Account Jitl and Join)! Application Information Name of A oust ritle bast --me. 1:•-• hame. nii Socialiecurity ei Address a 059 7- Address eir Mums okappfleabEe City, State and ij , n3 Joint Applicant st name, first name. middle initial) I Security Number or Taxpayer ID Number City. State and Zip Code Home Tele hone Number — .- - Nome Telephone Number Business Telephone Numb* Business Telephone Number T.W8inh Name of Employer Oats of Birth Name of Employer Address Na applicable City. State end Zip Code Notice of Customer Identification Policy Address City. Stare and Zip Code Important Infourintion To help the government fight the funding of terrorism and money laundering activities. Federal taw requires all financial institutions to obtain, verify, and record information that identifies each person who establishes an account, investment or other business relationship with a financial institution. This means that we will ask for your name. address, and other information that will allow us to identity you. We may also ask to see identifying documents such as a certificate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental lutes have also broadened the scope of the Bank's obligations to aid in the fight against money laundering and terrorist financing; these rules call for an active involvement of both asset management firms and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and. it neCessery, legal representatives, authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements require that should any of the above personal or institutional information change, our clients would be obliged to immediately noti