t3--ff ,TAs v kce 717, 1110 8/012cf, Application Wormation Joint Applicant mess (last name, first name, middle initial) Social mbar K xx", .. Social Security Number a Taxpayer ID Number Ca /4 •Scx-r.o6 F/r-Itc.- Address 43 "1 Zip cable City. State a ZipCode" City, State and Zip Code Date of Binh Address Home Telephone Number Business Telephone Number Date of Birth Name of Employer Name of Employer Address Not applicable Address City. State and Zip Code Cary, 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 moans 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 thew 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 of 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 chants would be obliged to immediately notify us of the change(s) and provide us with relevant documen