Disclosure and Trading Policy

Disclosure Policy

I - Purpose and Scope of Relevant Act or Fact Disclosure Policy

The purpose of this Manual, with definitions of terms included in Schedule I, is to guide the use and disclosure of information at Company level. Due to its nature, such information may be classified as Relevant Fact, and this Manual establishes rules and policies that must be compulsorily complied with by:

  1. Controlling Shareholders, Administrators, Tax Directors, and members with Technical Functions in other Bodies of the Company;
  2. Employees and Executives with access to Relevant Information; and
  3. For all persons who, due to assignments of position or office in Controlling Company, in Controlled Companies, and Associated Companies, have the knowledge of information referring to Relevant Act or Fact about the Company, in order to adjust Company´s internal policy to principles of truth and best practices of conduct when using and disclosing Company´s Relevant Information.

People incumbent of above positions must execute the respective Term of Adherence to this Manual, under the terms of Article 16, Paragraph 1, CVM Instruction nº 358/02, according to model on Schedule II.

The Company will keep at its principal offices, a list of persons who signed the Term of Adherence, with respective qualifications, position or function, address and number of enrollment with taxpayer register, individual or corporate. The list will be always available for CVM.

II - Principles of Relevant Act or Fact Disclosure Policy

All persons subject to this Manual must follow rules of conduct according to good faith, loyalty, and truthfulness, and also to general principles hereby established.

All efforts oriented to market efficiency must be made in a way where competition among investors for best returns results from the analysis and interpretation of disclosed information, and never from privileged access to such information.

The persons subject to this Manual must consider that truthful, accurate, and timely information are major instruments available to the investor public and, particularly to the Company´s shareholders, as a way to assure them a fair treatment.

The relationship of Company with participants and opinion makers of securities market must be uniform and transparent.

The persons subject to this Manual´s dispositions are obligated to assure that information provided about financial and property standing of Company are accurate, complete, continuous, and developed by directors incumbent of such function, and must also comprehend data about evolution of their respective share positions in relation to Company´s social capital, as provided in this Manual and current regulations.

III - Relevant Act or Fact Disclosure Policy

1. Obligations of the Director of Investor Relations

CVM Instruction nº 358/02 has created a system of responsibility for the use, communication, and disclosure of Relevant Act or Fact for open companies. The Director of Relations with Investors was assigned the primary responsibility for communicating and disclosing such Relevant Act or Fact.

To guarantee that the Director of Investor Relations is able to comply with such duties, some tasks were assigned to certain persons involved with the Company, who are responsible for communicating to the Director of Investor Relations any Relevant Act of Fact, so the Director of Investor Relations may act accordingly.

2. Object of Relevant Act or Fact Disclosure

The disclosure of Relevant Act of Fact intends to guarantee that investors are provided with timely, efficient and reasonable information needed for their investment decision making, assuring them the delivery of information using the most symmetric way as possible. Therefore, the wrongful use of privileged information about the security market by persons who may have access to them, for own or third-party benefit, and for prejudice of investors in general, the market and the Company itself is prohibited.

3. Definition of Relevant Act or Fact

Relevant Act or Fact, under the terms of Article 155, Paragraph 1, Law nº 6,404/76, and Article 2, CVM Instruction nº 358/02 is: (a) any resolution of Controlling Shareholders, deliberation made in any general meeting, or from Company´s management bodies; or (b) any other act or fact of political/managerial, technical, business or financial/economical nature, that may have occurred or is related to their business, and that may influence in a reasonable way:

  1. the perception of Company´s value;
  2. quotes of Securities; or
  3. the decision of investors to buy, sell or maintain such Securities

4. Examples of Relevant Act or Fact

Article 2 of CVM Instruction nº 358/02 gives a non-exhaustive list of examples of Relevant Act or Fact, and they will not be repeated here, provided that in each case the events related to the Relevant Act or Fact must be analyzed in the context of Company´s ordinary activities and size, as well as considering information previously provided, and not mere suppositions, to avoid inappropriate disclosing of Relevant Acts or Facts, with prejudice for quality of analysis, market and Company´s perspectives.

