EFTA01279478

g UBS UBS Financial account Number fl <hack ewe • IMdocument Opetfet tO mtitoe womb Letter of Authorization for Duplicate Recipient of Tax Records Inn letto methane. (45 ILISICIef Sown Int o land a Noy ot >oke to ram la Ilr Otette attaint3 ) tO the 106~3 imelnta a drEMV, h autegumeldel ell COMM,» tor ten Teal UUCP leenelitell by 1.035 itnattiel serwtes Ire Of untd yap notify UBS Foamed Lows MK in Follmtl a enet *Mr to UHnenate the moiety ol "Gus tat reports b the yetuel Iteinw Be eekthed that the >mkt onk Dotard to yeot tare 1099. 1O95elo 1O99O p you ate *hale to reowe a Offewro tax "WO". Ihn WI" n'24 tY ~I to me 0.10. panes Also be area that it YOU an a Undoes on an mount otapartopantegaz,vailten pun. you ate not ekpble to enö tM accotast lo send apkall to el/emotion lo a thee party entreated Party Infonnation (Mee oleo up to lour: INTI3tESTEO PARTY Robert ire NMI* 685 Ned Avenue Address toe I New York Zit NY slat. Buchner addle Nang tat Name Adams Lae 2 10017 eluchnerOrnarkspaneth corn • eSei Moe» 2123306060 Phone A:: mot Overw restNew tau Name At i f:runteo Date 6/tiptoe Maxwell x a• O.14F ne: ker bOulat c2011 its In" he State: : r, At :INS /Se /CC Yt-nYze s:pc Pig CONFIDENTIAL SDNY_GM_OOO28278 EFTA_00138898 EFTA01279478