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EFTA Document EFTA01390383Case File
efta-efta01390383DOJ Data Set 10CorrespondenceEFTA Document EFTA01390383
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DOJ Data Set 10
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BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT: II) CLIENT HAS RECEIVED. READ ANO 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 APPUCATION IS ACCURATE.
r
CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE-DISPUTE ARBITRATION. CLAUSE AT SECTION IR, PAGE 6, AND CLIENT
AGREES TO ITS TE
ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL).
INITIAL HERE
THE INTERNAL R
NUE SERVICE DOES NOT REQUIRE CUENT'S CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION
REQUIRED TO A
ID 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 Intention for BABA employee benefit plan aente: US. Department of labor reguladons require CAS) to disclose to a responsible plan Warty
certain information in connection with the services that DBSI provides to
to aria the fiduciary in ow:awning 'he reesonablenese of DRS?* salon and
rated compensation. The disclosure b gabble online. at littpdAwrw.pwm.dgconamericasienrorisa_disclosuntrics.huni. By signing below. you aciamage
that you are a fiduciary responsible for the procurement GI DITSI's services to the plan. you have reed 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 solo responsibility to fugal any tax obligation. and any other regulatory reporting duties applicable In any relevant lurillatlens that
may arise in connection with wets, Income or transactions In Clent's account(s) and business relationship with DM.
CHECK A BOX BELOW ONLY IF CUENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES.
CLIENTS SPECIFY INSTEAD:
El Tenants in common: or
El Community Property (for married couples In certain states: each spouse retains 60% Interest in the community property upon death 01 the first spouse,.
Signature
Date
Print Warne
SSWEIN
Signature
Date
Print None
SSN/EIN
Signature
Date
Print Nome
SSN/EIN
-Corpniattkin/perfsterthip, trust or omw entity:
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Quint acknowledges hangaols responsibility to %Maw tax obligati,* end.any other regulatory reporting.dutlel appable to in any relevant turitifictions
that may arist In connection with assets, Income or transaction* In.Cilam'a miCouriffig and banes. rotation:ship with DIAL forthemiore.Client confirm* that the
necessaryinformationrtelhe best of filka's knowledge and oripatala)s aide available no has thus annuellyto the releveabeneficial owner(s),
benefidary0aPerfnitils). etc. to enable such penton(s) to fulfill any respective lax obligations that may arise lot such Peratili) In COnnaCtiOn WWI Client's
bualtiosi tetiatottablp with 0061.
Name' EmilyJ, Epstein Virgin Islands Foundation, Inc
Entoloyer ID
Date
Signature of Officer, Partner, Trustee. Authorized Party'
FPrel 69.14,
fi le 5 I bk.44-
Print Name/ ids
Signature of Mow, Partner, Trustee, Authorized Party
Date
Print Name/Tide
Signature of Otlar, Partner, Trustee. Authorized Party
Date
Print Name/ tle
*SAWN-019g
7
012146.032813
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0094874
CONFIDENTIAL
SDNY_GM_00241058
EFTA01390383
Technical Artifacts (6)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
ACCURATESWIFT/BIC
APPENDIXSWIFT/BIC
ARBITRATIONSWIFT/BIC
CONTAINSSWIFT/BIC
INFORMATIONSWIFT/BIC
SIGNATORIESForum Discussions
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