UBS Financial Services Inc.

UBS Financial Services Inc. UBS Account Number K Check here if this document applies to multiple accounts Letter of Authorization for Duplicate Recipient of Tax Records This letter authorizes 1)85 Financial Services Inc. to send a copy of your tax form for the below account(s) to the following interested paity(ies) Such authorization will continue for ten years unless terminated by UBS Financial Services Inc. or until you notify UBS Financial Services Inc in veiling of your decision to terminate the mailing of your tax reports to the parties below. Be advised that the service only pertains to your form 1099, )099R or 1099Q. If you are eligible to receive a different tax report, this will not be sent to the below parties Also be aware that if you are a beneficiary on an account or a participant of a qualified plan, you are not eligible to enroll the account to send duplicate tax information to a third party Interested Party Information (may select up to four) INTERESTED PAR