Account Title and Joint icati Joint Applicant (last na or Business (last name, first name, middle initial) Le‘-, Name of Account Trtie Socceipcuratr itclAxpeo iDAufrn ( V ft , b4ZeitC-- Social Seaway Number or Taxpayer ID Number Address " S.- C-Sncett iz ft WilUt t,--r4/11-fi Ldress .. Al A":1 1 # 12.1.2___Not.aoolICablit.-- City, State a Zip Code City. Stale and Zip Code Business Telephone Numbe ate of Binh Horne Telephone Number Business Telephone Number '(Sate of nh Name of Employer Name of Employer Address Address Not applicable iC ty, State and Zip Code City, Sate 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, and other information that will allow us to identify you. We may also ask to see identifying documents such as a centlicate 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 (inns and their clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, sourco 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