EFTA01450304.pdf

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 (21 THE INFORMATION CONTAINED IN THIS ACCOUNT APPLICATION IS ACCURATE. [ CUENT EDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE DISPUTE ARBITRATION CLAUSE AT SECTION III, PAGE 6. AND CLIENT AGREES TO MS (ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL). INITIAL HERE: 1; THE INTERNAL RE4ENUE SERVICE DOES NOT REOUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION REQUIRED TO AVOID BACKUP WITHHOLDING, AND, IF APPLICABLE, NE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-U.S. PERSON AND OBTAIN A REDUCED RATE OF WITHHOLDING. Important Information for ERISA employee benefit plan clients: U.S. Department of Labor regulations require DBSI to disclose to a responsible plan fiduciary certain Information in connection with the services that DBSI provides toe plan, to assist the fiduciary in evaluating the reasonableness of DBSI's service and related compensation. The disclosure is available online, et Mtp://www.pwm.db.corremerices/enerisa_disclosure_pcs.html. By signing below, you acknowledge that you are a fiduciary responsible for the procurement of DBSI's services to the plan, you have read the disclosure and you understand the disclosure. Individual or joint account (IF THIS IS A JOINT ACCOUNT, ALL ACCOUNT OWNERS MUST SIGN): CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES 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 accounts) and business relationship with DBSI. CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES. CLIENTS SPECIFY INSTEAD: O Tenants in common; or Community Property (for married couples in certain states; each spouse retains 60% interest in the community property upon death of the first spouse). Signature Date Print Name SSN/EIN Signature Date Print Name SSN/EIN Signature Date _ Print Name SSN/EIN Corporation, partnership, trust cc other entity: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES 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 eccoungs) end business relationship with DBSI. Furthermore. Client confirms that the necessary information (to the best of Client's knowledge and capabilities) S made available no less than annually to the relevant beneficial owned.), aettlor(s), beneficlary(ies), partner(s). etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such parson(s) in connection with Client's business relationship with Jeepers. Inc 66-0629193 Marne of Entity Employer ID No. Signature of Officer, Partner. Trustee, Authorized Pa Date Print Name/Tule Jeffrey Epstein c, a<KI. Signature of Officer. Partner, Trustee. Authorized Party Des Print Name/Tule Signature of Officer, Partner, Trustee, Authorized Party Date Print Name/Title 13-AWM-0186 7 012146.032013 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0105858 CONFIDENTIAL SONY GM_00252042 EFTA01450304