EFTA00238542.pdf

*UBS Client Authorization I authorize UBS Financial Services Inc and its processing institutor, (the • Processing Bank') to initiate the types of transactions indicated above (inducing adjustments for any entries made in error) to or from my account(%) listed above, and authorize the depository(ies) named on my authorized External Account(s) or UBS Financial Service Inc. to debit and/or creel the requested transactions to my accounts. I authorize LIEIS Financial Services Inc 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 fACH) debit and credit entries. I understand when I authorize a withdrawal from an authorized external account to pay my UBS credit card, 1185 Financial Services will abate an electronic funds transfer from my authorized external account and make a bar payment to UBS Bank USA I understand these instructions will reman in effect until vas Financial Services. inc. has receteed written 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. If I dose or change any account listed above. I will promptly notify UEIS Financial Services Inc. of this change. I authorize UBS Financial Senates Inc. at its discretion to discontinue the electronic funds transfer and bill payment service from any accounts listed above if I fail to maintain adequate funds in such account(s) to cover my requested transfers or payments. AN electronk funds transfers vall 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 Gi+tsL.PeiN M Abt y Mrh? Account Holder First Name Last Name ure Doe 0 Account Holder First Name Last Name Account Holder Signature Date 0199903095 AC-FT (Rev. 09/16) 030161/05 Financial Services Inc AA rights reserved Member SIPC Page 3/4 CONFIDENTIAL UBSTERRAMAR00003154 EFTA00238542