EFTA Document EFTA01450291

BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT: (1) CLIENT HAS RECEIVED, READ, AND AGREES TO THE TERMS AND CONDITIONS OF THIS ACCOUNT AGREEMENT, INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION; AND 12) THE INFORMATION CONTAINED IN THIS ACCOUNT APPLICATION IS ACCURATE. 'CLIENT ACKNOWI EDGES THAT THIS ACCOUNT AGREtti4 A E ARRITRATiONCLAIJSE AT SECTION It PAGE &AND CLIENT . . 9KOREES TO ITS TERMS (ALL ACCOUNT AGREEMENT Si. THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENT'S CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION REQUIRED TO AVOID BACKUP WITHHOLDING. AND. IF APPLICABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CUBIT'S STATUS AS A NON-US. PERSON MID OBTAIN A REDUCED RATE OF WITHHOLDING. Important Information for ERISA employee benefit plan clients: U.S. Department of labor regulations require DBSI to disclose to a responsible plan fiduciary certain information in connection with the services that DB& provides to a plan, to assist the fiduciary in evaluating the reasonableness of DBSI's services and related compensation. The disclosure is available online, at http://www.pwm.db.com/amerkas/enterisa_discknurejxs.html. 8y signing below, you acknowledge that you are a fiduciary responsible for the procurement of DBSI'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 sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable in any relevant jurisdictions that may arise In connection with assets. Income or transactions in Client's account(s) and business relationship with DBS1. CHECK A BOX ISELOWONLY CLIENISDONOT WANT JOINT TENANT EINTS SURVWORStliP OR TENANTS BY.111E ENTIRETIES. CLIENTSSPECIETINSIEAC9 O Tenants in common; Dv ElCommunity for marled couples oaths; each spouse retains SO% erest in the community property upon death of the first spouse). -://71$ Signature Data Print Namej • Entehl SSN/EIN Signature: Date Print Name SSN/EIN Signature Date Print Name SSIWEIN Corporation, partnership, must or other entity: CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to in any relevant Jurisdictions that may arise In connection with assets. income or transactions In Client's accountisl and business relationship with DBSI. Furthermore, Client confirms that the necessary Information (to the best of C€ient's knowledge and capabilities) is made available no loss than annually to the relevant beneficial owner(s). settiorls). beneficiary(ies). partner(s). etc. to enable such person(s) to fulfill any respective tax obligations that may arise for such person(s) in connection with Client's business relationship with OBSI. Name of Entity Employer ID No. Signature of Officer. Partner. Trustee, Authorized Party Date Print Namenitio Signature of Officer. Partner. Trustee, Authorized Party Dm° Print Name/Tato Signature of Officer. Partner, Trustee, Authorized Party Oslo Print Nameflitle 12.PWM-0573 7 012146 011113 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0105843 CONFIDENTIAL SONY GM_00252027 EFTA01450291