EFTA01460175
EFTA01460176 DataSet-10
EFTA01460177

EFTA01460176.pdf

DataSet-10 1 page 344 words document
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Deutsche Bank Wealth Management Guidance to the Entity Self-Certification Form This guidance document provides assistance with completing this Self-Certification. Section A. How to =violets the ton Entity account holder Part 1A is required for every Self-Certification form. Field Guidance 1 Legal Name of Entity: Enter the full legal name of the Entity for which you are completing this form. This should be the full name of the entity or organization that is the account holder, including any particular designation or wording necessary to identify the Entity. For corporate entities, this would usually be the full name of the corporate entity. 2 Country of Incorporation or Organization: If the Entity Account Holder is a: — Corporation—enter the name of the country (and the province, state or other sub-national division where relevant under national law) of incorporation. — Branch—enter the name of the country where your branch's principal place of business is located. — Another type of entity—enter the name of the country (and province. state or other sub-national entity where relevant) under whose laws it is created, organized or governed. Part Entity tax residency Part 1B is required for every Self-Certification form. Field Guidance Entity's Country (Countries) of Tax Residence Enter the name of the country (countries) where the Entity or Organization is resident for tax purposes. Declaration and signature a If the Entity Account Holder is tax resident in any location other than the United States. Part 2 must be completed and signed. Part 2 does not need to be completed or signed for an Entity Account Holder whose sole tax residency is the United States. Please read statements 1-3 and confirm that the statements are, to the best of your knowledge and belief, correct and complete. Then please read the declaration and complete the signature section. Signor must be authorized to sign on behalf of the entity and must indicate the capacity in which he or she is signing the form (e.g. Trustee, Corporate/Individual Director. etc.). WhI167720 023743.041516 Pagel°. 5 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0121220 CONFIDENTIAL SDNY_GM_00267404 EFTA01460176
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04f9e46111bb3dc51e6f8524a163433ad25dd9fccfcc5b0872e44299b2106544
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EFTA01460176
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DataSet-10
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document
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1

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