EFTA00238165.pdf

*UBS UBS Financial Services Inc. Account Number an Electronic Funds Transfer Service Non•UBS Financial Service Inc. Accounts Complete the information below for your account s other than 1/95 Financial Services Inc. accounts. The ABA routing number usually appears on the bottom of printed checks or deposit tickets. selected. please attach a voided check (for checking II account permission *Withdrawal from' is account letter on bank stationery confirming account title, account s) or a deposit slip (for savings accounts). It neither is available a client statement or number, and ABA routing number is sufficient To transfer funds into a 08$ Financial Services inc. account from an external account that you have signed Lefler of Authorization train aN other account authority over. but is titled differently, a holders is required If the authorized external account is a money market account, select the *Checking' account type. AUTHORIZED EXTERNAL FINANCIAL INSTITUTION Citizens Bank Na Institution ABA Routing Number Account Number Account Type: O Savings gl( Checking Financial Institution Telephone Number Scott Borgerson Account Title/Name External Account Permission: (select all that apply) El Deposit to authorized external account O Withdraw from authorized externa l account Recurring Transfer& O Yes IS No S Recurring Amount (5100,000 maximum • Resourcetine) Start Date End Date (51,000,000 maximum • UBS Online Services) Start date may not be greater than 1 year from the current date and end date not greater than 30 years from current date. Frequency: (select one) O Weekly O Bi-weekly O Monthly O Quarterly O Semi-annually O Annually Recurring Permission: (select one) must also be selected as an external account permiss ion above O Deposit to authorized external account O Withdraw from authorized external account Allow UBS to Initiate Transfers to or from this Externa l Account upon Verbal Authorization: By signing below, you authorize UBS Financial Services to accept verbal authorization from any person with authority over initiate "On Demand' transfers to or from the above this Account to external account identified up to S if left blank). This authorization will remain in effect until (max. amount 5100,000 cancelled by a person with authority over this account . You must also select one of the External Account Permissions above. One-Time Transfer: Check the box at left if you do not wish to allow verbal authorization for UBS to initiate transfers to account and we will use this authorization as instructions for this external a one time transfer only. Branch Initiated Transfers require the client's verbal consent for the branch to initiate the transfer and are limited to Permission selected for that account. the External Account 0170710841 AC-Ft (Rev. 10/15) 1 020t5 UBS Financial Services Inc All ghts eserved. Membe r 9PC Page 1/3 rinmPirlFAITIAI UBSTERFtAMAR00002615 EFTA00238165  UBS Electronic Funds Transfer Service continued U8S Financial Services Inc. Accounts Complete the information below for your other UBS Financia l Services Inc accounts DESIGNATED UBS ACCOUNT 085 Financial Services Inc. Account Number Ghislaine Maxwell Account Title/Name Internal Account Permission: (select all that apply) El Deposit to authorized internal account 0 Withdraw from authorized internal account Recurring Transfers: 0 Yes 0 No S Recurring Amon( ($100,000 maximum • Resourceline) Start Date End Date ($1,000,000 maximum • UBS Online Services) Start date may not be greater than 1 year from the current date and end date not greater than 30 years from current date. Frequency: (select one) 0 Weekly 0 61 weekly 0 Monthly 3 Quarterly 0 Semi-annually 0 Annually Recurring Permission: (select one) must also be selected as an internal account permission above 0 Deposit to authorized internal account 0 Withdra w from authorized internal account Allow UBS to Initiate Transfers to at from this Interna l Account upon Verbal Authorizadon: By signing below, you authorize U8S financial Services to accept verbal authorization ham any person with authorit initiate "On Demand" transfers to or from the above y over this Account to internal account identified up to S if left blank). This authorization will remain in effect (max amount 5100,000 until cancelled by a person with authority over this account the internal Account Permissions above. . You must also select one of 2) One-Tome Transfer. Check the box at left if you do not wish to allow verbal authorization for UBS to account and we wiR use this authorization as instructions initiate transfers to this internal for a one tune transfer only. Branch Initiated Transfers require the client's verbal consent for the branch to initiate the transfer and are Permission selected for that account. limited to the Internal Account Client Authorization I authorize 065 Financial Services Inc. and its processing institutio (including adjustments for any entries made m error) n (the 'Processing Bank') to initiate the types of transact to or from my account(s) listed above, and authorize the deposito ions indicated above Authorized External Account(s) or 085 Financia ry(ies) named on my l Service Inc. to debit and/or credit the requested transactions Financial Services Inc. and the Processing Bank to make changes to my accounts I authorize UBS and/or cancellations to transactions requested by me. that electronic funds transfers under this authorization I further acknowledge may be processed as automated clearing house (ACM) debit and credit entries. I understand these instructions will remain in effect until UBS Financial Services Inc. has received written notification modification in such time and manner as to afford U8S from me of termination or Financia account listed above, I will promptly notify UBS Financial Services l Services Inc a reasonable opportunity to act on it. If I close or change any Inc. of this change. I authorize U8S Financial Services Inc at its discretion to disconti nue the electronic funds transfer service from any accounts to maintain adequate funds in such account) to cover my requested listed above if I fail transfers. All electronic funds transfers will be initiated in accord this authorization and the terms and conditions governin ant, with g my account. I acknowledge that the initiation of electron comply with applicable U Slaw ic funds transfers mat Account Holder Signatwe Date 0170710841 1 AC-FT (Rev. 10/15) O2015 U8S Financial Services Inc. All rights eserved. Membe I r SIPC rnmrinFMTIAI UBSTERRAMAR000026 16 EFTA00238166