UBS Financial Services Inc.

UBS UBS Financial Services Inc. Account Number 21 Check here if this document applies to multiple accounts- Letter of Authorization for Duplicate Recipient of Tax Records This letter authorizes UBS Financial Services Inc. to send a copy of your tax form for the below accountfs) to the following interested party(ies). Such authorization will continue for ten years unless terminated by UBS Financial Services Inc. or until you notify UBS Financial Services Inc. in writing of your decision to terminate the mailing of your tax reports to the parties below Account Number Account Number Account Number Account Number Account Number Account Number Be advised that the service only pertain to your form 1099, 1099R or 1099O. If you are eligible to receive a different tax Account Number Account !timber Account Number report, this will not be sent to the below parties. Also be aware that it you are a beneficiary on an account or a participant of a qualified plan, you are not