EFTA01369486.pdf

Deutsche Bank Self Certification for Entity Clients UK Automatic Exchange of Information and the OECD Common Reporting Standard (CRS) • The entity can be treated as a Reportable account and as a consequence account holder Information, account balances and payments may be reported by Deutsche Bank to the relevant local tax authority for onward exchange of Information to the tax authority where the Entity is tax resident. 7, Further Information If need further Information. Please find below the following web Pages: • OECD - Common Reporting Standard {CRS) jittolilwavtoeccl orerclotexchanoe-of.tax-informarcnrstandard.foreutomelicenhance-ot-financial-inforMati0n-0.tax-maltaiSAD • HMRC — UK Foreign Account Tax Compliance (FATCA) nttosItufwv.O0V.Uldoovernirientfcol;eclionsiaulomatic-exchanae-oi-infounazion-aore_eMents Section B — Detailed Instructions Please complete all parts in Capital Letter. Fields with in are mandatory. Part 1 — Entity Details Line - Lena; Name of Entity/Branch or Oreanisation* The full legal name of the Entity should be provided. If the name does not correspond to that of the account holder, please provide an explanation of the relationship between the two. The term 'Emit)," means a legal person or a legal arrangement and includes a corporation. trust or partnership. Line 2 - Country of Incorporation or Oraanisation If the entity Is a corporation, enter the country of incorporation. It it is another type of entity, enter the country under whose laws it is created. organised or governed. Line 3 - Current Residence Address of Entity or Organisation- This is usually the address in the country where the entity claims to be a resident for purposes of that country's income lax. Please do not include the address of a financial institution, an investment manager. a post office box (P.O. Box) or an in care of address. Line 4 - Mallino Address Enter mailing address only if it is different from the Current Residence Address, if available. Line 5 - Commercial Resister Number Provide the commercial register number in the country of incorporation. tine 6 • Master Account Number at Deutsche Bank Please provide Deutsche Bank with your account number or contract ID. This will help Deutsche Bank to identify the retationship correctly. Please note that the Sett Certification is applicable for all your accounts/contracts with Deutsche Bank and is not limited to the number mentioned in this line. Part 2 - Entity Certification Part 2(a) - Financial Institutions - Fl Line 7 - FI Claniftration If your entity is a Financial Institution, please select the Frs status from one of the options. Part 2(b) - Non Financial Entities • NEE Line 8 - NFE Classification If your entity Is not a Financial Institution (re. a Non Financial Entity). please select the Entity's status from one of the options. Part 3 — UK FATCA Classification Line 9 - UK FATCA Classification Please select the Entity's status from one of the options. CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0061771 CONFIDENTIAL SDNY GM_00207955 EFTA01369486