Name of company (legal entity)	Reg. No.
Address	Post code	City / Town	Tel. no.

The above-mentioned company hereby applies for corporate online banking with Landsbankinn hf., Reg. No. 471008-0280.

Company’s maximum authorised 24-hour transfer amount:

Period 1 (GMT)	Amount in ISK	Period 2 (GMT)	Amount in ISK	Period 3 (GMT)	Amount in ISK
-	-	-

Landsbankinn is authorised to debit service charges for online banking from the company’s account number - - .

The company grants the following user access to online banking:

Full name of user	Id. No.	Tel. no.
Email address	User name

User’s maximum transfer authorisation for each 24-hour period is ISK

The user is hereby granted access to the following services:

The user’s authorisations are valid from and until .

The user’s authorisations are valid until revoked.

Action summary	Domestic payments, action	Messaging
B2B (accounting platform)	Domestic payments, control	Access control
Bank guarantees	Domestic payments, view	View access authorisations
Bank accounts	Credit cards	Loans
Direct debit, as creditor	Receivables financing*	Loans, pre-payment
End-of-day balance	Wages, not itemised	Transaction summary
International payments, action	Wages, itemised	Straight through payments (STP)
International payments, control	Netting service	Securities, action*
International payments, view	Unpaid invoices	Securities, view*
Organisations’ online banking (residents’ association)*	Electronic documents	VAT payments
Claim collection*	Cash pooling*

* A separate agreement must be concluded for this service.

The user shall also have access to the bank accounts and/or credit cards listed on the reverse of this application.

The user shall also be access manager. The access manager has full and unlimited authority to assign access authorisation to other company employees in online banking at any given time and to determine the scope of each access authorisation.

If the user is not also the designated access manager, the company confirms that the managing director and authorised signatory of the company as listed in the Registrar of Enterprises shall hold the decision-making authority of account manager and approve changes related to online banking in lieu of an account manager, including signing user access applications, as appropriate.

This application shall be signed by the person authorised to oblige the company according to its rules or the Registrar of Enterprises (directors of the board, managing directors or authorised signatories). In affixing their signatures to this application, the company and the user confirm that they have acquainted themselves with and approve the General Terms and Conditions of Landsbankinn and are cognisant of the obligations of online banking users. The aforementioned terms and conditions are available on the Bank’s website, www.landsbankinn.is, and at its branches.

In confirmation of the above, this document is attested with a hand-written signature. If the document is signed electronically, such signature shall be a valid electronic signature in accordance with Act No. 55/2019, on Electronic Identification and Trust Services for Electronic Commerce.

Place and date
User’s signature:	On behalf of
Witnesses to the correct date and signatures of the parties:
Name Id. No.
Name Id. No.	Name Id. No.
Name Id. No.	Name Id. No.

The user has access to the following bank accounts

Account number	View	Transfer	Account number	View	Transfer

The user has view rights to the following credit cards

Credit card number	View	Credit card number	View
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****
** ****	** ****