花旗银行询证函（中英版）

BANK CONFIRMATION REQUEST

银行询证函

Index No.(索引号)：xxxx

Serial No.(编 号)：1

Postcode (邮编)：

Address (地址)：

Bank Name (单位)： Citibank

ABCCo.Ltd. employs Zhonghui Certified Public Accountants to audit the financial statements for the period from X, 201X to X, 2013 of the Company. According to the Auditing Standards for Certified Public Accountants of China, they shall request confirmation of the information in respect of balances due to or from your bank on current, deposit, loan and other accounts, and information in respect of other related matters. If the following data per the accounting records of the Company is in conformity with your records, please confirm by affixing your official seal at the bottom of this request where “Conclusion 1: The above data is in conformity with our records” is stated; otherwise, please affixing your official seal at the bottom of this request where “Conclusion 2: The above data is NOT in conformity with our records” is stated, and list the amount and other details of the items not in conformity with your records.

本公司聘请的中汇会计师事务所正在对本公司201X年X-X月财务报表进行审计，按照中国注册会计师审计准则的要求，应当询证本公司与贵行的存款、借款往来等事项。下列数据出自本公司账簿记录，如与贵行记录相符，请在本函下端“数据证明无误”处签章证明；如有不符，请在“数据不符”处签章并列明不符金额。

Please mail back to:

回函请直接寄至:

ABC(注册会计师名字)

Zhonghui Certified Public Accountants Co., Ltd.Beijing Office

Floor 19, Fortune Financial Center,

No.5 Dongsanhuan Zhong Road, Chaoyang District,

Beijing 100020, P.R.China

中汇会计师事务所有限公司北京分所 注册会计师

回函地址：中国北京市朝阳区东三环中路5号财富金融中心19层 邮编：100020

Tele：+86-10 5796 xxxxx Fax：+86-10 5796 1199

电话：+86-10 5796 xxxxx 传真：+86-10 5796 1199

1. Deposit in your bank(银行存款)

As at xx Dec 201x, the balances on related accounts of the Company are as follows:

截至201x年12月x日，本公司银行存款账户余额、银行借款余额等列示如下：

2. Loan from your bank(银行借款)

3. Other matters (including discount, bill of exchange, letter of credit and acceptance, etc.)

其他事项（包括贴现、押汇等表内业务以及开证、保函、承兑等表外业务情况）

xxxxxx Co.Ltd. (Signature)

xxxxxxxxx有限公司(签章)

Date

日期

Conclusion 1: The above data is in Conclusion 2: The above data is NOT in conformity with our records. conformity with our records. The details

of difference are as follows:

结论：1．数据证明无误 2．数据不符（请列明不符金额）

Signature Signature

签章 签章

Date Date

日期 日期

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