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* UBS
Power of Attorney (pwm)
(Not for use when naming a professional Investment Advisor)
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UBS Financial Services kw.
SeOunt /Patte/
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ørealt Vanish Admix
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tonkint
atillWrity M (Sandi Mine.
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Pr< loony ~moil«
ol document, a Minn at (WM. ruthcOrltroP
Nor Mien used in tie OIXIXwent Thu went 'I* IX "me` IX 'my' reir in tan .ii ow lenWatrinCilaill:. MOneloahn, a initn:WV. mat
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ais %Vag Of Anon"
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in the bolt Psi Ito Mgt
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ONCLOSISES el GAROO4C. fltADeeG
• aultIORVAIK», Ø
SATs PACE AND SMATOsIC ADVISOR ACC4t7tf5 ON
2 At4; 3
Tr_
Adtheektelltart
line to atilhOrila my agent ID eras crews with yIX; 10 ~Choy anti on beinitie3 ab vmdat browny ;MC Warns; 0000riS
nenactOre. in X COrOar‘t ynth Ine
4491blity deW 001eal Wire are :12n0WOM lo' ny eCourre4 an IwOlnin
dears
my Own dClOurin‘r. Cr .13 0,W/tiler some Mee meson
Illinågsel MnO
Aulkalabort
Di
i i.1.16.1 hIgt 1O ~hone. my W001 to enroll toy attrAirg in any Miflient adiMIX
Pr
Y
Ogiatn steed by tat. W. ~sett Me
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investment know( ' aseaterestad Agreement a ~tack
forms. and tow&åriy to he and term" , ennetionaty and nor.
drewhonasy ininytMenl manarn : urdentand Mat Me AØ
IblabOMMD Agreement. ~the
~Ore
Dr rot Ofi my Arm
ell "GDP 10 e VliSiOntay ctegram stns.% the Iron ODIC in Ine fare
4‘neller4
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• I in' lit tee 10 .
42110 n mv Agent m wOOori UO5. lo kinky money O %MOWS to aCCOunIll nag in ny name ot Ite my ~hi.
" and IC "We LW WIINWIGNI 14KØ on ma bitue in antween WWe any vender authotued ~et nn Sioetat ot Anew*, Std.
~Jets may be inlet ksd by mete& ~SE" IXEode ho are nO1 meted 10)0~ POP" wre tint«
*Menem< fond. bangIX 01
eifiCky
Tea 0:mueviettla Autesorization
AuiStainatiors
1 ~wit nee to ØW
my Aien1 bi make ir‘Woln rnd preen: fa kern. 11cØ
etnew1 nnealion all VS interne Revenue
~it
lotm$ vE•13 and W-5, as fl an/Kw ånd ent •elated enorer.%
Moan Infonweeion Authontstion
*mine Nor Pt puthOnly my Agent to Manta 0J1:4<a» Copy of al conormatems. stnefeserm «C OMM conatmuttont
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hem ~-,Inanl mlti*
diginb 10 et On my •«01allie. E *El Mat each sore ø atAlsonted to act mdepenciently of any oilier arm II
UBS fatårtchtl fem." Inc dettommts. in its sole Onstenon that n Is ~row; combos? wising!~ noes agents ~Uwe
~ed.
~boom LASS
Seven etc
es Oncreton la ums ohm" ~Item
from any of my agents Ladd the <enfant
towsweel eels., at my
eee11041 a by MY ~reel
>sin red oxton J po//ntortOtar muegle agents rani ~piney
votes Stoned Ø.
