Certificado de Conclusão

Identificação de envelope: F5C1807679304D10B13A0617929C15FA Status: Concluído

Assunto: Para Assinatura: Procuração (Refis 2023) - Luis Felipe Palomares.pdf
Envelope fonte:
Documentar páginas: 2 Assinaturas: 1 Remetente do envelope:
Certificar páginas: 4 Rubrica: 1 Felipe Calegari Bernardo
Assinatura guiada: Ativado Rua Helena, n.º 260, cjs. 21 e 23
Selo com EnvelopeId (ID do envelope): Ativado Bairro: Vila Olímpia
Fuso horário: (UTC-08:00) Hora do Pacífico (EUA e Canadá) SAO PAULO, SAO PAULO 04552-050
[email protected]
Endereço IP: 201.43.208.60

Rastreamento de registros
Status: Original Portador: Felipe Calegari Bernardo Local: DocuSign
13/09/2023 07:30:59 [email protected]

Eventos do signatário Assinatura Registro de hora e data

Luís Felipe Palomares Enviado: 13/09/2023 07:32:57
[email protected] Reenviado: 13/09/2023 10:52:43
Nível de segurança: E-mail, Autenticação da conta Visualizado: 13/09/2023 11:58:48
(Nenhuma) Assinado: 13/09/2023 11:58:59
Adoção de assinatura: Estilo pré-selecionado
Usando endereço IP: 189.69.104.208

Termos de Assinatura e Registro Eletrônico:

Aceito: 13/09/2023 11:58:48
ID: 71202da7-cdf4-4da6-9e18-5783fcf147ee

Eventos do signatário presencial Assinatura Registro de hora e data

Eventos de entrega do editor Status Registro de hora e data

Evento de entrega do agente Status Registro de hora e data

Eventos de entrega intermediários Status Registro de hora e data

Eventos de entrega certificados Status Registro de hora e data

Eventos de cópia Status Registro de hora e data

Eventos com testemunhas Assinatura Registro de hora e data

Eventos do tabelião Assinatura Registro de hora e data

Eventos de resumo do envelope Status Carimbo de data/hora

Envelope enviado Com hash/criptografado 13/09/2023 07:32:57
Entrega certificada Segurança verificada 13/09/2023 11:58:48
Assinatura concluída Segurança verificada 13/09/2023 11:58:59
Concluído Segurança verificada 13/09/2023 11:58:59

Eventos de pagamento Status Carimbo de data/hora

Termos de Assinatura e Registro Eletrônico
Termos de Assinatura e Registro Eletrônico criado em: 25/10/2022 13:03:52
Partes concordam em: Luís Felipe Palomares

ELECTRONIC RECORD AND SIGNATURE DISCLOSURE

From time to time, MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE DE

ADVOGADOS (we, us or Company) may be required by law to provide to you certain written
notices or disclosures. Described below are the terms and conditions for providing to you such
notices and disclosures electronically through the DocuSign system. Please read the information
below carefully and thoroughly, and if you can access this information electronically to your
satisfaction and agree to this Electronic Record and Signature Disclosure (ERSD), please
confirm your agreement by selecting the check-box next to ‘I agree to use electronic records and
signatures’ before clicking ‘CONTINUE’ within the DocuSign system.

Getting paper copies

At any time, you may request from us a paper copy of any record provided or made available
electronically to you by us. You will have the ability to download and print documents we send
to you through the DocuSign system during and immediately after the signing session and, if you
elect to create a DocuSign account, you may access the documents for a limited period of time
(usually 30 days) after such documents are first sent to you. After such time, if you wish for us to
send you paper copies of any such documents from our office to you, you will be charged a
$0.00 per-page fee. You may request delivery of such paper copies from us by following the
procedure described below.

Withdrawing your consent

If you decide to receive notices and disclosures from us electronically, you may at any time
change your mind and tell us that thereafter you want to receive required notices and disclosures
only in paper format. How you must inform us of your decision to receive future notices and
disclosure in paper format and withdraw your consent to receive notices and disclosures
electronically is described below.

