📄 Extracted Text (1,128 words)
UBS Financial Services Inc
UBS Aor ount Number Y 123576
Electronic Funds Transfer Service
Permissions for Non-UBS Financial Services Inc. Accounts (*External Accounts')
omplete the information below to make transfers to or (corn your accounts at financial institutions
other than UBS Financial Services Inc
To authorize Urn to initiate withdrawals from an external account. please complete the information
below and attach a voided check
(for checking account) or a deposit slip (for savings accounts) If neither is available a silent statement
or letter Ur, bank stationery
confirming account tine, account number, and ABA routing number is sufficient.
NOTE. To initiate withdrawals from an external account that you have authority over, but is titled
differently, a signed Letter of Authorization
from all other account holders is required
External Account Mforrnation
Welts Fargo
Name of Financial Institution
ABA Routing Number Account Nunber
Account Type O Savings regf Checking
Financial Institution Telephone Number For a money market account. select 'Checking' account type.
Account TinerName
External Account Permission: (select as that apply)
Select all types of transactions that you authorize 005 to initiate upon instructions from authorized
persons
Instructions may be given through a UBS representative, UBS Resource Line, UBS Online Services on this form
subject to verification (5100,000
maximum via ResourceUne. $1,000.0O0 maximum via UBS Online Services)
Z Deposit to External Account O Withdraw from F xtemal Account (including Withdrawals to Pay tins Credit Card)
Permissions for other UBS Financial Services Inc. Accounts (Internal Account')
Complete the information below to make transfers to or from other UBS financial Services Inc accounts
N(123576
UPS Financial Services Inc. Account Number
Ghislaine Maxwell
Account Tale/Name
Internal Account Permission: (select all that apply)
L7 Deposit to authorized internal account O Withdraw horn authorized internal account
Allow UBS to Initiate 'On Demand" Transfers to or from Accounts upon Verbal Authorization:
By signing below, you authorize U8S Financial Services to accept verbal authorization from any person with authority
over this Account to
initiate 'On Demand- transfers to or from any account listed above up to $500,000.00 (max amount 5100.000 if left blank)
This authorization will remain in effect until cancelled by a person with authority over this Account You must
also select one of the Account
Permissions above
D Decline on Demand Transfers. Check the box at left if you do not wish to allow verbal authorization for MS to initiate
transfers to or
from accounts listed above
Branch Initiated Transfers require the client's verbal consent for the branch to initiate the transfer and are limited
to the External Account
Permission selected for that account
Fill out the below for recurring transfer/payment instructions
Payment Type Starting Process End Date krequrir Amount Bank or RMA Account
Date Number
ACCOtint Title
0181024221
AC-FT (Rev. 06/16) O2016 UBS Financial Services Inc All tghts reserved. Member SIPC Page I
CONFIDENTIAL UBSTERRAMAR00002923
EFTA00238314
UBS
Payment Type Starting Process End Date Frequency AM0unt flank or RMA Account
Date Number
Account Title
Fill out the below for one-lime, transfer/payment instructions
Payment Type Starling Process Amount Bank or RMA Account
Date Number
Account Title
Payment Type Starting Process Amount Bank or RMA ACC0unt
Date Number
Account Title
Payment Type—Indicate whether transfer is a withdrawal 'Yr from your External rx Internal account or '0' deposit to your External account
' for withdrawals to pay your VBScredit card. Payment type must be indicated for each transaction
Starting Process Date—Enter the Process Date that the DepositrWithrlawatcCredit Card Payment should be initiated. For recurring
vothdrawals to pay your VBS credit card, valid Process Dates are between the 10Th and 20Th of the month
End Date—Fitter an end date for the final Deposit/WandrawaVflayment The final transactions will profess on this date
Frequency for recurring payments only—Enter one of the following Weekly* Biweekly, Monthly. Quarterly, Semiannually or Annually. roc
sitthdrawals to pay your UBS credit card enter Monthly
Amount—Enter amount you wish to have depositeckWithdrawn for each instruction listed for withdrawals to pay your MS credit card enter
Statement Balance. Minimum Due, or a letegiligjacienourit.•
Bank or RMA Account Number—indicate the bank kredlt union account number from which you wish to make depo&ts/mthdrawals or the
RMA account number you wish to make deposits to or withdrawals horn.
Bank Name or RMA Account Title—Indicate name of bank/credit union or the RMA account you wish to male deposits to or withdrawals
from
'NOTE For withdrawals to pay your VB$ credit card: If your Minimum Payment Due for any month is greater than the Fixed Payment Amount
you selected, you authorize us to deduct that Minimum Payment Due instead if your Statement Balance for any month is less than the Fixed
Payment Amount you selected, you authorize us to deduct that Statement Balance instead
0181024221 I
AC-ET (Rey 09167 O2016 UBS Financial Services Inc All sthts reserved Member SI CC Page 2 .
CONFIDENTIAL UBSTERRAMAR00002924
EFTA00238315
UBS
Client Authorization
I authorize LIDS Final midi Services Inc. and its processing institution (the 'Processing Bank') to
initiate the types of transactions indicated above
(including adjustments for any entries made in error to or from my accnixit(s) listed above, and authorize
the depositorylies1 named on my
authorized External Accounts) or UBS Financial Service Inc to delta and/ca credit the requested transactions to my
accounts I authorize URS
Financial Services Mc and the Processing Bank to make changes and/or cancellations to transactions requested
by me I further acknowledge
that electronic funds transfers under this authorization may be processed as automated clearing house
(ACH) debit arid credit entries
I understand when I authorize a withdrawal trom an authorized external account to pay my IARS credit card.
UBS Financial Services will initiate
an electronic funds transfer from my authorized external account and make a bill payment to IJEIS Nark USA
I understand thew instructions will remain in effect until UBS Financial Services, Inc
has received smitten notification from me of termination or
modification in such time and manner as to afford UBS financial Services. Inc. a reasonable opportunity
to act on it It I close a change any
account listed above, I will promptly notify LISS Financial Services Inc. of this change
I authorize UBS Financial Services Inc at its discretion to discontinue the electronic funds hamlet and bill payment service from
any accounts
listed above if I fail to maintain adequate funds in such account(s) to cove my requested transfers or payments All electronic
funds transfers will
be initiated in accordance with this authorization and the terms and conditions governing my
Account I acknowledge that the initiation of
electronic funds transfers must comply with applicable U S law.
Ghislaine Maxwell
Account Holder first Name Last Name Account Horde Signature
0 Account Holder First Name last Warne Account Holder nature Date
0181024221 1
At -1.1 (Rev 0916)
if
02016 UEIS Financial Services Inc. All ights reserved Member
CONFIDENTIAL UBSTERFtAMAR00002925
EFTA00238316
ℹ️ Document Details
SHA-256
cbdf43c5a4260845b68262b1d5ce3848e1f1a6246f11279dd684770ff3ee861a
Bates Number
EFTA00238314
Dataset
DataSet-9
Document Type
document
Pages
3
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