5. Internal Procedures to Inform or Disclose Relevant Act or Fact

All information about Company´s Relevant Act or Fact will be centralized by the Director of Investor Relations, who is responsible for disclosing and communicating the Relevant Act or Fact (CVM Instruction nº 358/02, Article 3). The Director of Investor Relations is responsible for clear and accurate disclosure of Relevant Acts or Facts that may have occurred or are related to Company´s business, in a form that is understandable by investing audience, and is also responsible for wide, immediate and concurrent disclosure of such information in every market where Company´s securities are traded.

Controlling Shareholders, Administrators, Tax Directors, Employees and Executives with access to Relevant Information, and even members of any and all Bodies with Technical or Consulting Functions in the Company, that have executed the Term of Adherence, must communicate any Relevant Act or Fact that they may know to the Director of Investor Relations who, under the terms of this Manual, is the person responsible for communicating such information to adequate bodies, as well as for disclosing such information to press. The President of the Board of Directors, President Director, Vice-President Director, Chief Executive, or Director of Investor Relations or any other person so appointed must be present to the meetings with unions, investors, analysts and selected audiences, in the country or abroad, referring to subjects that may represent Relevant Information. Otherwise, contents of such meetings must be reported to Director of Relations with Investors, concerning information that may represent Relevant Information, in order to disclose simultaneously such Relevant Information to the market.

6.Liability in Case of Failure and Covenant to Indemnify

Controlling Shareholders, Administrators, Tax Directors, Employees and Executives with access to Relevant Information, and even members of any and all Bodies with Technical or Consulting Functions in the Company, that have executed the Term of Adherence, and who may have knowledge of any Relevant Act or Fact must communicate such Relevant Act or Fact to the Director of Investor Relations. If, after such communication (and when the decision to maintain secrecy under the terms of Article 6 of CVM Instruction nº 358/02 is not made), the persons mentioned on this item verify failure of Director of Investor Relations to comply with his duty to communicate and disclose, such persons will only be exempt of any liability if they communicate immediately such Relevant Act or Fact to CVM.

Persons executing the Term of adherence, and who are responsible for non-compliance of any provision of this Disclosure Policy, and specific law, are liable to reimburse the Company and/or third-parties, integrally without limitation, for all damages that Company and/or third-parties may suffer and that may result, directly or indirectly, from such non-compliance.

7. When to Inform and Disclose - Terms

Whenever possible, disclosure of Relevant Act or Fact must occur before the beginning or closing of business in Stock Exchanges, provided that, in case of time discrepancy with other markets, the Brazilian market time will prevail.

As to form and terms to inform and disclose, the Director of Investor Relations must observe the following:

  1. to communicate and disclose Relevant Act or Fact occurring or related to Company´s businesses immediately after the event (CVM Instruction nº 358/02, Article 3, caption);
  2. to concurrently disclose to the market the Relevant Act or Fact in any communication media, including press releases, or in meetings with unions, investors, analysts or selected audiences, in the country or abroad (CVM Instruction nº 358/02, Article 3, Paragraph 3);
  3. to evaluate the need of simultaneous requests with Stock Exchanges of suspension of trading of Securities, for the time needed to properly disclose Relevant Information, in case such disclosing of Relevant Act or Fact must occur during trading hours (CVM Instruction nº 358/02, Article 5º, Paragraph 2);
  4. to provide wide and immediate disclosing of Relevant Acts or Facts, concurrently for Stock Exchange and general investor audiences; and
  5. to provide proper authorities, when required, additional information as to disclosure of Relevant Act or Fact.

Those persons who execute the Term of adherence and who, inadvertently, without consent or by any other means communicate, personally or through third parties, any Privileged Information to any other person not involved, before its disclosure to the market, must immediately inform such act to the Director of Investor Relations, who will take adequate measures.

Those persons who execute the Term of adherence, considered individually or in a group representing the same interest, who reach, directly or indirectly, a participation corresponding to 5% (five per cent) or more in kind or share class (or share rights) representing Company´s social capital must make a statement and also submit to CVM and to Stock Exchanges such a statement containing information provided by Article 12 of CVM Instruction nº 358/02.

8. To Whom Inform

Information about Relevant Act or Fact must be communicated concurrently to:

  1. CVM;
  2. Stock Exchanges.

9. Forms of Disclosure - Written Document, Newspapers and Internet

Communication of Relevant Acts or Facts to CVM and Stock Exchanges must be made immediately, through a written document, with a detailed description of acts and/or facts, indicating, when possible, the amounts involved and other information.

