Accotarn Title and Joint Application Information HARk- A 550 (4,*, 7-4t.< • Name of Account Title (test name, first name. middle initial) or Business Joint Applicant (last name, first name, middle initial) __....._ Social Security u er or axpayer umber Social Security Number or Taxpayer ID Number Address SI< Ce...rext ioAl At. ,Le -- ilk} Rot_ Address H. O Lcidn TEI_Notionlicable City State Zip Code City, State and Zip Code Bus DWei -774 Birth 'bla l Birth Name of Employer Name of Employer Address Address Not applicable City. State and Zip Code Cam State and Zip Code Notice of Customer Identification Policy Important Information To help the government light 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 identify 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, source of 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 woul