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efta-01393017DOJ Data Set 10Other

EFTA01393017

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DOJ Data Set 10
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efta-01393017
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
By signing below, I hereby confirm that the representations made in this Structured Products Agreement and Approval Form are true to the best of my knowledge. Client signature block:' 1:11marTetwnt Vsmilet Sivowar Norm lint• I}Cg9 CMV/ eft Ibis Is a joint account nitjoint account holders must sign. The following signature block should be used fora Trust, Partnership, Limited Lability Company or Corporate client. nib GS Amcor,: scATTWito Ft 1.) Signitzyi x 1( : esc,rita.-1 COQ s1€\ r L LLc 3"el°11/)(4 If fnis is a trust account check as appropriate Trustee Co-Trustee For Oeu tsche'Rk Office Use Orily friwyinfirs:i'isirusciwurit 311- ,frl( e- if , ,. InvIsantrr.542tiorIsttonkt V 30541M SSCISAV friat.)0. Attpreeettir•Witt Prea Starzsne ?ism, Mit Please submit all completed and fully executed forms to Compliance Via NetX360. "Ottasche Bank' monk Deork.;,he Bank As av tiff iAateti. comp mit* Deutrfrclie Bunk Wealth Managenientreprecents rite wealth mark:gement ccfriri s rondo:tau by Deutscle Boris AS orits subAidraries Brokerage nervh.:er, are offered through CieutTsthe Bonk Stiarrincs Inc., a broker-dealer aryl registered Investment adviser, •uhich corducts insesiment to and securifes acidities in the ticatzti States. Oeutsche Sank Sew:bias Inc is a ir,ember of fiNftik. wise and SiPC. M 7 (4,5tewiwalik 41 A: lista% facsawo, 011(.117.01:3•:•17 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0098365 SD NY_G M_00244549 EFTA01393017

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