EFTA00237761.pdf

*UBS UBS Financial Services Inc. Account Number TIN Authorized Agent/Dual Signor Addendum To ado an additional check user on :he Resource Management Account IRMAI or Senriott Account BSA', complete the Authorged Agent tor RMArRtnintss Services Account BSA Check Writing and the ete(Ouril nification swoons To remove an authorized agent. complete Me Authorized Agent Removal and tie Account Holder Conificaton sections. if tne dual.vgnature option Application. compkte the Oa Signors roe RMA43usinen n selected on the Account The Account Holder must sign the Account Holder Sewn ACCMMI BSA Check Writing and the ACC.Xselt Holder Certification sections Certificadon section lowed on the nets page. Authorized Agent far AMA/Business Services Auount BSA Check Writing Each additional check use (who n not a ninon) named below a appointed an agent to me, unaffected by incompetence. to effect checking transactions my subsequent &ability or in My designated ()BS Financial Services Inc.account As indicate user is authorized to act on my behalf to WM., (belt .0f the payment or witithavial of funds drawn d below. the additional check Inc. account or payable to me and beefing the on the detonat signature or signatures now or hereafter authorized by me without ed U8S Estancia! SeniCes inquiry and %Getout regard to its appkati lend as to amount. without on U8S Financial Services /no WI send all confirmations. notices, tOntenunkatiOna regarding checking demards. statements and Other the cleognated UBS Financial Services Int account to me 1./BS Financia obligal•ons to atatiartal check users but it not requeXt to. Kt on inStruCtens or respond to l Senates Inc. ones no users communications from such additional Kushner •, Agent fest Name . . Date or kin sse • . • L ow of Cita Passport/Cedule . • , • Adores in 1 Address Line 2 : •: • • United States of America SteterProvirxe stet old Country ForneWone Additional fees may apply Please set New Account bookie' for details Sign Note on:, it adding an authorized agent Robert Kushner cc )/46 7 Agent Past Name tail Name Agent Crude Dale Authorized Agent Removal for RMA/Business Services Accoun d you are term:who an authorized agent, please t BSA Check Writing 0601 the name of the agent you ere menneing below Specify Name only if removing an agent Aden', first Name lair Marne 01594427621140. AC.Pw rite. ICul O20:5 UBS li1M1:41SeftCOS rn< (.9mt TeleNeC ‘.40?frIber PC Pay t 1.2 CONFIDENTIAL UBSTERRAMAR00002182 EFTA00237761  UBS Authorized Agent/Dual Signor Addendum Dual Signors for RMA/Business Services Account BSA Check Writing Dual-Signature checks require two signatures at all times. II you are designating more than two signors and you would like one of the signors to be recroged. at all urnes, please clear TP.ergarecl' next to the signor's name Only one individual can be a required signor. II you do not devgnale a required signor, please specify all signors as optional. l the individual designated below is no1 a 1.1135 Financial Services Inc client (le account horde, authorized agent. power of attorney. etc) also complete the Authorized Agent for MANflusiness Services Account BSA Check Writing section above o Check here if you do NOT want UBS Financial Services Inc to order new dual signature checks If checked, you will be responsiEtte for obtaining checks with dual signatures. UBS Financial Services Inc. will not accept single signature checks. Dual Signor first Name Last Name Dual Signor ram Name last Name Specify the type of signor. O Required O Optional Specify the type of qgnor. O Required O Optional Sign Here only if adding a Dual Signor Dual Signor's Signature Date Dual Signor's Signature Date Note: You must complete and sign a new addendum to add, remove or update dual signors. UBS Financial Services Inc will rely on the most recently dated addendum to supercede and replace any other previous dual signor addendum on file Account Holder Certification By signing below, I UNDERSTAND, ACKNOWLEDGE AND AGREE that (1)1 have reviewed ail of the information contained Si dvs addendum and I declare it as taw and accurate and ;2) UBS Financial Services Inc is authonzed to rely upon the authority conferred by this document until DOS Firancial Services Inc receives an updated copy of this form revoking or modifying this addendum. 1: 1* Ghislaine Maxwell Account Holder First Name last Name Account Holder Signature Date III Account Holder First Name Last Name Account Holder Signattoe Date 01594427621 AC-FtW (Rev. 10/15) CR2015 UBS Financial Services Inc All nhts eserved Member SIPC. Page 2/2 CONFIDENTIAL UBSTERFtAMAR00002183 EFTA00237762