EFTA01355744

BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT:11) CLIENT HAS RECEIVED, READ, AND AGREES TO THE TERMS AND CONDITIONS OF THIS ACCOUNT AGREEMENT. INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION: AND (2) THE INFORMATION CONTAINED IN THIS ACCOUNT APPUCATION IS ACCURATE. Sarng (K, EN sziegrait .111MtIVSWHIgIWIjali:0114$0040 100.64/PrierCANDAIE.14 NW.9 impv4.5 tetittaritc.e THE INTERNAL EVENUE SERVICE DOES NOT REQUIRED TO AVOID BACKUP IMTHHOLDING, PERSON AND OBTAIN A REDUCED RATE OF WITHHOLDING. Important Infonnation for ERISA employee benefit Certain information In connection with the services Salad compensation. The disclosure Is available that you are a fiduciary responsible for the procurement Individual or joint account (IF THIS IS A JOINT CONFIRMATION OF TAX AND COMPLIANCE Client acknowledges having sole responsibility may rinse In connection with assets, income or eRt6 3145§C011talMeit40.16ratft. 437.00ACC9litkniatiri 41Etas-?stecWatasixtel'; D Tenants in common: or O Community for married couples I tiSklc#30.6 REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION AND. IF APPUCABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-U.S. plat clients: U.S. Department of Labor regulations require DBSI to disclose to a responsible plan fiduciary that DBSI provides to a plan, to assist the fiduciary In evaluating the reasonableness of DBSI's services and online, at hnp://wwwpwm.db.corn/amolcashinferisa_disdosure_pcstamt By signing below, you acknowledge of IMISI's services to the plan. you have read the disclosure and you understand the disclosure. ACCOUNT. ALL ACCOUNT OWNERS MUST SIGN): RESPONSIBILITIES o fulfill any tax obligations and any other regulator/ needing duties applicable In any relevant lurisdictions that transactions in Client's accoundel and business kinship with 089. - 00513000031ittoVIEVANISW4113rearFOES ins pouse reams 50% tritest in the community property upon death of the first spouse). 947/; ihri) EP•biln OlikW04 tSIStalt Signature Date Print NMITO SSWEIN Signature Date Print Name SSE N , . . . . Corporation. partnership, trust or other entity: CONFIRMATION OF TM AND COMPLIANCE RESPONSIBILITIES Client acknowledges having sole responsibility to fulfill any tax cbtigatiom end any other regulatory reporting duties applicable to in any relevant iwistlicti0nS that may ante in connection with assets. income or transactions in Client's /comings) and business relationship with OBSI. Furthermore, Client confirms that the necessary Information (to the best of Client's knowledge and capabilities) is made available no less than annually to the relevant beneficial ovmerisl, SettloelS), benellciargies), panned.). etc. to enable such person(s) to fulfill any respective tax obligations Mat may arise for such person(s) In connection with Client's business relationship with DBSI. Name of Entity Employer ID No. Signature of Officer, Panne,. Trustee, Authonzed Party Date Print Narne/Trtle Signature of Officer, Panne,, Trustee. Authonzed Patty Dale Print Name/Title Signature of Officer. Partner, Trustee. Authorized Party Date Pnnt NarnatTitle 12.0WM.0573 7 012145 011113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0041004 SDNY_GM_00187188 EFTA01355744