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II SÉRIE-A — NÚMERO 78 48

insurance products held by residents of Portugal).

4. A Depository Account with a balance of $50,000 or less.

B. Review Procedures for Preexisting Individual Accounts With a Balance or Value as of June 30, 2014, that

Exceeds $50,000 ($250,000 for a Cash Value Insurance Contract or Annuity Contract), But Does Not Exceed

$1,000,000 (“Lower Value Accounts”).

1. Electronic Record Search. The Reporting Portuguese Financial Institution must review electronically searchable

data maintained by the Reporting Portuguese Financial Institution for any of the following U.S. indicia:

a) Identification of the Account Holder as a U.S. citizen or resident;

b) Unambiguous indication of a U.S. place of birth;

c) Current U.S. mailing or residence address (including a U.S. post office box);

d) Current U.S. telephone number;

e) Standing instructions to transfer funds to an account maintained in the United States;

f) Currently effective power of attorney or signatory authority granted to a person with a U.S. address; or

g) An “in-care-of” or “hold mail” address that is the sole address the Reporting Portuguese Financial Institution has

on file for the Account Holder. In the case of a Preexisting Individual Account that is a Lower Value Account, an

“in-care-of” address outside the United States or “hold mail” address shall not be treated as U.S. indicia.

2. If none of the U.S. indicia listed in subparagraph B(1) of this section are discovered in the electronic search, then

no further action is required until there is a change in circumstances that results in one or more U.S. indicia being

associated with the account, or the account becomes a High Value Account described in paragraph D of this

section.

3. If any of the U.S. indicia listed in subparagraph B(1) of this section are discovered in the electronic search, or if

there is a change in circumstances that results in one or more U.S. indicia being associated with the account,

then the Reporting Portuguese Financial Institution must treat the account as a U.S. Reportable Account unless

it elects to apply subparagraph B(4) of this section and one of the exceptions in such subparagraph applies with

respect to that account.

4. Notwithstanding a finding of U.S. indicia under subparagraph B(1) of this section, a Reporting Portuguese

Financial Institution is not required to treat an account as a U.S. Reportable Account if:

a) Where the Account Holder information unambiguously indicates a U.S. place of birth, the Reporting Portuguese

Financial Institution obtains, or has previously reviewed and maintains a record of:

(1) A self-certification that the Account Holder is neither a U.S. citizen nor a U.S. resident for tax purposes (which

may be on an IRS Form W-8 or other similar agreed form);

(2) A non-U.S. passport or other government-issued identification evidencing the Account Holder’s citizenship or

nationality in a country other than the United States; and

(3) A copy of the Account Holder’s Certificate of Loss of Nationality of the United States or a reasonable explanation

of:

(a) The reason the Account Holder does not have such a certificate despite relinquishing U.S. citizenship; or

(b) The reason the Account Holder did not obtain U.S. citizenship at birth.

b) Where the Account Holder information contains a current U.S. mailing or residence address, or one or more U.S.

telephone numbers that are the only telephone numbers associated with the account, the Reporting Portuguese

Financial Institution obtains, or has previously reviewed and maintains a record of:

(1) A self-certification that the Account Holder is neither a U.S. citizen nor a U.S. resident for tax purposes (which

may be on an IRS Form W-8 or other similar agreed form); and

(2) Documentary evidence, as defined in paragraph D of section VI of this Annex I, establishing the Account Holder’s

non-U.S. status.

c) Where the Account Holder information contains standing instructions to transfer funds to an account maintained