UBS Financial Services Inc. H UBS Account Number TIN Authorized Agent/Dual Signor Addendum To add an additional check user on the Resource Management Account" (RMA") or Business Services Account BSA", complete the Authorized Agent for RMA/Business Services Account BSA Check Writing and the Account Holder Certification sections. To remove an authorized agent, complete the Authorized Agent Removal and the Account Holder Certification sections. If the dual-signature option is selected on the Account Application, complete the Dual Signors for RMA/Business Services Account BSA Check Writing and the Account Holder Certification sections. The Account Holder must sign the Account Holder Certification section located on the next page. Authorized Agent for RMA/Business Services Account BSA Check Writing Each additional check user (who is not a minor) named below is appointed an agent to me, unaffected by my subsequent disability or incompetence, to effect checking transactions in my designated UBS Financial Services Inc. account. As indicated below, the additional check user is authorized to act on my behalf to write checks for the payment or withdrawal of funds drawn on the designated UBS Financial Services inc. account or payable to me and bearing the signature or signatures now or hereafter authorized by me without limit as to amount, without inquiry and without regard to its application. UBS Financial Services inc. will send all confirmations, notices, demands, statements and other communications regarding checking activity in the designated UBS Financial Services Inc. account ta me. UBS Financial Services Inc owes no Obligations to additional check users and may, but is not required to, act on instructions or respond to Communications from such additional users Agent First Name Last Name Date of Birth ssa Country of Citizenship: (J USA [[) Other (specify) Passport/Cedula Address Line 1 Address Line 2 a United States of America City State/Province Zip/Postal Code Country Home Phone Additional fees may apply. Please see New Account booklet for details. Sign Here only if adding an authorized agent en Seta Daniet ss Kesneg eg Agent First Name Last Name Agent Signature Date _ OO Authorized Agent Removal for RMA/Business Services Account BSA Check Writing if you are removing an authorized agent, please print the name of the agent you are rernoving below. Specify Name only if removing an agent Agent First Name Last Name 0123905603 AC-RW (Rev. 12/14) ©2014 UBS Financial Services Inc. All rights reserved, Member SIPC Page 1/2 CONFIDENTIAL UBSTERRAMARO0000762 EFTA00236456

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a 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. if you are designating more than two signors and you would like one of the signors to be required, at all times, please check “Required” next to the signor's name. Only one individual can be a required signor. If you do Not designate a required signor, please specify all signors as optional. If the individual designated below is not a UBS Financial Services Inc. client (i. account holder, authorized agent, power of attorney, etc.) also complete the Authorized Agent for RMA/Business Services Account BSA Check Writing section above. (-] Check here if you do NOT want UBS Financial Services Inc. to order new dual signature checks. If checked, you will be responsible for obtaining checks with dual signatures. UBS Financial Services Inc. will not accept single signature checks Dual Signor First Name Last Name Dual Signor First Name Last Name - Specify the type of signor oO Required Oo Optional Specify the type of signor 0 Required oO 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, | UNDERSTAND, ACKNOWLEDGE AND AGREE that (1) | have reviewed all of the information contained in this addendum and | declare it as true and accurate and {2) UBS Financial Services Inc. is authorized to rely upon the authority conferred by this document until UBS Financial Services Inc. receives an updated copy of this form revoking or modifying this addendum — WK > Account Holder First Name Last Name Account Holder Signature Date » Account Holder First Name Last Name Account Holder Signature Date 0123905603 AC-RW (Rev. 12/14) ©2014 UBS Financial Services Inc. All rights reserved. Member SIPC Page 2/2 CONFIDENTIAL UBSTERRAMAR0O0000763 EFTA00236457