📄 Extracted Text (344 words)
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
ℹ️ Document Details
SHA-256
04f9e46111bb3dc51e6f8524a163433ad25dd9fccfcc5b0872e44299b2106544
Bates Number
EFTA01460176
Dataset
DataSet-10
Document Type
document
Pages
1
Comments 0