UBS Authorized Agent/Dual Signor Addendum UBS Financial Services Inc. Account Number TIN To add an additional check user on the Resource Management Account' (BMA') or Business Services Account Bse, complete the Authorized Agent for RMNBusiness Services Account BSA Check Writing and the Account Holder Certification sections. To remove an authorized agent, complete the Authorized Agent Removal and the Account Holder Certification sections. If the duaksignature option is selected on the Account Application, complete the Dual Signors for RMAA3usiness Services Account BSA Check Writing and the Account Holder Certification sections. The Account Holder must sign the Account Holder Certification section located on the next page. Authorized Agent for BMA/Business Services Account MA Check Writing Each additional check user (who is riot a minor) named below is appointed an agent to me, unaffected by my subsequent disability or incompetence, to effect checking transactions m my designated UBS Financial Services inc. account. As indicated below, the additional check user is authorized to act on my behalf to write checks for the payment or withdrawal of funds drawn on the designated UBS Financial Services Inc. account or payable to me and bearing the signature or signatures now or hereafter authorized by me without limit as to amount, without inquiry and without regard to its application UBS Financial Services Inc. will send all confirmations, notices, demands, statements and other communications regarding checking activity in the designated UBS Financial Services Inc. account to me. IRS Financial Services Inc owes no . . . obligations to additional check users and may, but is not required to, act on instructions or respond to communications from such additional loop • . . - users • • . • • Agent First Name last Name Date of Birth 59 • - Country of Citizenship USA K Other (specify): PassportKedula: Address Line Address Line 2 United States