EFTA01392651.pdf

Account Tine and Joint Atipticatide Mlurrriation Southern Trust Compla, tut . Name of Account TOM Jai* Applicant rst name. stiddhtindisit or BOO'S ditsfolurii, grid mint midrib inidse t Social Security Ntirnbeir or:TaxdstsC ID Number' i. s3901.S69I1OtyNArlbar:.9r•TSVIIIIIrpNo.rrw- . . _ agftaftlf-004 4..0t;;;::::3-. „ • 0,0dron. City,Stitte dud ZIS Code City, twee 27 Per dbere- 'I.e n." ..- rent 7,-,4t-rftn Haino•relibnon0gusher Home Telophonii Nucktbsci '' — filutiriessi'st°[ hone Number Burma* ..4,01,90ohlternefit " • ". Mime StEmployer Nttme ol•Ergoloyet Address • Address tpittlestils •ti• t.. .z. • . • . . •• •• . . . . . Notice' •. • • • . IdentilitstiOn •.. •.. •. . . Policy :rmpertent(nforynatfori To help the giivirriment fight it* handing of terrorism and money tiamderingactivities, Federal iseirequinis all finahGal Institutions to obtain; verify: and record information that identifies eaCh.person who mitabliihes anactrizunt investment Or other business relationship with a financial iitstittiticin: Thismeans that irreWiliesk foryOUr name: address, gild other-- information that will alloW us to identify.you. We maialso ask to misidentifying documents such 63:a certifaeate of Prination or geed Standing 'Begot entities) ore plespiin* Otherphistoidentihr-atien findiVidualsi :3rd €U Notice . . . . . . •Giwernmentafruies.have stab broadened the scope of the..lank's obligations to aid in the fight against money laundering and terrorist fineneing: these rules call for an active Involvement of both asset-management firms end theiCclitinss. For ACW:anit existing clients wecurrently have s legal obligation to ask our.cusiorners questions regarding their identities. addresses. source of Node and; WileCtiSetarifOuigiffifiXOSefitilliVeS; authorized signatories, lieneficiM owners or control • Structures end to collect requisite documentation to Substantiated* information:Also enhanced a ntlInoney laundering rethiirefnelualequire.theiStiould any of the'sbcive personal or institutional information change. our Silents would be -.obliged to •immediately . • • of thischangels) and proeide.uswith releVapt documentation to verity these changes. notify us •. .•.•. •_. Telephone; Faositi-iiie Dr Eitail Instructions By signing:609w. you agree thaphom limeloilme.YouffiW give Instructions byte%phone_facsimiteor email regarding :the abOVe ceptioneO accounts)(defined herein is -Verbal Instructions").It is understood that the.risit of Verbal Instructions being given by person or persons spooned tb be you is .yisur Own. Absent the grOss.negitgerice or willful Misconduct of Gouache Bank Trust Company Americas (DBTCA)..you agree toindeninifY•anO hOlit harmless DBTCA,for any cairns. lossea; aspens/Lt. 'Costs orattorneys' feel•rtitiviiingfrOrn OBICAre actingUpon such misuriderttoodand unauthorized Verbal Instructions:You understand that OBTCA may,but shin not brerequired sook.sierifieetion of your Verbal. facsimile of email instructions by call.baeLln case of doubt, OBTCA may in its sbie discretion rehiselbexectite your Verbal Instructions or any,pan,' thereof, without incurring any liability. DMA.* under no obligation to execute your yerbalhistrtiotionsto transfer fonds or securitisatoony.ncuiprit(p)syqhoirt Written initructiOns bearing youroriginal signature, Joint AcCoOnt Disclosure. . You haveOperied Joint tiocdtirri with DtileA and acknowledge receipt of the following information: This deposit and any additionsio the raccoons shall'become progeny of: ach owner as pint tenants and UBTPAntay relapse the entire account to any owner during the lifetimeOf an.owns* DBTCA may honor eheeks•orders or withdrawal requests,from any owner during thetifadme of all owners. The Bank may be required by service gf legal process to remit fundsheldin the joint account to satisfy a Judgment entered against, or other valid debt incurredby, any owner of the account. Di3TCA mayhonor checks. orders-of withdrawal requestsfrom the survivorfsleher the death of any Myneffsland coney treat the ecemint as the sole propertyof the survivonal offer the deathof soy ownens):: Unleis D8TCA receives written notice signed by any owner. north pay or deliver any Pint deposit or addition or secniat.DaTCA shall not be liable to any owner for 'continuing to honor chgcics,:olders or withdrawalrequests:horn any owner: After thereceipt:of the noticereferred to' in the previous sentence. OBTCA may require the written authorization of any or all joint mrmerallor any further payments or deliveries. 2 11AW140101 013959.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0097911 CONFIDENTIAL SDNY_GM_00244095 EFTA01392651