A BRANCH OF AL JOMAIH HOLDING CO. | P.O. BOX 210 - AL EHSA ST. -MALAZ AREA | SA | 14-Feb-2014 | 114300047    18.149,71                      18.149,71 |
| 01-Mrz-2014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 114300121          334,30                            334,30 |
| AL JOMAIH BOTTLING PLANTSTotal                                                                                                                                                                                                                                                                                                                                          18.484,01                      18.484,01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             |
| ARDEY QUELLE GMBH UND COKG                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | 127827 | 47179 | DUISBURG WALSUM | VERWALTUNG | ROEMERSTRASSE 109 | DE | 19-Feb-2014 | 114300058          935,22                            935,22 |
| ARDEY QUELLE GMBH UND COKG Total                                                                                                                                                                                                                                                                                                                                         935,22                            935,22                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         |
| BAD                      DUERRHEIMERMINERALBRUNNEN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | 139079 | 78073 | BAD DUERRHEIM | GMBH UND CO KG HEILBRUNNEN | SEESTRASSE 11 | DE | 26-Jun-2013 | 113300730      2.481,94                        2.481,94 |
| BAD                      DUERRHEIMERMINERALBRUNNEN Total                                                                                                                                                                                                                                                                                                        2.481,94                        2.481,94                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| BECKERS BESTER GMBH                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | 113398 | 37176 | NÖRTEN-HARDENBERG | OBERE DORFSTRAßE 42 | (blank) | DE | 06-Mrz-2014 | 114300056      4.257,23                        4.257,23 |
| BECKERS BESTER GMBH Total                                                                                                                                                                                                                                                                                                 4.257,23                        4.257,23                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
| BEVTECH               ENGINEERINGSERVICES Ltd.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              | 251681 | (blank) | WANCHAI,HONGKONG | 19 F., No. 3 LOCKHART ROAD | (blank) | CN | 06-Sep-2012 | 112301198      1.200,00                        1.200,00 |
| BEVTECH               ENGINEERINGSERVICES Ltd. Total                                                                                                                                                                                                                                                                                                                   1.200,00                        1.200,00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 |
| BONTE SA                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               | 127531 | 9674 | NOCHER | WELSCHEEDGEN 20 | (blank) | LU | 15-Jan-2014 | 113301337            41,71                              41,71 |
| 13-Feb-2014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 113301450      1.875,21                        1.875,21 |
| 19-Feb-2014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 113301478      3.370,79                        3.370,79 |
| 20-Apr-2014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 114300057      2.736,30                        2.736,30 |
| BONTE SA Total                                                                                                                                                                                                                                                                                                                         8.024,01                        8.024,01                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
| BROTHERS DRINKS CO LTD                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | 169699 | BA45BY | SHEPTON      MALLET,SOMERSET | ANGLO TRADING ESTATE SHAFTGATEAVENUE | (blank) | GB | 31-Jan-2014 | 114300029      8.123,10                        8.123,10 |
| 19-Feb-2014                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 | 114300060      9.871,90                        9.871,90 |
| BROTHERS DRINKS CO LTD Total                                                                                                                                                                                                                                                                                          17.995,00                      17.995,00                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          |
| BUCHHOLZER KELTEREI                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | 127448 | 13127 | BERLIN-BUCHHOLZ | BREITBARTH GMBH & CO | TRIFTSTRASSE 6 | DE | 27-Jan-2014 | 114300098            15,59                              15,59 |

