Text extracted via OCR from the original document. May contain errors from the scanning process.
BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT: (1) 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
CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PREDISPUTE ARBITRATION CLAUSE AT SECTION III, PAGE 5. AND CLIENT
INITIAL HERE:
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION
REQUIRED TO AVOID BACKUP WITHHOLDING. AND. IF APPLICABLE. THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON.U.S.
Important Information for ERISA employee benefit plan clients: U.S. Department of Labor regulations require OBS! to disclose to a responsible plan fiduciary
certain information in connection with the services that DBSI provides to a plan, to assist the fiduciary in evaluating the reasonableness of DBSI's services and
related compensation. The disclosure is available online, at http://www.pwm.db.com/amerkas/erderisa_disclosure_pcs.html. By signing below, you acknowledge
that you aro a fiduciary responsible for the procurement of ()BSI's services to the plan, you have read the disclosure and you understand the disclosure.
Individual or joint account IIF THIS IS A JOINT ACCOUNT. ALL ACCOUNT OWNERS MUST SIGN):
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable in any relevant jurisdictions that
may arise in connection with assets, income or transactions in Client's accountls) and business relationship with DBSI.
ElTenants in common; or
Community Property (for married couples in certain states: each spouse retains 50% interest in the community property upon death of the first spouse).
Signature
Print Name
SSN/EIN
Signature
Date
Print Name
SSN/EIN
Date
Signature
Date
Print Name
SSN/EIN
Corporation, partnership, trust or other entity:
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to in any relevant jurisdictions
that may arise in connection with assets, income or transactions in Client's accounfisl and business relationship with DBSI. 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 owner(s), settlor(s),
beneficiary(ies). pannertsl. etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such person(s) in connection with Client's
business relationship with DBSI.
Name of Entity
Employer ID No.
Signature of Officer, Partner, Trustee, Authorized Party
Date
Print NamelTitle
Signature of Officer, Partner, Trustee, Authorized Party
Print Name/Title
Signature of Officer, Partner, Trustee, Authorized Party
Print Name/Title
Date
_ Date
13-AVVM-0196
7
012105.032813
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0103535
CONFIDENTIAL
SDNY_GM_00249719
EFTA01448496