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CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001304
EFTA_000 14778
EFTA00165570
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Account Title and Joint Atiplicatieil Stlei
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Souther. Trust Commis!,
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Name of Account Title
nem Bret name. middle Initial! or .Biraktele
Joirit Applicant
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Social Security Numb* or:AxpayV.ID NuMber •
Social Security Nurnter:er Taxpayer:9 Numher•
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1.9.6mPt
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V.ttrotrid Lo Code
City, State and 21Ptede
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HMIS Telephone Number
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Business Telephono.teumber
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Notice of CuStornerlcile.ptilitOioo Policy
important information
TO help the griviniment fight the landing of iterioritM and Moneylaimderinpactivities,'Fattleral law requires ail financial
institutions to obtain.; weriftend record information that identifies eaclaperson who establishes an. account, irrvistritint.Or
other buiinett relationship with afinancial instittititin:Thiarneans that ine.Witi ask foryoUr name. address, and other
information that will allow us to identify you. We may. also ask to sesidentifYing documents such aaa certificate of
formation 0rgood Standingilegal entities) ore plesPorter otherphoto identification (individuals).
:3rd FU.Noiiee
.Governmintafrules.have also broadened the scope of the:Bank's obligations to aid in the fight against money laundering
and terrorist linensMg; !hem:flutes call for an active involvement of both assetthanagement firms and then:clients. For
now and existing clients we currently have e legal obligation to ask our.customars questions regarding their identities.
addresses, source of hands and. iftecessary,logaisepresentedivea authorized signatories, beneficial owners or control
structures and to collect requisite documentation to subtitandate the information:Also. enhanced anti-money laundering
requuemehfa (eui/0.0mi 'should any 0ftherab0ve Personal or inatitthioriel infOrmitiOn change our clients would be
'obliged taimptedistely notify us of the change(s) and proVide.uswith 'SWIM docu.mentation to verify these changes.
Telephone, Facsimile or Ernail Iristrtictions
By signing' below, you agreetheffrom ;imamtime youfrnali give instructions by te*thone.facsimiteor email regarding
the above captioned accounts) (defined herein eis
Matructione). 'It is understood that the Ask of Verbal
Instructions being given by person or persons purported to be yoti is.your own'. Abtent the grtiss.nangence or Willful
misconduct of bousche Bank-frusi Company Americas fratTC4).:you egree toindetvinifir and hold:harmless OBTCA. for
any ileinis..lostel: expenses. Crisis brenorneyo' feet resulting friam DBMS'S actintatipon such misunderstood end
unauthorized Verbal Instructions- You understand that OSTCA maituk shall not berequired to, seteetierifieetlen of ;rote
verbal; facsimile or email irisiructieni by cattbara. In case of doubt. 0BTCA may in its erne discretion reit/sale execute
your Verbal Instructions of anypert thereof. without incurring any liability. OBTCAla under no obligees., to encode Your'
;Verballnstryotions.to transfer forms or. secui7lieetoenyocceiont(e)erithoet written instructions bearing yourenginal
signature;
Joint Acctiiint Disclosure.
.
You haveopenede joint ilocciiirrt with .Ditiait and acknowledge receipt of the following. information`. This deposit and any
additions to the account shall' bacome.the property of each owner as joint tenants, and Ci6TCA.may rehmiethe entire
account to any owner eluting the lifetime of alloWneis; inycAmay honor Cheeks..orders or withdrawal 'requests; f rorn
any owner during the lifetime of an owners. The Bank may be required by Service of legal process to remit fundsheltain
the joint account to satisfy a lodgment entered against, or other valid debt incurred by. any. owner 97 the acCouni beTCA
may. MAO, cheeks Orders-or withdrawal lectuestafrern the survivor(a) Ghee .the death of arty oivrier(sf and may treat the
account as the side properti of .the'sUrvivertsl after the death of antrotenerls):: Wells DBTCA receives Whiten060S
signed by any owner: nettle pay or deliver any loins deposit or addition. or secnial.08TCA shalt not be tablet any owner
tor: continuing to honer Chlmisicolders or withdrawal requests:from any owner: After.the receipt; of the: notice' referred to
in the previous sentence, 0BTCA may require the Written autlioniation ofiany or all joint
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or any further payments
or deliveries.
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011369.032Gt3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001305
EFTA_000 14779
EFTA00165571
ATM/Debit Service
You agree that. .chbreterbion or use. of the ATM/Debit card &institutes acceptance of the terms and conditions of. the'
Cardholder Agreement Contained In theTermi end Conditions of Dap* Accisi its.
Internet Banking Seevice
if yea have selected io receivelniemet Banking Services, you understand that you will be requited:to enter. whin
separate Internet Banking Services Agreement with DEITCA beforo.you can access the.Internet.Etanking Science.
Ackhowledgernentof Receipt of Privacy Notice
By signing belovii, von acknowledge receipt of DBTCA's Piivacy Notice inclixtedin the Application Package.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You' onfirm that it is your responsibility to fulfil! any-tax obligations and any other regulatory mooning duties applicable.
to you in any relingant turisdictions that:may arise in Connection with assets. income or transactions in you! acCounds)
and your bustneteralationship with DEITC.A,
Non-US Organizations.: Confirmation of Tax, and C0mpliance Responsibilities:
YOUcol-4nm that it is your responsibility to fillfill any tax obligations and any other regulatory. reporting &sties apPlicable
to it in any relevantiurisdietioris that may arise in connection with asset's, income or transactions in your account(sj and
your business relationship with DBTCA. Furthermore. you confirth that the nobessary infOmation (to the bait Of youi
knowledge and capabilities), is made available no less than annually ro.the tekieeez beneficial owner(s), siottibr(s),
bone! iciarybei), partner's). etc. to enable Iiirrithed them to fulfill any respective tax obligations that may arise for him/heir
them in connection With your bntiness relationship with 087CA.
Please complete and attach separateWs9 or W-9 documentation 88:applicable.
Terms and Conditions and Representations
By sinning below. you acknowledge receipt of Bin Terms and Conditions for Deposit Accounts attached to. this
Application and agree to 06.bdund by them. In addition, you agree to notify us immediately of any material change to.
the information provided by you on this Application.
'You raprosent arid:warrant That all of the information provided or yOu oriThis APplication is accurate.
The Terms and Conditions kir:Deposit Accounts are subject-to change.
Acce
lance try 087CA.
Joint Account Holder's Signature--
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'Apt. Mt by.alITCA.
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CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SONY-0001306
EFTA_000 14780
EFTA00165572
IM WITNES.S.WIEROF,:the undersigned, by and through its authorized officer, has caused this instrument to be -
emitted on this datelisted below.
(FORicISIOES4 USERS,
Southern TrueScdrppayty,.bic
WOO ALKOT.HE8 :USERS)
*P29nt tiaffYit
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tetelet0101.13
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001307
EFTA_00014781
EFTA00165573