The disclosure of Relevant Act or Fact involving the Company must be made through publication in major newspapers generally used for such purposes (CVM Instruction nº 358/02, Article 3, Paragraph 4).

At each disclosure of Relevant Act or Fact, the Company may opt to do it through a newspaper publication in a summarized form, such publication containing minimum elements needed to its comprehension. In such case, publications must indicate Internet addresses where complete information must be available to all investors, with minimum contents identical to those submitted to CVM and Stock Exchanges (CVM Instruction nº 358/02, Article 3, Paragraph 4).

The Company may create an online system to disclose information to investors, or to disclose Relevant Acts or Facts through email messages sent to persons registered at a database for that purpose. Such a disclosure system will not replace other disclosure means provided in this document.

10. Nonpublic Information and Duty of Confidentiality

Controlling Shareholders, Administrators, Tax Directors, Employees and Executives with access to Relevant Information or any member of other Bodies with Technical or Consulting Functions in the Company, or even whoever, due to his/her function, job or position in Controlling Company, Controlled Companies and Affiliated Companies who may have executed the Term of adherence must not discuss Relevant Acts or Facts in public places, and are liable to (i) maintain secrecy about information related to Relevant Act or Fact to which they may have privileged access until its disclosure to the market, as well as (ii) have subordinated persons and third-parties in whom they trust to maintain such secrecy, being severally liable in case of non-compliance of secrecy commitment (CVM Instruction nº 358/02, Article 8).

With orientation purposes, whenever a doubt about relevance of Privileged Information arises, the Company´s Director of Investors Relations must be contacted.

Controlling Shareholders, Administrators, Tax Directors, Employees and Executives with access to Relevant Information, or any member of other Bodies with Technical or Consulting Functions in the Company, or even any and all person who, due to his/her function, job or position duties inside Controlling Company, Controlled Companies and Affiliated Companies have executed the Term of adherence also are obliged to:

  1. not using Privileged Information to obtain, directly or indirectly, for himself/herself or for third-parties, any beneficial interest, including through purchase and sale of Securities issued by the Company or referenced to them;
  2. to see that violation of this article´s dispositions may not occur through direct subordinates or third-parties in whom they trust, being severally liable with them in case of non-compliance; and
  3. comply with Articles 11 and 12 of CVM Instruction nº 358/02 as to communications to Company, CVM and Stock Exchanges concerning the acquisition or sale of Securities issued by the Company and from which they are holders.

11. Exceptions to Obligation to Disclose

Non-disclosure is Exception to the Rule. However, there are certain exceptional cases when indistinct disclosure of Privileged Information that constitutes Relevant Act or Fact may risk Company´s lawful interests.

12. Procedures for Non-Disclosure of Relevant Act or Fact

In these situations, non-disclosure of Relevant Act or Fact involving the Company must be subject to resolution of Controlling Shareholders or Company´s Administrators, according to the case (CVM Instruction nº 358/02, Article 6, caption).

If the Relevant Act or Fact is related to operations directly involving Controlling Shareholders, and if they decide for non-disclosure, Controlling Shareholders must inform the Director of Investor Relations.

Although the Administrators and Controlling Shareholders may decide for non-disclosure of Relevant Act or Fact, their obligation is to immediately disclose the Relevant Act or Fact, directly or through the Director of Investor Relations, in case information are out of control or if an uncommon oscillation of quotes, price or traded quantity of Company´s Securities happens (CVM Instruction nº 358/02, Article 6, sole paragraph).

13. Request of Maintenance of Secrecy with CVM

Administrators and Controlling Shareholders may submit to CVM their resolution of, exceptionally, maintain secrecy about Relevant Acts or Facts that, if disclosed, may represent true risk to lawful interests of Company, provided that request to CVM must be made in a sealed envelope with the inscription "CLASSIFIED", addressed to CVM´s President (CVM Instruction nº 358/02, Article 7o).

If the Director of Investor Relations deems necessary, the approval of maintenance of secrecy for the Relevant Act or Fact may be submitted to the Board of Managers, which in turn will submit it to the Board of Directors.

Trading Policy

I - Purposes and Scope of Trading Policy

This Manual also lists the policies that will govern, according to the limits provided by law, the trading of Securities, under the terms of CVM Instruction nº 358/02. Such rules also try to allow correct trading of Securities issued by Company.

