Case File
efta-01459403DOJ Data Set 10OtherEFTA01459403
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01459403
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT:
CLIENT HAS RECEIVED. READ AND AGREES TO THE TERMS AND CONDITIONS OF THIS
ACCOUNT AGREEMENT, INCLUDING DIE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION; (2) THE INFORMATION CONTAINED IN THIS
ACCOUNT AGREEMENT IS ACCURATE; AND (3) CLIENT HAS ELECTED IN SECTION IV, PAGES, HOW TO USE FREE CREDIT BALANCES.
CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE•DISPUTE ARBITRATION CLAUSE AT SECTION III PAGE 5. AND CLIENT
AGREES TO ITS
4S (ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL).
INMAL HERE
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIRCATION
REQUIRED TO AVOID BACKUP WITHHOLDING, AND. IF APPLICABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-US.
PERSON AND OBTAIN A REDUCED RATE OF WITHHOI DING.
Important IMormetkan for ERISA employee benefit plan silents: U.S. Deportment of Labor regulations require DSSI todisclose to a responsible plan fiduciary
certain information in connection with the services that DB51 providers toe plan. to assist the fiduciary in evaluating the reasonableness of DBSI's services and
related compensation. The disclosure Is available online. at http://wvempwm.db comramoricasrenteris diuJosum_prs.html. By signing below. you acknowledge
that you ere a fiduciary responsible for the procurement of DEISI's services to the den, you have reed the disclosure and you understand the discinsure.
Individual or Joint account (IF THIS IS A JOINT ACCOUNT, AU. ACCOUNT OWNERS MUST SIGN):
CONFIRMATION OF TM AND COMPLIANCE RESPONSIBILITIES
Client acknowledges having sole responribilky to fulfil any tax obligations and any other regulatory reporting duties applicable In any relevant jurisdictions that
may arise in connection with assets, income or tninsectkine In Client's accounts) and business relationship with OBSI.
CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES.
CLIENTS SPECIFY INSTEAD:
OTenants in common; or
ElCommunity Property gm married couples in certain states; each repute means 50% interest in the community property upon death of the first spouse).
Signature
Data
Print Name
SSNIEIN
Signature
Date
Print Name
SSWEIN
Signature
Ode
Print Name
SSWEIN
Corporation, partnership, trust or other entity:
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Client aeknowledµ/ tuning sole responsibility to fuffill any tax obligations and eny other regulatory reporting duties apptcab:e to In any relevant jurisdictions
that may arise In connection with assets. income or transactions In Client's aocnunt(s) end business relationship with 0851. Furthermore. Client confirms that the
necessary information (to the best at Giants knowledge end capabilites) is made available no less than annually to the relevant beneficial owner(s). sertdrx(s),
beneficiaryliesh panner(s). etc. to enable such person(%) to RANI any respective tax obligations that may arise for such persords, in connection with Client's
business relationship with EiBSI.
Name of Entity
a
R kr( 10 tse Nt\it
(gat LT
Signature of Officer, Penner, Trustee, Auiltorized Piny
1
,140
Print Name/IICEL....A((1A f•Pri
)
• Ail'
Signature of Officer. Partner. Trustee.
zed Party 1............)O w.n.J10
re.a
.
Print Name/True
Employer ID No
c..i. akin'
D.(. 1)-1 aaliC
we,"
e_. 1.18LES0€41
Signature at Mose, Panne:, Plait*. Ai niorbed Pauly
Dols
Print Nemo/Title
WM 134715
015584.110314
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0119771
CONFIDENTIAL
SONY GM_00265955
EFTA01459403
Technical Artifacts (8)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
ACCURATESWIFT/BIC
APPENDIXSWIFT/BIC
ARBITRATIONSWIFT/BIC
BALANCESSWIFT/BIC
CONTAINSSWIFT/BIC
INFORMATIONSWIFT/BIC
SIGNATORIESURL
http://wvempwm.dbForum Discussions
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