get «horde can agent td Oct nonflab
e • have Meennema mote Inert ems arm Or my itfOirlt% I &eel in.. ups siessom meta a
en only wion be >ant 'nowt^
of en •
~meted ~es
Client test Navr
Av •412 stat Wm,
let Name
02011 ups inennal 'tames 'm At tern Manta Menem SPC
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CnNFInFNTIAL
UBSTERRAMAR00000937
EFTA00236610
UBS
Peesenit
By lignell bel0W. i agree lo inWennity and hold hawks, teat and 4 eilaketes and a10! virc erripktykes are arts 'Om raw alkonn ern and
Jil darn, dut may *ow by tenon at U85 ham; lewd on thy pronsont a tin anliinnt EaCiAmideope and Mew Mal ml agent n
^Comma to falle any be» Mr Ankh my Want K flip«. 0! appipack riClucang noabn tralt5 and that faw and to MOW. any .1eXt all
*COX« aitoernatitto i Peaty Otely. (omen and mime le ba towel by any end all ammeter" nine, o ~Mgt. ~ha
~Man ce tetbe
~MI
in and it. my actountit/ bY ny aril et ronnonon with this antonty "areal in MK. JAMMY1111 IACTudmp. WI 110: limited IA tie
fuenit.Cm el dotierninit. tab, p ablebatt ei any aultotruatoni d nly* r Martial that Me am* of Ancestry Ila ^WOW, o a /lob o
Bowen steno Amount I eons* ikkeitmildge wet agree Mal. by toning Wow. i drawn the Wagons; awls:arty I ham at tonne o
0 111081 MnI1M, Mankre. Patinae a ahis entrinenUthe Gay authOWIM. and ton 1155 Pon: ol Allan*, n trxt, rtramefttatni• Capacity
~Mel af ~tallyho
Mt «most% to weyh ilµ almOcJalmniPpalK
n•A Pow.. of Allianal wal Ue mblell b conlioarti by an inteeptand in acrorti~ wt. Ine LIMA at be 'Pak eil /woe Yon actItiOut Wimp
111.O AD al Cana*/ Of datCY Of Iap a Maio ol inut ii-/tvalhstanding aty 13100000 10 It, <wittily Mnlained in any aptikaubn lox any
attain; at le$ a cri ac1pAhat WiCuitnek:
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rt entitled in ley CM MK Potter ot Minim,/ 'mid maim rialmt cJ Ilf rfrOCal.M. n Mehemet to rine leant•h
Valt1. 1h• •4•01•01
main:~
and mom! K olutwatedged by 1J0) enrollment in dottationary MIS leirmetrywany AelvriOry prOgranill ot1R. la thialli
account& atmediatiely and ieffactivaly ~As
any boding authorisation granted basin. in *down tore tia no wines rou owe
~al
may be slaw* ta arniLMOM On Ma madabiely at etatiaal ny 4a •• '0 ) 41'00 'a 0, our Øn,
and Undal MON. ownlaaaat.
PAK• ttrat et may bit terminale0 tie damned in U85' Mie elisttatien For InaiellOW MS farpW Advisors cannot be lie«intod
RF
=fly
in any nitirant
Getout&
this San ~ant
*psi dawn
%for. esatuong this doesn't
yen Mould know these 'rifle
facts.
•
DWI 0tereument may provide the pawn you Sagna* an your traimIlattOn10y.ifairaft with broad pewees. Wolfing power to
mans" set deems of the allots n yow aosount a borrow money using your pommy as ~My
for the loan.
If you an wing this Pose Of Anwar/ in a liatenairernt Amount y011 Incubi be aware that the agent is not liuthoeUed under
this dear«
to matt a dew
tinfkiary ~Wont
on yam accont.
if Pate& el Aurora, ei graved on behalf oi an 'Play ie g Mt" Gift Dottude Olt USN 11~S, ,no
harm At womemaine ol Ito!
theol re g . 'at maim'
ItIPORVAlft Nana
FOR PACUSTRATEROC ADVISOR ACCOUNIS tidag
stage Ilan me 1/06 financial AOnto
• rommal.
ottnny ~Nun
"Woe on
MIS PACE/Away< Mina amount ins «bat
regained 0. unteirastimpl
M10111111..
