FATCA Declaration Specified U.S. Person: a) The Subscriber is a Specified U.S. Person and the Subscriber’s U.S. Federal Taxpayer Identifying number (U.S. TIN) is as follows: U.S. TIN: b) The Subscriber is not a Specified U.S. Person (please also complete Sections 3, 4 and 5) Or
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Sources: Subscription Agreement, Subscription Agreement