|                                                                                                                                                                                  |
|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                                                  |  |  |  |  |  |  |  |  |  |  |
| THE          SOUTH          AFRICANBREWERIES (PTY) LTD.            | 253411 | 2146 | SANDTON | 65 PARK LANE, SANDOWN | PO BOX 782178 | ZA | 31-Jan-2014 | 214300002 | -32.367,00 | -32.367,00 |
| 16-Mrz-2014                                                                                                                                                                      | 114300117 | 88.823,00 | 88.823,00 |
| 17-Mrz-2014                                                                                                                                                                      | 114300122 | 32.367,00 | 32.367,00 |
| THE          SOUTH          AFRICANBREWERIES (PTY) LTD. Total | 88.823,00 | 88.823,00 |
| THUERINGER           WALDQUELLMINERALQUELLEN GMBH                                                                    | 127645 | 98574 | SCHMALKALDEN | KASSELER STR 76 | (blank) | DE | 20-Feb-2014 | 114300074 | 5.011,72 | 5.011,72 |
| THUERINGER           WALDQUELLMINERALQUELLEN GMBH Total                                                         | 5.011,72 | 5.011,72 |
| UNILEVER UK LIMITED                                                                                                                                                    | 127372 | ST150SR | STONE         BUSINESSPARK, STONE | ACCOUNTS PAYABLE (LEEDS FACTORY) | MAIL-POINT    14237    OMEGAHOUSE. EMERALD WAY | GB | 31-Jan-2014 | 113301483 | 248,80 | 248,80 |
| 28-Feb-2014                                                                                                                                                                      | 113301576 | 4.840,00 | 4.840,00 |
| 31-Mrz-2014                                                                                                                                                                      | 114300012114300030114300063 | 171,86194,173.037,83 | 171,86194,173.037,83 |
| UNILEVER UK LIMITED Total                                                                                                                                         | 8.492,66 | 8.492,66 |
| VAN UITERT B.V.                                                                                                                                                        | 251686 | 5107 | RD DONGEN | DE SCHACHT 9 | (blank) | NL | 31-Jan-2014 | 112301816113300429113300872 | 41.000,0010.873,805.760,00 | 41.000,0010.873,805.760,00 |
| VAN UITERT B.V. Total                                                                                                                                             | 57.633,80 | 57.633,80 |
| VERMATEC GMBH                                                                                                                                                               | 127423 | 5614 | SARMENSTORF | BUCHENWEG 16 B | (blank) | CH | 02-Dez-2013 | 213300115 |   |   |
| 19-Feb-2014                                                                                                                                                                      | 114300065 | 4.400,39 | 4.400,39 |
| VERMATEC GMBH Total                                                                                                                                                    | 4.110,39 | 4.110,39 |
| VRUMONA         BV         BUNNIKCENTRAL MAGAZIN                                  | 112761 | 3980CA | BUNNIK | TAV CREDITEURENADMINISTRATIE | POSTBUS 1 | NL | 18-Feb-2014 | 113301636 | 183,02 | 183,02 |
| 07-Mrz-2014                                                                                                                                                                      | 114300007 | 30,95 | 30,95 |
| 11-Mrz-2014                                                                                                                                                                      | 114300025 | 616,02 | 616,02 |
| 14-Mrz-2014                                                                                                                                                                      | 114300033 | 4.449,96 | 4.449,96 |
| VRUMONA         BV         BUNNIKCENTRAL MAGAZIN Total                       | 5.279,95 | 5.279,95 |
| WEINGUT BEISER GBR                                                                                                                                                     | 205710 | 55578 | VENDERSHEIM | AUSSERHALB 1 | (blank) | DE | 09-Mrz-2012 | 112300197112300199 | 590,23471,24 | 590,23471,24 |
| WEINGUT BEISER GBR Total                                                                                                                                          | 1.061,47 | 1.061,47 |
| Grand Total                                                                                                                                                                 | 716.425,91 3.472,72 | 719.898,63 |

|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |
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|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   |  |
