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Declarant Confirmation Place date Declarant signature This form is a document as defined in Ar. 110 para. 4 of the Swiss Penal Code SPC. Declarant s status for all current or future relationships that the Declarant is or will be involved in in any capacity with any Credit Suisse Group Entity in Switzerland. For details as to how to count days for these purposes you should consult the IRS website http //www.irs.gov/taxtopics/tc851. Mm.yyyy Citizenship s 3 Permanent residence address do not...
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