Individual / Authorized Signatory
I/We affirm that the foregoing information given by me/us is true and correct. I/We hereby allow PNBSI to verify and investigate said information and/or secure other information as may be required by PNBSI. It is understood that all transaction with PNBSI shall be subject to the terms and conditions of the PNBSI Brokerage Account Agreement.
* Foreign Account Tax Compliance Act (FATCA) is a United States (U.S.) tax law covering U.S. persons.
**The term "U.S. Person" means a U.S. citizen or resident individual, a partnership or corporation organized in the U.S. or under the laws of the U.S. or any State thereof, a trust if (i) a court within the U.S. would have authority under applicable law to render orders or judgments concerning substantially all issues regarding administration of the trust, and (ii) one or more U.S. persons have the authority to control all substantial decisions of the trust, or an estate of a decedent that is a citizen or resident of the U.S. This definition shall be interpreted in accordance with the U.S. Internal Revenue Code.