Account Thee and Joint Application ,Inforrnation +k 4 ILN) Wine of Account Tats east na Seal7"4"unsragactelt ber can Atif 6H 12SA P";;;:urlpi az. New tea . NY niCti,5 Addaw, °tit NY boobs Ck sty Horne e Done um r Date Nes Lix- "am"' EtCitett ViSkit Address Address &y NY 10021 ca,y, Suite and op Cods CM. Suite end Zip Code Home e one um er Name of Employer Sr& Dena r Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law requires all fininlet institutions to obtain, verify, and record information that identifies each person who establishes an account, inves ment or other business relationship with a financial institution. This means that we will ask for your name, address, and od air information that will allow us to identify you. We may also ask to see identifying documents such as a Certificate I • formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd Ell Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against money lau • 'forint' and terrorist financing; these rules call for an active involvement of both asset management firms and their client For new and existing clients we currently have a legal obligation to ask our customers questions regarding their ident lies. addresses. source of funds and. if necessary, legal representatives, authorized signatories, beneficial owners or co itrol structures and to collect requisite documentation to substantiate the information. Also, enhanced antimony late feting requirements require that should any of the above personal or institutional information change, our clients would :4 obliged to immediately notify us of the change(s) and provide us with relevant documentation to verily those char ,,es. Telephone, Facsimile or Email Instructions By signing below, you agree tha