Credit Suisse Declaration For Trusts Form Page 3

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5. Information pertaining to the protector(s) as well as (a) further person(s) having a right to
revoke the trust (in case of revocable trusts) or to appoint the trustee of a trust:
a) Information pertaining to the protector(s):
Last name(s)/Company
First name(s)
Date of birth
Nationality(-ies)
Domiciliary state (no abbreviations)
Actual residential address/registered office address
In case of a revocable trust: Does the protector have the right to revoke the trust?
Yes
No
b) Information pertaining to (a) further person(s):
Last name(s)/Company
First name(s)
Date of birth
Nationality(-ies)
Domiciliary state (no abbreviations)
Actual residential address/registered office address
In case of a revocable trust: Has/have this/these further person(s) the right to revoke the trust?
Yes
No
First submission of form
Replacement of all previous “Form T”
Addendum to one or more existing “Form T”
____________________________________________________
To be completed by the Bank
Client no. (CIF)
134946
Page 3/4

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