EFTA Document EFTA01356702
KYC Print Page 32 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all part es) Individual's Name: Richard D. Kahn - 00000486407 Date of Birth: Country of Residence: United States Country of Citizenship: United States Address of primary residence: Has client resided outside of his/her country of nationality for 5 years or more? L.J yes RI No Profession/Occupation: Accountant Tax ID / SSN: Current Em
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KYC Print Page 32 of 43 One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summa 3A. Individual Details (for all part es) Individual's Name: Richard D. Kahn - 00000486407 Date of Birth: Country of Residence: United States Country of Citizenship: United States Address of primary residence: Has client resided outside of his/her country of nationality for 5 years or more? L.J yes RI No Profession/Occupation: Accountant Tax ID / SSN: Current Em
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Account Type: Account Number: n. • Anwitamai Chula A (OICID.Re4 Hook QU.11/(+eri34 arTh0rrICIS Sign. la Req. Te oo Date: 2 Name: Southern Trust Company, Inc. EIN: Nal=rejnan / A6c-c-te--00-- SSN: ID No. Name: SSN: ID Type: No: . . SSN: ID Type: o: vw• bereby ack.o•rledp brat mend tbc Depasit &awn Aroma tho PS Bacon lekcsable Skim. aid piney Policy. ad die proact rain tad kn. Prepared by Authorized CLOSED ACCOUNT 10)8bi CONFIDENTIAL SDNY_GM_00013623 L CONFI
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