The rules of this Trading Policy define those periods when persons who have executed the Adherence Term must, directly or indirectly, avoid trading Securities issued by the Company, in order to prevent doubts about unlawful use of Relevant Information non disclosed to the public.

Restrictions contained in this Trading Policy do not apply to trading performed by investment funds, from which persons who executed the Term of Adherence are holders, provided that:

  • investment funds are not exclusive; and
  • trading decisions made by fund administrator may not be influenced by quota holders.

II- Black-Out Period

The Director of Investor Relations ("DIR") is granted the right to determine periods of time when the Company, its Controlling Shareholders, direct or indirect, Administrators, Tax Directors, Employees and Executives with access to Relevant Information, as well as the members of other Bodies with Technical or Consulting Functions in the Company, must avoid trading of Securities (called Black-Out Period), provided the dispositions of item V below of this Trading Policy.

Those persons who have executed the Term of Adherence must avoid trading their shares in the periods when, due to communication of the Director of Investor Relations, the blackout period is determined. The DIR is not liable to motivate the decision of a blackout period, which must be treated as confidential by its addressee.

Same obligations will apply to those who, due to his/her function, position or job in Controlling Companies, may have the knowledge of any piece of information about the Relevant Act or Fact about the Company, and have executed the Term of Adherence.

III - Trading through Accredited Securities Dealers

In order to assure trading standards adequate with Company´s Securities, it is necessary to inform that those who adhere to this Trading Policy commit to accept the system adopted by the Company, through which trading by them and by the Company itself will only be performed when intermediated by Accredited Securities Dealers, duly appointed by DIR, who will communicate adequate updates.

Those who adhere to this Trading Policy also accept that, for purposes of determining the Black-Out Period, the DIR has full powers to communicate the Accredited Securities Dealers and suspend any order of purchase or sale of shares, and resuming them to normal operations without the need to give reasons to their decision.

IV - Restrictions to Trading in case of Pending Compliance with Relevant Act or Fact Disclosure Policy

On the cases below, trading of Securities by the Company is prohibited to Administrators, Controlling Shareholders, direct or indirect, Tax Directors, Employees and

Executives with access to Relevant Information and members of other Bodies with Technical or Consulting Functions in the Company, and even by whoever that may, due to a job, position of function in Controlling Companies, have executed the Term of Adherence and have knowledge of information about any Relevant Act or Fact of the Company: a. when any Relevant Act or Fact for Company´s businesses, and about which those above mentioned have knowledge; b. when the merger, total or partial split-up, statutory transformation or reorganization are intended; c. only in relation to Controlling Shareholders, direct or indirect, and to Administrators, when option or injunction is granted for acquisition or sale of shares issued by the Company itself; and d. if persons above identified are knowledgeable of relevant information of any other company not yet disclosed, which may potentially interfere with quotation of Company´s Securities; included in this event Company´s subsidiaries, controlled companies, affiliated companies, competitors, suppliers and clients of the Company. The Company, Administrators, Controlling Shareholders, direct or indirect, Tax Directors, Employees and Executives with access to Relevant Information and members of other Bodies with Technical or Consulting Functions in the Company, and even by whoever that may, due to a job, position of function in Controlling Companies, have executed the Term of Adherence, must see that their commercial contacts and those with whom they have commercial, professional or trust relationships do not trade Securities when they have access to Privileged Information.

Above prohibitions do not apply to operations with treasury shares, through private trading, restricted to the exercise of purchase and sale according to granting plan of call option approved by Company´s general meeting, and eventual repurchase of these shares by the Company, also through private trading.

Prohibitions set forth on sub items "a" and "b" above will not be effective as soon as the Company discloses the Relevant Act or Fact to the market, except if trading with Company´s shares by persons above mentioned, after disclosing of Relevant Act or Fact, may interfere with business status of Company, prejudice Company´s shareholders or the Company itself.

Restrictions to trading provided in this Section, sub item "c" above do not apply to Administrators, Controlling Shareholders, direct or indirect, Tax Directors, Employees and Executives with access to Relevant Information, and to members of other Bodies with Technical or Consulting Functions in the Company, from the execution date of Term of Adherence (CVM Instruction nº 358/02, Article 13, Paragraph 7), when they perform operations in the scope of this Trading Policy, provided that such trading do not occur in the same date as those performed by the Company itself in the scope of the repurchase program.

