) Ace unt Title and Joint Application Infor ation I &teen ir. fitlybk &LC- Nam of Account Tale Joint Applicant (last name-first name, middle initial or Business (last name, first name. middle initial) Social Security Number or Trips er ID Number Social Security Number or Taxpayer ID Number rr~yf•X“-) A.e. 1 1".±.-- get cl< lee Addiess Address City, to an Zip Code 3-7 ° Notanallcable City, State end Zip Coss H Home Telephone Number Business Telephone Number Business Telephone Number Date of Binh bate of Binh Name of Dictator Name of Employer Address Address Not applicable City. State and Zip Code City, Stale and Zia 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 identity you. We may also ask to see identifying documents such as a certificate of formation or good standing (legal entities) ore passport or other photo identification (individuals). 3rd al 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 crients we currently have a legal obligatioh 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 perso