EFTA Document EFTA01392746

t i. Account Title and Joint AtiplIcatibil Mlurrriatioii Southern Trust Compea, ge . Name of Account Title past nem% first name. inirldbi initial) or Nelms Jai* Applicant eirstrianii, trio mine: SOCIBISSConly Number ortaxiamier. lD Number 5990tS, OPfliy.NAribsr:Or TisonYor.RNUrnber- 11r 204-Itt4t;;:: t odivw .. • raverrwity nowerrerre•-e. • ' City. tit . tiornoteliphorte Number Svs .arisssetaphone Number Home Teisphonii Nucktbe. '' es Mime OtEmployer souposs sNo.ivnisempet p,t;c4rii,'"" 2-I .77'C ": • • Nemo of Employer Address • Address ptleat tV est.• .4 • . • . • •iia.2id sg • . . . . . Notice' IdentilitstiOn Policy • •• • . . •.. •.• •. . . :'Impertantinforenatfori To help the giivirriment fight the handing of terrorism and money liiinderingactivities Federal lairinictuinis 'dithers:id Institutions to obtain; verify.:end record information that identifies each person who eltabliihes an account, inyeatrisint:Or other bueiness relatiOnsiiki with a financial htstittiticin: This means that irve.Wiliesk toryOUr name: address, and other-- information that will allow us to identity. you. We maialso ask to misidentifying document, Such 95:9 certifaeate of fonnation or geed Standing 'Begat entities) ore plesprinbr OtherphotoprintificatientindiVidualst :3rd €U Notice . . . . . . •Gawernmentafrules.have abet broadened the scope of the..lank's obligations to aid in the fight against money laundering and terrorist financing: these:nips call for an active Involvement of both asset- management firms end then:dein*. For nowe nit existing clients wecurrently have s legal obligation to ask our.cusiorners questions regarding their identities. addresses, source of Nada and; iii ecessaArehigitsepresentetives; authorized signatories, lieneficiM owners or control • joust Ines end to collect requisite documentation to substantiate the information:Also enhanced anti-money ieundering reMiirerneldelequirethetatiould any Of the'sbOve Personal Oi inset/don& information change. ctn. alients woutd be -obliged to• Immedjetely notify us of thechange.(S) and proeide.us.with relevant documentation to verify these changes. • .. • . •. .•.•. Telephone; Facsimile .or Email Instructions By signing', below. you agreeThepfrom limeloilme.YoubtO give Instructions bytebathona.fecsimiteor email regarding the abciVe captioned acCOUrldS). (defined herein is -Verbal Instruction"). It is understood that the.risit of Verbal theiructIons being given. by person or persons Rumor:led tb be you is .yistir Own. Absent the gross. negligence or:wiliful Misconduct of Gouache Bank Trust Company Americas (DBTCA)..you agree toindeninifrand hOktherrniess OBTCAlor any Cain** loser*: exprinsee. 'Mists attorneys feelinitivliingfrOrn OBICA'S eating Upon such misuArierttood and unauthorized Verbal Instructions: You understand that OBTCA may, but shall not berequired to,.sookveritieetien of your verbal. facsimile of email instructions by callitabIC In case of doubt, OBTCA may in its Sole discretion rehisettiexectite iota verbal Instructions or any, gam: thereof, without incurring any liability. DMA.* under no obligation to execute your yetbalhistnicitionsto transfer fonds or securitise.toony.ecaiont(p)withoin Written inStructiOne bearing your original signature, Joint AcCoOnt Disclosure. . You have:opithede jothiliocdtirre with DtildA and acknowledge 'receipt of the following information: Titre deposit and any additlonsio the account shall'bosomed* progeny of: ach owner as pint tenants, and UBTPAptay relapse the entire account to any owner during the lifetime: l allowns* DBTCA may Moor aheekA•prders or withdrawal requestSfrom any owner during theBreath* of all owners. The Bank may be required by service of legal process to remit fundsheldin the joint account to satisfy a Judgment entered against, or other valid debt incurred by any owner of the account. Di3TCA mayhonor checks. Orders0 withdrawal requests from the survivorfalefle.the dezith of any oivnerfsland coney treat the seethed. as the sole property of the survivonal after the death of any owneds)::Unleis D8TCA receives written notice signed by any owner. nOtio pay or deliver any Pint deposit or addition or secnial,.DaTCA shall not be liable to any owner for 'continuing to honor checks:orders or withdrawalrequests:from any owner: After thareatipt of the noticereferred to' in the previous sentence. OBTCA may require the written authorization of any or all joint oWnerelfor any further payments or deliveries. 2 13AW140101 013959.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0098013 CONFIDENTIAL SDNY_GM_00244197 EFTA01392746