Consequences of changing your mind

If you elect to receive required notices and disclosures only in paper format, it will slow the
speed at which we can complete certain steps in transactions with you and delivering services to
you because we will need first to send the required notices or disclosures to you in paper format,
and then wait until we receive back from you your acknowledgment of your receipt of such
paper notices or disclosures. Further, you will no longer be able to use the DocuSign system to
receive required notices and consents electronically from us or to sign electronically documents
from us.

All notices and disclosures will be sent to you electronically

Unless you tell us otherwise in accordance with the procedures described herein, we will provide
electronically to you through the DocuSign system all required notices, disclosures,
authorizations, acknowledgements, and other documents that are required to be provided or made
available to you during the course of our relationship with you. To reduce the chance of you
inadvertently not receiving any notice or disclosure, we prefer to provide all of the required
notices and disclosures to you by the same method and to the same address that you have given
us. Thus, you can receive all the disclosures and notices electronically or in paper format through
the paper mail delivery system. If you do not agree with this process, please let us know as
described below. Please also see the paragraph immediately above that describes the
consequences of your electing not to receive delivery of the notices and disclosures
electronically from us.

How to contact MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE DE

ADVOGADOS:

You may contact us to let us know of your changes as to how we may contact you electronically,
to request paper copies of certain information from us, and to withdraw your prior consent to
receive notices and disclosures electronically as follows:
To contact us by email send messages to: [email protected]

To advise MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE DE ADVOGADOS

of your new email address

To let us know of a change in your email address where we should send notices and disclosures
electronically to you, you must send an email message to us at [email protected] and
in the body of such request you must state: your previous email address, your new email
address. We do not require any other information from you to change your email address.

If you created a DocuSign account, you may update it with your new email address through your
account preferences.

To request paper copies from MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE
DE ADVOGADOS

To request delivery from us of paper copies of the notices and disclosures previously provided
by us to you electronically, you must send us an email to [email protected] and in
the body of such request you must state your email address, full name, mailing address, and
telephone number. We will bill you for any fees at that time, if any.

To withdraw your consent with MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE
DE ADVOGADOS
To inform us that you no longer wish to receive future notices and disclosures in electronic
format you may:

i. decline to sign a document from within your signing session, and on the subsequent page,
select the check-box indicating you wish to withdraw your consent, or you may;

ii. send us an email to [email protected] and in the body of such request you must
state your email, full name, mailing address, and telephone number. We do not need any other
information from you to withdraw consent.. The consequences of your withdrawing consent for
online documents will be that transactions may take a longer time to process..

Required hardware and software

The minimum system requirements for using the DocuSign system may change over time. The
current system requirements are found here: https://support.docusign.com/guides/signer-guide-
signing-system-requirements.

Acknowledging your access and consent to receive and sign documents electronically

To confirm to us that you can access this information electronically, which will be similar to
other electronic notices and disclosures that we will provide to you, please confirm that you have
read this ERSD, and (i) that you are able to print on paper or electronically save this ERSD for
your future reference and access; or (ii) that you are able to email this ERSD to an email address
where you will be able to print on paper or save it for your future reference and access. Further,
if you consent to receiving notices and disclosures exclusively in electronic format as described
herein, then select the check-box next to ‘I agree to use electronic records and signatures’ before
clicking ‘CONTINUE’ within the DocuSign system.

By selecting the check-box next to ‘I agree to use electronic records and signatures’, you confirm
that:

 You can access and read this Electronic Record and Signature Disclosure; and
 You can print on paper this Electronic Record and Signature Disclosure, or save or send
this Electronic Record and Disclosure to a location where you can print it, for future
reference and access; and
 Until or unless you notify MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE DE
ADVOGADOS as described above, you consent to receive exclusively through electronic
means all notices, disclosures, authorizations, acknowledgements, and other documents
that are required to be provided or made available to you by MANGINI LEITE SIEGL &
MERMERIAN SOCIEDADE DE ADVOGADOS during the course of your relationship
with MANGINI LEITE SIEGL & MERMERIAN SOCIEDADE DE ADVOGADOS.