When trading in the scope of Trading Policy, and to take advantage of the benefit hereby established under the terms of CVM, above persons must choose the long-term investment form (minimum term of 12 months), complying with at least one of following characteristics: a. share subscription or purchase through the exercise of options granted in the form of a call option plan approved by the general meeting; b. use of variable remuneration paid as profit share to acquire Company´s Securities; or c. Administrators, Controlling Shareholders (direct or indirect), Tax Directors, Employees and Executives with access to Relevant Information, or any member of other Bodies with Technical or Consulting Functions in the Company must perform Individual Investment Programs below.

Individual Investment Programs

An Individual Investment Program is the individual plan for the acquisition of Securities, which are filed at Company´s principal office, and by which the Administrators, Controlling Shareholders (direct or indirect), Tax Directors, Employees and Executives with access to Relevant Information, as well as the members of other Bodies with Technical or Consulting Functions in the Company, have indicated their intention to invest their own resources, at long term in Securities issued by the Company.

For such purpose, the Individual Investment Program must contain certain dispositions that prevent the use by investor of Privileged Information for his/her own benefit, directly or indirectly, and therefore must be drafted in a way that the purchase or sale of Securities decision by the investor may not be made after the knowledge of Privileged Information, and the owner of the Individual Investment Plan may not exert such influence if there is any non-disclosed Relevant Fact pending. The Individual Investment Program must be filed for more than 30 days with the DIR, indicating the approximate volume of resources that the interested party intends to invest, or the number of Securities that the interested party intends to acquire, during the term of the Individual Investment Program established by the interested party, not lower than 12 months, at the end of which the interested party must submit a summary report about the respective development.

Except for events of default, duly justified in written, the Securities acquired based on the Individual Investment Plan cannot be sold before 90 days from the acquisition date.

Covenant to Indemnify

Persons responsible for non-compliance with any disposition of this Trading Policy are liable to reimburse the Company and/or third parties, integrally without limitation, for all damages that the Company and/or third-parties may suffer and that may result, directly or indirectly, from such non-compliance.

V - Prohibition of Trading during Special Periods

The Company, Controlling Shareholders (direct or indirect), Administrators, Tax Directors, Employees and Executives with access to Relevant Information and members of other Bodies with Technical or Consulting Functions in the Company, and whoever may, due to a job, position of function in Controlling Companies, have the knowledge of information about any Relevant Act or Fact about the Company, and have executed the Term of Adherence, may not trade, besides other events provided by applicable regulations, Securities of the Company for a period of 15 days prior to disclosure or publication, as the case may be, of: a. Company´s quarterly information (ITR); and b. Company´s annual financial statements (DFP).

The Company many not trade with its own shares during periods prohibited by this Trading Policy and by the CVM Instruction nº 358/02.

VI - Prohibition of Deliberation about Acquisition or Sale of Shares Issued by the Company

The Company´s Board of Directors may not rule the acquisition or sale of shares issued by the Company itself before it is considered an open company, through publication of Relevant Act or Fact with information about:

  • execution of any agreement or contract for the transfer of controlling interest of the Company; or
  • granting of option or injunction with the purpose of transferring Company´s controlling interest; or
  • existence of intention to promote merger, total or partial split-up, statutory transformation or reorganization;

VII - Prohibition of Trading Applicable to Former Administrators

Former Administrators who leave the Company before public disclosure of business or fact started during his/her period of management may not trade Company´s Securities: a. for the period of six months after leave; or b. until disclosure by the Company of the Relevant Act or Fact to the market, except if in this second event, trading with Company´s shares after disclosing of Relevant Act or Fact, may interfere with business status of Company, prejudice Company´s shareholders or the Company itself.

From above mentioned events, the event that occurs first will have precedence.

Final Provisions

1. Responsibility of the Director of Investor Relations as to follow-up Disclosure and Trading Policy

The Director of Investor Relations of the Company is the person responsible for performance and follow-up of disclosure and use of information policy and for the trading policy.

2. Expiry Date and Changes to Manual

This Manual was approved by the Company´s Board of Directors, in a meeting held on May 31, 2007, and any changes or reviews must be submitted to that same Board, and communicated to CVM and Stock Exchanges.

This Manual is effective on the date of its approval by the Board of Directors and remains effective at will, until contrary deliberation, provided dispositions of applicable regulation.

