Account itle and Joint Application Information ttre Name o ount Tirir Joint Applicant (last name. fi usiness (last name, first name. middle initial) Socal Secur tD /4 0 Addres City. S Mom SuSiness e p umber Ouct1491. /3 SVJ Cf9 ! I31 -01.3ftftlIc able um Socialcaw6N Number;TiaxpayerT514umbii"-- ''' Addrini Date of Binh Name& Employer Address City, State and Zip Code pis icit e dema* City, State and Zip Code Home Telephone Number Business Telephone Number Data of Birth Name of Employer Address Notice of Customer Identification Policy City. State and Zip Code Important Information To help the government fight the funding of terrorism and money laundering activities, Federal law 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 rules 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. soon:eat funds and. if necessary, 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 notify us of the cha