EFTA00237763.pdf

From MARKS PANETH LIP 212 201 3277 01/22/ 2016 10:00 N024 P 001/001 SOS Financial Services Inc. UBS Account Number Authorized Agent/Dual Signor Addendum To add an additional check tiler on the Resource Management Account' (M4A"; 01 Solana% Seances Amami Eiste. complete the Audexized Agent fo RmAilltusiness Sews Account BSA Check Writing and the Account Horde. Certification sections TO remove an authOntect agent. complete trie Authorized Agent Rernwal and the Account Made( Certification sections If the dial signature option a selected on the Account Application, convict the Dual Signors for RMAiBunness Ten.xes Account BSA Check Wining and the Account *Ade: Cenificabon sections The Account Holder must sign the Account Holder Certification section located on the next peg*. Audiotized Agent tot RIANtlueness Services Account BSA Check Wilting Seth additional check user (who is not a move named below is appointed an agent 10 me unaffected by my %Influent disability a exceicetanca, to effect awning transactions in my designated UBS Financial Semen Inc account As indicated below, the additional check user is authorized to act at my behalf to mite checks for the payment or withdrawal of funds drawn on the designated U8S Fianna' Services Kt account Of payable to me and bearing the signature or signatures now or hereafter authOliZed by me without rind at to amount. *school Induce and without need to lb aPOlketion WS Financial Services inc will Send at coneimations. notices demands, statements and other comMuneations regarding checking activity in the designmed t.:85 Financial Services sac account to MO MS Financial Services inc O&M no obligations to additional check uses and may but is not loomed to, act as initiations or respond to communications from such additional users • • , Agent frost Name Last Name Dale of 8wth T9 Owl ' .•• Country of Citizenship USA Other ltreedy) fervor/Cog/la ieig United Slates of America cry StaleAkorince ZA u e Country k one Additional fees may *Cry Please sae New Account booklet for denies Sign Here only if adding unauthorized agent ti) Agent first Name Last Name Agent Sign/hate Dale Authorized Agent Removal for BMA:Business %Mks Account BSA Check Writing If you are term:SAN an authorized agent, please pons the name of the agent you ale reining below Specify Name Only it removing a. agent Agen: lit Name Lett Warne 01594186271 II •RW Fr. 'On 5: 01015 UBS firtanoa Sersxes Iry Ail ng/itS iearsed Member SIFC Page i 2 CONFIDENTIAL UBSTERRAMAR00002184 EFTA00237763  UBS Authorized Agent/Dual Signor Addendum Dual Signors for RMA/Business Services Account BSA Check Writing Dual-Signature checks require two signature at all times. I! you are designating mote than two signors and you would like one of the signors to be required, at all times, please checi 'Required' next to the signer's name. Only one individual can be a required slump. If you rfn not designate a required signor, please specify all signors as optional. If the individual designated below is not a Ulli5 Financial Services Inc. client et account holder, authorized agent, pOWC-f of attorney, etc ) also complete the Authorized Agent for RMAigusiness Services Account EISA Check Writing section above. O Check here if you do NOT want UBS Financial Services Inc. to order new dual signature checks. If checked, you will be responsible for obtaining checks with dual signatures. U95 Financial Services Inc. wit! not aciept single signature checks. Dual Signor First Name Last Name Dual Signor First Name Last Name Specify the type of signet.. O Required O Optional Specify the type of signor: O Required LI Optional Sign Here only if adding a Dual Signor Dual Signors Signature Date Dui€ Signor's Signatwe Date Note: You must complete and sign a new addendum to add, remove or update dual signors UBS Financial Services Inc will rely on the most recently dated addendum to supercede and replace any other previous dual signor addendum on fore Account Holder Certification ey signing below, I UNDERSTAND. ACKNOWLEDGE AND AGREE that I have reviewed ail of the information contained in this addendum and I declare it as true and accurate and (2) UEIS Financial Services IrK is authorized to rely upon the authority conferred by this document until SIBS fE,111C.i.e Services Inc receives an updated copy of this form revoking or modifying this addendum 1:1 110 Ghislaine Maxwell X -IC_ Account Holder First Name Last Name Account tieder Signature Date Account Holder Test Name last Nara Account Holder Signature. Date 0159442762 AC-RW (Rev. 10/15) 1041110111 O20'5 (IRS Financial Services Inc All rights reserved. Member SIPC. Page 2 CONFIDENTIAL UBSTERFtAMAR00002185 EFTA00237764