I declare that this form has been completed by me or in my presence and that the information provided herein is accurate and true. Therefore, I accept that any omission or misrepresentation in the information contained in this form will result in the cancellation of this application and/or the brokerage agreement. Similarly, I undertake to keep 5 the information up to date and to inform AUGÉ REAL ESTATE COMERCIAL of any changes that may arise in the future regarding this information. I authorise the verification of all the information contained in this form at the discretion of the institution. I declare that the income and assets have been acquired through lawful and legitimate activities, and that I have never been involved in any crime of money or securities laundering or other activities considered or that could be considered criminal or that contravene national and international regulations on criminal activities of any kind. Finally, I attest that I have been advised of the scope of Law 17/2014 on the prevention and combating of money or securities laundering and terrorist financing. I hereby inform you, in accordance with the provisions of Law 29/2021 of 28 October, on personal data protection, that your personal data will be included in the personal data files held by this Notary's Office, where it will be kept confidential, without prejudice to any mandatory disclosures.