UBS Financial Services Inc.¶
Account Number 41236¶
11 Check here if this document app to multiple accounts¶
Letter of Authorization for Duplicate Recipient of Tax Records¶
de «uver nial the sense ody perior in 1999, 1099R a 1099C I reserve adfleter tar leant this wil not be sent the below paties Alia be aware han 1099A Il you are tigde¶
Interested Party Information (may select up to four)¶
INTERESTED PARTY¶
| Alan | |||
|---|---|---|---|
| First Name | Middle Name | Blecher Last Name | |
| 685 Third Avenue | |||
| Address Line 1 | Address Line 2 | ||
| New York City | NY State | 10017 Zip | |
| Ablecher@markspaneth.com t inal Address / | 2122013197 Phone | ||
| Ghislaine Account Owner First Name | Maxwell Last Name | Oate |
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