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📄 Extracted Text (491 words)
BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT: (1) CLIENT HAS RECEIVED, READ AND AGREES TO THE TERMS AND CONDITIONS OF THIS
ACCOUNT AGREEMENT. INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION; AND (2) THE INFORMATION CONTAINED IN THIS
ACCOUNT APPLICATION IS ACCURATE.
CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PREDISPUTE ARBITRATION CLAUSE AT SECTION III, PAGE 5, AND CLIENT
AGREES TO ITS TERMS (ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL'.
IBITIALHESE4
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION
REQUIRED TO AVOID BACKUP WITHHOLDING. AND, IF APPLICABLE. THE CERTIFICATION REQUIRED TO ESTABLISH CUENT'S STATUS AS A NON-U.S.
PERSON AND OBTAIN A REDUCED RATE OF WITHHOLDING.
Important Information for ERISA employee benefit plan clients: U.S. Department of Labor regulations require DBSI to disclose to a responsible plan fiduciary
certain information in connection with the services that DBSI provides to a plan, to assist the fiduciary in evaluating the reasonableness of DBSI's services and
related compensation. The disclosure is available online, at http://www.pwm.db.comfamerkasferderisa_disclosure_pcs.html. By signing below, you acknowledge
that you aro a fiduciary responsible for the procurement of DBSI's services to the plan, you have road the disclosure and you understand the disclosure.
Individual or joint account (IF THIS IS A JOINT ACCOUNT, ALL ACCOUNT OWNERS MUST SIGN):
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable in any relevant jurisdictions that
may arise in connection with assets, income or transactions in Client's accounts) and business relationship with DBSI.
CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES.
CLIENTS SPECIFY INSTEAD:
O Tenants in common; or
O Community Property (for married couples in certain states: each spouse retains 50% interest in the community property upon death of the first spouse).
Signature Date
Print Name SSN/EIN
Signature Date
Print Name SSN/EIN
Signature Date
Print Name SSN/EIN
Corporation, partnership, trust or other entity:
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to in any relevant jurisdictions
that may arise in connection with assets, income or transactions in Client's accountfsl and business relationship with DBSI. Furthermore, Client confirms that the
necessary information Ito the best of Client's knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s),
beneficiarylies). partnor(sl, etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such person(s) in connection withaliacto
business relationship with D851.
J Epstein Virgin Islands Foundation. Inc
Name of Entity Employer ID No.
Signature of Officer. Partner, Trustee, Authorized Party
Print Name/Title
Signature of Officer, Partner, Trustee, Authorized Party Date
Print Name/Title
Signature of Officer, Partner, Trustee, Authorized Party Date
Print Name/Title
13'AWM'0196
012145.032813
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0104310
CONFIDENTIAL SONY GM_00250494
EFTA01449060
ℹ️ Document Details
SHA-256
2e3023da1f8e4177669e9e02eb3f84ce3c30801eb0017af44128b78a0cd6da9d
Bates Number
EFTA01449060
Dataset
DataSet-10
Type
document
Pages
1
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