| [insert date and place]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | [Datum und Ort einfügen] |
| Dear Sirs,We hereby give you notice that pursuant toan assignment agreement entered into by usin favour of [insert name and address of theCollateral Agent] (the "Collateral Agent")dated    [insert    date    of    the    assignmentagreement], we have assigned by way of aglobal assignment (Globalzession) to theCollateral Agent all our present and futurereceivables against you together with allancillary rights pertaining to them includingthose set out in Annex 1 hereto. TheCollateral Agent is solely authorised tocollect    and    deal    with    the    assignedreceivables, and all payments with respect tothe assigned receivables have to be made tothe Collateral Agent. Please do not makeany further payments into our accounts.Please find attached as Annex 2 hereto acopy of the assignment agreement. | Sehr geehrte Damen und Herren,Wir teilen Ihnen hierdurch mit, dass wir mitAbtretungsvertrag       vom       [Datum       desAbtretungsvertrages      einfügen]      sämtlichebestehenden und künftigen Forderungen mitallen dazugehörenden Rechten gegen Sie an[Name              und              Adresse              desSicherheitentreuhänder        einfügen]        (der"Sicherheitentreuhänder")    im    Wege    derGlobalzession abgetreten haben, einschließlichder       in       Anlage 1       genannten.       DerSicherheitentreuhänder allein ist berechtigt,über    die    Forderungen    zu    verfügen    undZahlungen entgegenzunehmen. Bitte leistenSie keine weiteren Zahlungen an uns. AlsAnlage 2    erhalten    Sie    eine    Kopie    desAbtretungsvertrages. |
| Yours faithfully,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            | Mit freundlichen Grüßen |
| [insert full name of the Assignor]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | [Namen des Sicherungsgebers einfügen] |
| By:      ____________________________Name:Title:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | ___________________________________Name:Titel: |

|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |
|--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|
|                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              |  |
| [insert date and place]                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | [Datum und Ort einfügen] |
| Dear Sirs,We hereby give you notice that pursuant to anassignment agreement entered into by us infavour of [insert name and address of theCollateral Agent] (the "Collateral Agent") dated[insert date of the assignment agreement], wehave assigned by way of a global assignment(Globalzession) to the Collateral Agent all ourpresent and future receivables against youtogether with all ancillary rights pertaining tothem including those set out in Annex 1 hereto.We are authorised by the Collateral Agent tocollect the assigned receivables in our own nameand for our own account and to exercise anyrights and claims unless you receive a notificationfrom the Collateral Agent to the contrary. Pleasesee attached as Annex 2 a copy of the assignmentagreement.Please acknowledge receipt of this notice andyour agreement with the terms hereof by counter-signing this letter and returning the same to us. | Sehr geehrte Damen und Herren,Wir teilen Ihnen hierdurch mit, dass wir mitAbtretungsvertrag         vom         [Datum         desAbtretungsvertrages         einfügen]         sämtlichebestehenden und künftigen Forderungen mit allendazugehörenden Rechten gegen Sie an [Nameund      Adresse      des      Sicherheitentreuhänderseinfügen] (der "Sicherheitentreuhänder") imWege    der    Globalzession    abgetreten    haben,einschließlich der in Anlage 1 genannten. Wirsind vom Sicherheitentreuhänder ermächtigt, alleZahlungen       betreffend       die       abgetretenenForderungen im eigenen Namen und für eigeneRechnung einzuziehen und entgegenzunehmenund unsere Rechte, wenn und soweit Sie keineanderslautende                  Mitteilung                  desSicherheitentreuhänders erhalten. Als Anlage 2erhalten Sie eine Kopie des Abtretungsvertrages.Bitte     bestätigen     Sie     den     Erhalt     dieserBenachrichtigung und Ihr Einverständnis mit denhierin      enthaltenen      Bestimmungen      durchGegenzeichnung dieser Benachrichtigung undRücksendung an uns. |
| Yours faithfully,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       | Mit freundlichen Grüßen |
| [insert full name of the Assignor]By:Name:Title:                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    | [Namen des Sicherungsgebers einfügen]Name:Titel: |
| Acknowledgement of the debtorWe acknowledge receipt of this notification letterand confirm our agreement with the terms                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           | Bestätigung des DrittschuldnersWir bestätigen den Erhalt der Benachrichtigungund erklären unser Einverständnis mit den darin |

|                                                                                                              |
|--------------------------------------------------------------------------------------------------------------|
|                                                                                                              |  |
| thereof.                                                                                                     | enthaltenen Bestimmungen. |
| [insert full name of the debtor]By:________________________________Name:Title:Date: | [den vollständigen Namen des Drittschuldnerseinfügen]___________________________________Name:Titel:Datum: |