Authorized Agent/Dual Signor Addendum To add an additional check user on the Resource Management Account" (RMA") or Business Senaces 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 Gual-signature option is selected on the Account Application, complete the Oual 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 @ minor) named below is appointed an agent to me, unaffected by my subsequent disability or meompetence, to effect checking transactions in my designated UBS Financial Services Inc. account. As indicated below, the additional check user rs 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 Sermces inc. will send all confirmations, notices, demands, statements and other communscations regarding checking activity in the designated UBS Financial Services Inc, account to me UBS Financial Services Inc. owes no obbgations to additional check users and may, bul is not required to, act on instructions or respond to communications from such additional users Agent First Name Last Name Date of Birth Sse Country of Citizenship 3X) USA [7] Other (specify) Passport/Cedula : Address Line 1 Address Line 2 United States of America City State/Province ZipPostai Code Country Home Phone Additional fees may apply Please see New Account booklet for details Sign Here only if adding an authorized agent a) Se Agent Furst Name Last Name Agent Signature Date ee Authorized Agent Removal for RMA/Business Services Account BSA Check Writing If you are removing an authorized agent, please pant the name of the agent you are removing below Specify Name only if remowng an agent Agent First Name Last Name AC-RW (Rev. 12/14) ©2014 UBS Financial Sernces inc All rights reserved. Member SIPC Page 1/2 NFIDENTIAL UBSTERRAMARO0000786 ° EFTA00236475

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Dual-Signature checks require two signatures at all times. i! you we Sesgnahng more than two sgnors and you would hike one of the “gnors to be required. at all umes. please check “Requited™ neat to the ‘SIMON's Name Ondy one indnedual can De a feQuted wgnor it you go NOt dengnale ¢ required SONI. please specity aif sgnors 4s optional if the indendual desgnated below 1s not a UBS Firvarsceal Sermces inc chert (@ account holder, authanzed agent. power of attorney, etc | abso complete the Awhonzed Agent for RMAMBusiness Services Account BSA Check Writing section above _ Cece here it you do MOT want UBS Fmancial SemviKes IK Ie Order Mew dual signature checks if checked. you wll be responsive tor Obidetwng Checks with dual sgnatues. UBS Financial Serwces inc wall not accept wngle signature checks Dum Sagnor Fest Name Last Name Dual Signor Furst Naene ‘Last Name Specity the type of sgnor — Requued Optonai Specity the type ot signor _) Required Cotiona Sign Here only t auding 4 Dual Saner daa Signor's Sagnature Date Dual Signor $ Signature 7 7 Date Note: You must compiete and SGN 2 New addendum to add. semove o update Qual signers UBS Financial Services inc wel rely on the most recently Gated addendum 10 supercede and (OPE ary CINE Grewous Gual gna! addendum on fae Account Holder Certification By segreng below. | UNDERSTAND. ACKNOWLEDGL AND AGREE that (1 | have temewed a of the estormmation contaened an this aadendum ang ‘declare it as true ang accurate and (2) UBS Financial Services Inc 4 authorized to 1ely upan the ved by thes Gocument unt UBS Feanancea: Serwices Inc recenves an vbdated Copy of this form revoking oF Modifying thes Mayweil — Account Holder Fast Name Last Name Hole! Sagnature Date Account Holger Fast Name LastName "Recount Holder Sagat =O Date 0123905603 AC-RW iRew 12/14 22014 UBS Fmancial Sernces inc All ngnts reserved Member SIPC UBSTERRAMAR00000787 CONFIDENTIAL EFTA00236476