EFTA Document EFTA01365762

IV. TAX ELECTION/DECLARATION OF TAX STATUS This Account Agreement is designed for use by both US, Persons and Non-U.S. Persons. Please check the box next to the applicable item below. Client codifies that Client will notify °Nilo writing Immediately II the represeMation codified to below ceases to be true and correct. 1.0 U.S. Citizen or U.S. Resident Allen Form W9 ....Request for Taxpayer Identification Number and Certification subamot• c ry % 41t, viv'k %;\ i Name laa shown on your