EFTA00022363.pdf
71.2 KB
Extraction Summary
2
People
3
Organizations
1
Locations
0
Events
2
Relationships
1
Quotes
Document Information
Type:
Financial authorization form
File Size:
71.2 KB
Summary
A UBS 'Letter of Authorization for Duplicate Recipient of Tax Records' signed by Ghislaine Maxwell on February 12, 2016. The document authorizes UBS to send copies of tax forms for account Y123692 to Alan Blecher at 685 Third Avenue, New York. Blecher's email address is associated with the accounting firm Marks Paneth.
People (2)
| Name | Role | Context |
|---|---|---|
| Ghislaine Maxwell | Account Owner |
Owner of UBS account Y123692, authorizing tax record sharing.
|
| Alan Blecher | Interested Party |
Designated recipient of duplicate tax records; associated with email domain markspaneth.com.
|
Organizations (3)
| Name | Type | Context |
|---|---|---|
| UBS Financial Services Inc. |
Bank holding the account.
|
|
| Marks Paneth |
Inferred from email domain @markspaneth.com belonging to Alan Blecher.
|
|
| SIPC |
Mentioned in footer.
|
Locations (1)
| Location | Context |
|---|---|
|
Address listed for Alan Blecher.
|
Relationships (2)
Maxwell authorizes UBS to send her tax records to Blecher.
Maxwell is the Account Owner of UBS account Y123692.
Key Quotes (1)
"This letter authorizes UBS Financial Services Inc. to send a copy of your tax form for the below account(s) to the following interested party(ies)."Source
EFTA00022363.pdf
Quote #1
Full Extracted Text
Complete text extracted from the document (1,415 characters)
UBS
UBS Financial Services Inc.
Account Number Y123692
__ Check here if this document applies to multiple accounts
UBS Financial Services Inc.
Account Number Y123692
__ Check here if this document applies to multiple accounts
Letter of Authorization for Duplicate Recipient of Tax Records
This letter authorizes UBS Financial Services Inc. to send a copy of your tax form for the below account(s) to the following interested party(ies). Such authorization will continue for ten years unless terminated by UBS Financial Services Inc. or until you notify UBS Financial Services Inc. in writing of your decision to terminate the mailing of your tax reports to the parties below.
Be advised that the service only pertains to your form 1099, 1099R or 1099Q. If you are eligible to receive a different tax report, this will not be sent to the below parties. Also be aware that if you are a beneficiary on an account or a participant of a qualified plan, you are not eligible to enroll the account to send duplicate tax information to a third party.
Interested Party Information (may select up to four)
INTERESTED PARTY
Alan Blecher
First Name Middle Name Last Name
Alan Blecher
First Name Middle Name Last Name
685 Third Avenue
Address Line 1 Address Line 2
Address Line 1 Address Line 2
New York NY 10017
City State Zip
City State Zip
Ablecher@markspaneth.com 2122013197
Email Address Phone
Email Address Phone
Ghislaine Maxwell
Account Owner First Name Last Name
[Signature]
Account Owner Signature Date X 2-12-16
Account Owner First Name Last Name
[Signature]
Account Owner Signature Date X 2-12-16
0159495149
AC-DP1 Rev 10/11 ©2011 UBS Financial Services Inc. All rights reserved. Member SIPC. Page 1/1
EFTA00022363
AC-DP1 Rev 10/11 ©2011 UBS Financial Services Inc. All rights reserved. Member SIPC. Page 1/1
EFTA00022363
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