EFTA Document EFTA01355693

IV. TAX ELECTIOWDECLARATION OF TAX STATUS INs Account Agreement es designed for use by both U.S. Persons end Non.U.S Persons. Please check the box next to the applicable item below. Client cedilla that Client will notify 0851 in writing immediately if the representation certified to below ceases to be true and correct. 1. CI U.S. Citizen or U.S. Resident Alien Form W9 Request for Taxpayer Identification Number and Certification Substitute f t Mania (as shown on your income tax return):