EFTA Document EFTA01450272

IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non-U.S. Persons. Please check the box next to the applicable Item below. Client certifies that Client will notify DBSI In wilting Immediately If the representation certified to below ceases to be two and correct. 1.0 U.S. Citizen or U.S. Resident Mien Fenn W9 Request for Taxpayer Identification Number and Certification Substitute j i Namelitrown ont 7 inctip, tax mum) 4 g if