3. Third-Party Responsibility

The dispositions of this Manual do not interrupt the responsibility resulting from legal and regulation dispositions, ascribed to third parties not directly related to the Company, and that may have the knowledge of a Relevant Act or Fact.

DEFINITIONS

Following terms and expressions, when used in this Manual, will have the following meanings:

Controlling Shareholders or Controlling Company: shareholder or group of shareholders related by shareholder agreement or under common control, that has the power to control the Company, under the terms of Law no. 6,404/76, and further amendments.

Administrators: directors and members of Company´s Board of Directors, whether incumbent or substitute.

Stock Exchange: stock exchanges where securities issued by the Company are accepted for trading, in the country or abroad.

Manual: this Manual of Relevant Act or Fact Disclosure Policies. Company: Springs Global Participações S.A.

Tax Directors: the members of Company´s audit committee, whether incumbent or substitutes, elected pursuant to resolution of Shareholders´ Annual Meeting.

CVM the Brazilian Securities and Exchange Commission.

Director of Investor Relations: the Company´s director responsible for providing information to the investor public, to CVM and Stock Exchange, or any entity of the over-the-counter market, as well as for updating Company´s registration.

Employees and Executives with access to relevant information:employees of the Company who, due to their job, position or function in the Company may have access to any piece of Privileged Information.

Privileged Information or Relevant Inform1ation: all and any piece of relevant information related to the Company, having the capacity to influence reasonably Securities´ quotes, and not yet disclosed to the investor public.

CVM Instruction nº 358/02: CVM Instruction nº 358, of January 03, 2002, which provides for the disclosure and use of information about Relevant Act or Fact referring to open companies.

Bodies with Technical and Consulting Functions: the bodies of the Company created by its bylaws, having technical functions or with the purpose of orienting its administrators.

Related Persons: those persons that maintain following links with directors, members of the Board of Directors, Tax Directors, and members of Bodies with Technical and Consulting Functions of the Company: (i) spouse not legally separated, (ii) partner; (iii) any dependent person included in the annual tax return; and (iv) directly or indirectly controlled companies, whether by administrators and similar, or by Related Persons.

Affiliated Companies: the companies in which the Company participates with 10% (ten per cent) or more, without controlling them.

Controlled Companies: the companies in which the Company, directly or through other controlling companies, has partnership rights that guarantee permanently the majority in corporate resolution, as well as the power to elect most administrators.

Term of Adherence: term of adherence to this Manual; the document to be executed under the terms of Article 16, Paragraph 1 of CVM Instruction nº 358/02.

Securities: The term Securities is used in this Manual with the meaning of any shares, debentures, subscription bonus, receipts and subscription rights, promissory notes, call or put options, indexes and derivatives of any nature, or even any other titles or agreements of collective investments issued by the Company, or referring to them, which by legal order are considered securities.

Schedule II of Relevant Act or Fact Disclosure and Trading Policy of Springs Global Participações S.A. - Term of Adherence

TERM OF ADHERENCE OF THE MANUAL OF RELEVANT ACT OR FACT AND TRANSACTION DISCLOSURE POLICY OF SPRINGS GLOBAL PARTICIPAÇÕES S.A.

Hereby, ___________________________________________________ , residing and domiciled in _______________________________________________ , enrolled with the Individual´s Taxpayer Registry of the Ministry of Finance under nº __ and bearer of the Brazilian Official ID nº _____________________________________ [issuing agency] __________________________________________________ from now on called Declarant, a [indicate the position, function, or relationship with the company] of SPRINGS GLOBAL PARTICIPAÇÕES S.A., a corporation with principal office at Av. Magalhães Pinto, 4.000 (part), city of Montes Claros-MG, enrolled with the CNPJ (general roaster of corporate taxpayers of Ministry of Finance) under nº 07.718.269/0001 -57, hereinafter called Company, represents by this Term of Adherence, that has full knowledge of the rules contained in and having received a copy of the Manual of Relevant Act or Fact and Trading Policy of the Company ("Manual"), which regulates the internal policy as to the use and disclosure of Relevant Information and trading of Securities, being liable to always comply with such rules. The Declarant executes this Term of Adherence in 3 (three) counterparts of equal tenor and form, in the presence of 2 (two) witnesses who sign below.

[Date]
Declarant
Witnesses:
1)Name: 2) Name:
RG: RG:
CPF: CPF: