EFTA01378951.pdf

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Trusted Contact Person Information: Name MM address I. L Phone number Email address Date of birth P Client may update any information relating to the Trusted Contact Person, or revoke the authorization contained in this Section V, at any time by notifying DBSI in writing. For the purposes of this Section V, "nonpublic personal information" includes, but is not limited to: financial account information and balances, information regarding the purchase of a security, and any other personally identifiable financial information: (i) provided by Client to DBSI or Pershing; (fi) resulting from any transaction in my account or any service performed on behalf of Client by DBSI or Pershing; or (iii) otherwise obtained from Client by DBSI or Pershing. Client initials: 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 Agreement is accurate. The Internal Revenue Service does not require client's consent to any provision of this document other than the certification required to avoid backup withholding, and, if applicable, the certification required to establish client'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 httirlideutschewealth.com/americas/entannualdisclosurestatementhtml. By signing below, you acknowledge that you are a fiduciary responsible for the procurement of DBSI's services to the plan, you have read 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 to Client in any relevant jurisdictions that may arise in connection with assets, income or transactions in Client's account(s) and business relationship with 0BSI. Check a box below only if clients do not want joint tenants with rights of survivorship or tenants by the entireties. Clients specify instead: Tenants in common; or 1 Community Property (for married couples in certain states; each spouse retains 50% interest in the community property upon death of the first spouse), WM189778 015684.050218 Page 8 of 16 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076232 CONFIDENTIAL SDNY_GM_00222416 EFTA01378951
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5c8d7e5d923003c71bf4ddfcf7e7a28e405a6da47feeca96ce3832c8eb33e0fe
Bates Number
EFTA01378951
Dataset
DataSet-10
Type
document
Pages
1

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