EFTA Document EFTA01345231

KYC Print Page I 1 of 34 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all parties) Individual's Name: Date of Birth: Country of Residence: USA Country of Citizenship: USA Address of primary residence: Livingston 07039 United States Has client resided of his/her on country of nationality for 5 years or more? O Yes iA No Profession/Occupation: Lawyer Tax ID / SSN: Current Employer: Southern Financi