EFTA00238277.pdf
dataset_9 pdf 337.4 KB • Feb 3, 2026 • 3 pages
UBS Financial Services Inc.
UBS Account Numbe
Electronic Funds Transfer Service
Permissions for Non-UBS Financial Services Inc. Accounts (*External Accounts')
Complete the information below to make transfers to or horn your accounts at financial institutions other than 1)85 Financial Services Inc
To authorize UBS to initiate withdrawals from an external account, please complete the information below and attach a voided check
(for checking accounts) or a deposit slip (for savings account). If neither is available a client statement or letter on bank stationery
confirming account title, account number, and ABA routing number is sufficient.
NOTE: To initiate withdrawals from an external account lhal you have authority over, but is titled differently, a signed Letter of Authorization
from all other account holders is required.
External Account Information
Citizens Bank
Name of Financial Institution
ber Account Number
Account type ❑ Savings El
Checking
Financial Institution Telephone Number For a money market account, select 'Checking' account type
Tidewood LLC
Account Title/Name
External Account Permission: (select all that apply)
Select all types of transactions that you authorize UBS to initiate upon instructions from authorized persons.
Instructions may be given through a UM representative, UBS Resource Line, UBS Online Services or this form subfect to verification (5100.000
maximum via Resourcetine 61.000.000 maximum via UBS Online Services)
DK Deposit to External Account O Withdraw from External Account (including Withdrawals to Pay UBS Credit Card)
Permissions for other UBS Financial Services Inc. Account (Internal Accounts')
Complete the information below to make transfers to or from other UBS Financial Services Inc accounts.
UBS Financial Services Inc. Account Number
Ghislaine Maxwell
Account TitleAName
Internal Account Permission: (select all that apply)
O Deposit to authorized internal account O Withdraw from authorized internal account
Allow UBS to Initiate 'On Demand' Transfers to or from Accounts upon Verbal Authorization:
By signing below, you authorize UBS Financial Services to accept verbal authorization from any person with authority over this Account to
initiate 'On Demand' transfers to or from any account listed above up to S (max amount 5100,000 if left blank).
This authorization will remain in effect until cancelled by a person with authority over this Account. You must also select one of the Account
Permissions above
D Decline on Demand Transfers. Check the box at left if you do not wish to allow verbal authorization for UBS to initiate transfers to or
from accounts listed above
Branch Initiated Transfers require the client's verbal consent for the branch to initiate the transfer and are limited to the External Account
Permission selected for that account
Fill out the below for recurring transfer/payment instructions
Payment Type Starting Process End Date Frequency Amount Bank or RMA Account
Date Number
Account Title
0177398431 lip col
AC-FT (Rev. 06/16)
1111;5 DIM
02016 UBS Financial Services Inc All rights eserved. Member SIPC Page
CONFIDENTIAL UBSTERRAMAR00002885
EFTA00238277
UBS
Payment Type Starting Process End Date Frequency Amount Bank or RMA Account
Date Number
Account Title
Fill out the below For Mitt/Mt transfer/payment instructions
Payment Type Starting Process Amount Bank or RMA Account
Date Number
Account Title
Payment Type Starting Process Amount Bank or RMA Account
Date Number
Account Title
Payment Type—indicate whether transfer is a withdrawal 'Vlf' from your External or Internal account or "EV deposit to your
or 'P' for withdrawals to pay your UBScredit card. Payment type must be indicated for each transaction External account
Starting Process Date—Enter the Process Date that the DeposafiAfithdrawal/Credit Card Payment should be initiated.
For recurring
withdrawals to pay your UBS credit card, valid Process Dates are between the 100 and 201E of the month
End Date—Enter an end date for the final Deposit/Withdrawal/Payment. The final transactions will process on this date.
Frequency for recurring payments only—Enter one of the following: Weekly, Si-weekly, Monthly, Quarterly. Semiannually
withdrawals to pay your UBS credit card enter Monthly. or Annually For
Amount—Enter amount you wish to have depositedAvithdrawn for each instruction listed. For withdrawals to pay your LISS credit card
Statement Balance, Minimum Due, or a fixed dollar amount • enter
Bank or RMA Account Number—Indicate the bank /credit union account number from which you wish to make deposits/withdrawals or
the
RMA account number you wish to make deposits to or withdrawals from
Bank Name or RMA Account Title—Indicate name of bank/ctede union or the RMA account you wish to make deposits
to or withdrawals
from
'NOTE. or withdrawals to pay your UBS credit card If your Minimum Payment Due for any month is greater than the Fixed Payment Amount
you selected, you authorize us to deduct that Minimum Payment Due imtead If your Statement Balance for any month is less than the Fixed
Payment Amount you selected, you authorize us to deduct that Statement Balance instead.
0177398431 1
AC-FT (Rev. 06/16)
ittgANNII
02016 UBS Financial Services Inc All ghts reserved Member SIPC Page 2
CONFIDENTIAL UBSTERRAMAR00002886
EFTA00238278
UBS
Gant Authorization
I authorize UBS Financial Services Inc and its processing institution (the 'Processing Bank') to initiate the types of transactions indicated above
(including adjustments for any entries made in error) to or from my accoun(s) listed above, and authorize the depository(ies) named on my
authorized External Accounts) or UBS Financial Service Inc to debit and/ea credit the requested transactions to my accounts. I authorize UBS
Financial Services Inc and the Processing Bank to make changes and/or cancellations to transactions requested by me I further acknowledge
that electronic funds transfers under this authorization may be processed as automated clearing house (ACH) debit and credit entries
I understand when I authorize a withdrawal from an authorized external account to pay my UBS credit card, UBS Financial Services will initiate
an electronic funds transfer from my authorized external account and make a bill payment to UBS Bank USA
I understand these instructions will remain in effect until UBS Financial Services, Inc has received written notification from me of termination a
modification in such time and manner as to afford UBS Financial Services, Inc. a reasonable opportunity to act on it. If I close or change any
account listed above, I will promptly notify U8S Financial Services Inc. of this change
I authorize UBS Financial Services Inc at its discretion to discontinue the electronic funds transfer and bill payment service from any accounts
kited above il I fail to maintain adequate funds in such accounts) to cover my requested transfers or payments. All electronic funds transfers will
be initiated in accordance with this authorization and the terms and conditions governing my Account. I acknowledge that the initiation of
electronic funds transfers must comply with applicable U S law.
Ghislaine Maxwell
Account Holder First Name Last Name Account Holder Signature Date
4 Account Holder First Name Last Name Account Holder Signature Date
0177398431 i
AC-FT (Rev. 06/16)
41113111
O2016 UBS Financial Services Inc All sl0IS reset •ed Member SIPC Page 3/4
CONFIDENTIAL UBSTERFtAMAR00002887
EFTA00238279
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Document Metadata
- Document ID
- 362206fe-4487-479e-bc9e-b393f660e988
- Storage Key
- dataset_9/EFTA00238277.pdf
- Content Hash
- 014c04aa9eccda40ba67ca001cd90dfc
- Created
- Feb 3, 2026