EFTA01392922.pdf

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. Sar ng (K, EN sziegrait 14$0040 100.64/AirkANDAI.E14 .111M1I.filnWHIgFietaii:01 NW.9 impv4.5 tetittaritc.e THE INTERNAL EVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION REQUIRED TO AVOID BACKUP VATHHOLDING, AND. IF APPUCABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-U.S. PERSON AND OBTAIN A REDUCED RATE OF WITHHOLDING. Important Information for ERISA employee beret plat clients: U.S. Department of Labor regulations require DBSI to disclose to a responsible plan fiduciary pertain 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 Salad compensation. The disclosure Is available online, at hnp://wwwpwm.db.corn/amolcashinferisa_disdosure_pcsteml. By signing below, you acknowledge that you are a fiduciary responsible for the procurement of IMISI'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 solo responsibility o fulfill any tax obligations and any other regulatory reporting duties applicable In any relevant lurisdictions that may arise In connection with assets, income or transactions in Client's accoundsl and business kinship with 089. eRt6 3145§C011talMeit40.16ratft . 437.00ACC9litkniatiri - 00513000031ittoVIEVANISW4113rearFOES 41Etas-?stecWatasixtel'; D Tenants in common: or O Community for married couples I ins pouse reams 50% tritest in the community property upon death of the first spouse). 'sorrow. taw, 9 — 090-44-3348 olikw04 EP•8081 SSAIN) Signature Date Print Name SSWEIN Signature Dare Print Name SS': E N , . . .. Corporation, partnership, trust or other entity: CONFIRMATION OF TM AND COMPLIANCE RESPONSIBILITIES Client acknowledges having sole responsibility to fulfill any tax cbigatiom end any other regulatory reporting duties applicable to in any relevant iwisilictreaS that may ante in connection with assets. income or transactions in Client's accounts) and business relationship will 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 ovmerlal, Sehlor43), benellciaiy(ies), panned.). etc. to enable such person(s) to fulfill any respective tax obligations Mat may arise for such personisl 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 Party Dale Print Name/Title Signature of Officer. Partner, Trustee. Authorized Party Date Pnnt NarnetTitle 12.PWM.0573 7 012145 011113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098237 CONFIDENTIAL SDNY_GM_00244421 EFTA01392922