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r one yea- from statement date or until mataity. Ito estimate is calf a guideline, accuracy and conti
s 1099 and the Forms 493, foe lax reporting information his the practice of UBS to file the apperCittle to reponing fOrMS vain the US InterM Revenue Streit< and PR TreaSuN Depactiren1. and in h loans aCCueatery Ussery cividends WOW Interest al& ettrept or 'wear 'Mane Meat consult your inclgdual tax pre
%214 Won" 054144,12 03444•411 125.0"000 USO Ito "An Ilt 1.730% 51245024 1.444% S 35431* Coe
1.256 USOCIP 54).5 USD044 1.1514 USDCAD 1 0416 EuRPt11 4.106 U5131101 46925 ne Trade Date Expiry Date Diremen Corrency I Cunency 2 Streit CurrOWY 2 'Paw Okra* Out Original Oliginal Una Ina notional Dale Poranhan Premom (V) /Vernon' 4...Olen 110501 20463. 10 20.440 I Bought
E ONLY REPORTING A CHANGE OF ADDRESS ATTENTION! Read the following statement before signing this application. This portion MUST bo completed. . A Ito cc etttentg Watt a a all panto, in INA appkaten may be °mat Icr purls:meet by fine ...Olt, Sea yds. Cogs. Ttle la. Sae. MI). CERTIFICATION IWE C
the interest as stunt on the attachment TELEPHONE NUIMIEft ( 316 1676-43009 ACCRESS etrinteerit mal3no Wein. Iof trey applant Iiile0) Nunbes. and Streit 14.1 South Webb _Road An: Route: PO. Oar CITY Wichita STATE KS DP CODE 67207 0 CHECK HERE IF YOU ARE ONLY REPORTING A CHANGE OF ADDRESS A
Entities connected to both Joi Ito and Streit

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