Important Information for ERISA
CONFIRMATION OF TAX AND COMPLIANCE
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT
Authorized Party Date
Print Name/Title
THE CERTIFICATION REQUIRED TO ESTABLISH CUENT'S
THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-U.S.
Authorized Party
Print Name/Title
Signature of Officer
the Trusted Contact Person
the Internal Revenue Service
Trusted Contact Person Information