Foreign Account Tax Compliance Act (FATCA) aa) US Status analysis for Corporate Accounts lahlibank [Full Wanvo of he Ent Recount Narbar ‘loss oad the following nstnuctions carl before fling othe analyse shaw. The arsyio US tau of Corporate Accouts Pease answer te quests wth YES o°NO. Coninueo Be ra secon every fre yor anwar ® NO ul ou reach stop, ste analyse an hare te appropatecocuments wih yr altonenip menage. No [US Satis evatanton orton applicable, sua The eniiy a subsldlary ofa Financial insdhtlon o controlled by a Financial 1 | insttation?, ves | | no | Forms 86Ne wen cin ‘Ror to Note 1 below for dea * Te the only Non-US? Dass Waal all to statements bolaw? Incorporated ouside USA | Has no US status incicaters(Reterto Note 2 alow for deta) ves “All contling persons of te ety (holding 10% or stove) are Non-US persons (rat US ‘zon or sists) No addtional documents NO | Tesi ish any a Won Financial Foreign Ent (NFFE) exempt undarFATGRT Sana NE 1 Oats of examin avalate under FATCA can be obtained fem you RelionsTip ves | | no | Fam aBeh Ele nwus raragerfrequret a Ts the ently an ave Non Facial Foragn Ey FFE? , are Iv [0% ormere tbe fe ey and SO 8 TS Ss GS SST ves | | no | Asteagre eaten everatng ative bass hoe Tes ony US Owe Non Fanclal Foragn Eiorpive (FET Tawa ERE ¥ [Passive NFEE wit one or more person owning 10% of shares or owners ofthe ves | | no | ste romivarrent nity sa US ote ren adler ra osdert Sune PessvsHPFE oe oss teeny Fave any US Tal US aduee 5 US ftpnone number etl lagen WUT Power or Attomey or signature authorty in favor of a person with US address * = =e + Staningiatvebone to onfermoney tan accor wit US axiese 4 Hig e-eare of US mal ads eal un” Tee enya apeciied US Ponan? Mi Incorporated in USA and not exempt from FATCA ed we; | ew Declaration ‘ve teraby conn te temo roves abvels We, seca and compete, ‘Sues to spploabe cal awe and Central Gan of Onan gles Une Nee consent fr AD Dark 0.6 ay oie fines Gg branches (calecvey “tha Banko sare cur rvermaton wit corests or owes report autos hare necetay tote sr ily iy oad ner eure by domes or ovraaseguatrno tx aus, lve conse ard are hh Sank ay wind ad pay ou, oro econ) such amounis _aemay be rogue aczrang to spice avs, feplatns apres wt epost or sues av aces Tans oF Aue Signatory ‘Signatre ite Bank Use only iS ES IG NB Ts SSS SEF NT TERT Financial ition = ‘Exampt NFFE- ‘Aste NPE feoee ty — "avers | "| ey v | Smet ot | fia | va — [Rai oro RENEE anager ———[ Sigraro [Force Use ooiy 7) tae: BRE ves nae og mac er yun a Aten srr yn pn ah Say, Sande te Veron 1.0 une 294