Ace* Title anboint Application Information L4 mt LI- C.- rit Na of ACCalflt Tale t past b-Ei of Birth at b a or Birth Address t 51" , Mot l eys &Sy/ _NolaDIBICable City, Slate and ip Code Name of Employer Address City, State and 29 Code City. State and Zip Code Notice of Customer Identification Policy 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. end other information that will allow us to identify you. We may also ask to see identifying documents such es a certificate of formation or good standing (legal entries) or a passport or other photo identification (individuals). 3rd EU Notice Joint Applicant Best name, first name, middle initial) Name of Employer Not applicable Address 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. source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners ortontrol structures and to collect requisite documentation to substantiate the information. Also, enhanced antimoney 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 change(s) and provide us with relevant documentation to verify these changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you