arnponebt ot toe wax" fluor, pay tal
nem
As lack banes Tat not tartionaie • POMP 01 00001•0 ta Me 1M10010 at
"..•...•,itarits. !manual pla hin a Inlay PIMPS
Ghtslatne
hest Fyn MIMI
last hew
: laot fwm !Meet
;Mt kW*
~Mee :Cancan be the agent
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%Man test lan*
tan llama
plain! newt non and date in the peal!~ Of
Wibma wag nut aim Ugh and SW ITIn
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FOR PACS/STRATI« ffl5Irikattiont Ongoing .urnat lion tin i$5 'raw;
Motta s a onncoal
:nnIPOnani of Ma WWI, Meitt pay Icy in thew pmiyams As witte, Moat may no designate • loam ol intoner lia ow ~LOW 01
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am.1.1O1M11 eige °natal:,
PACtiykalegie ASMO «own
lins notar
Mkt 0e ititagilltifd rivellintot "Imem.
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kmanal Sown a gr011.11 N1114115 81 OP*, bikini confrm thalami not
~men,
adnes
(risk:Mho whim to
•4 • I •
Dame
Daniel
Agent rem yang
AC 'NC/ ten 12/14,
telner
att Nana
<agnate..
Oase
Signature
&Nola ups tinamia i(nekir$ irw AZ 1401. :tweed Westin 5IPC
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11
1•19 , 213
CONFIDENTIAL
UBSTERR A M A R00000938
EFTA00236611
UBS
ADDITIONAL INFORMATION (to Be Completed by Agent)
Base Wombat ion
; hea net al egent n ties t.nanttal Mena of a rewired aisectaitil Pelson at US'
Agent Ng Mhfrip
Malcar Nmie
tail Name
Cowart Ci Capstans
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Otheo
tatfpateCtsgAa
GU Marks Peneth
Alarm try
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ACIdiess. lee 2
licraostal baT----
United States of America
CounW
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Agent's Smakmno. g gm. to Plafiyal
Agents ACCOLSItNo Yeah as In Ator:
fotoanasl Informer:0
kwantiessrot Iorgiastic': How many war* ban rau nest iefersInenI atOtisnI0 1p
was
Vero tail
fteif se
lions
0. enreslinoct
k-ft04. wry atilt abot,l faanbal awaits ei maaa ow/Mena
Scams:good tondastorefing of beaus: motets and motel .ffieStrilent$
ISM on espeiensed eresla Mt fmancsal mallets and made. inveigle.%
prates( klirdotion
Dee
Avg,
is del AIWA atetail nen env stitimiles lam. eukelerg OIL and its afaccot twaattaialeo wocadoec of • arse...! iestigibon. IMAM*. or
.C•nnvitligitS elthangt, sets tquIllifirt
ganitation of Me
Adam avarier Gant a Weave IcY2 pee CT'
X No
dam. ions atisittiet N0:
yes IOetay itgLieKtIviefoigintetan
If tog iftlearm 'yet' Ics the NYSE Rule 407 Gaston. approve mum be agave/ boon Ow scotiled grovotpandatton mime No account tan CV
000". 411, boding arlhatf becomes ellechve
is Mt Agest
tisliggyet or related to an 4.Y00$1. 91 iiitS AL on wommots or alt‘ales
, LOS removed Inlet oat OBS Secuototo tt C: I
S ke
it lawny Attotericbstem
Noma. rim New
IASI Nana
SSN
rapirjellett
Occur's...tn. tingilittef Nett end AdIfies. Jr. only mama) if raw emokarmno stabs m 'imatattr a ' WIIPITOoyed.
'aht,iS
Grua
7, Impure° !".7 SeltItoreawal
swam 7 Mae*
weAwpcoted
volume&
Unweaned 1...! Wort in the Hon*
Other
Oatcake
Wan
Adcfret‘
Re: 1b14:
Buttes, elate tracesE
Amite%
•OffeCineli
Other
Mantis t COnSAALAL. inlet tics ;000,&,
AiStitss Ire 2
StelneroinNt
2ipeostai (oat
tinged States of Amenca
country
02014 triS rt11•1100 $441.1(t. NW Al natal sine, yea Mombe,
II
CONFIDENTIAL
UBSTERRAMAR00000939
EFTA00236612