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EFTA00237761

DOJ Epstein Files
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*UBS Authorized Agent/Dual Signor Addendum UBS Financial Services Inc. Account Number TIN Agent To ado tor an RMArRtnintss additional check Services user on Account :he Resource BSA Check Management Writing Account IRMAI or Senriott Account BSA', complete the Authorged complete Me Authorized Agent Removal and and the ete(Ouril nification swoons To remove an authorized agent. Application. compkte the Oa Signors tie Account Holder Conificaton sections. if tne dual.vgnature option n selected on the Account The Account Holder must sign roe RMA43usinen Sewn ACCMMI BSA Check Writing and the ACC.Xselt Holder Certification sections the Account Holder 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 my subsequent &ability or incompetence. to effect checking user is authorized to act on my behalf transactions in My designated ()BS Financial Services Inc.account As indicated below. the additional check to WM., (belt .0f the payment or witithavial of funds drawn on the detonated U8S Estancia! SeniCes Inc. account or payable to me and beefing the signature or signatures now or hereafter authorized by me without lend as to amount. without inquiry tOntenunkatiOna and %Getout regarding regard to its appkation U8S Financial Services /no WI send all confirmations. notices, demards. statements and Other checking the cleognated UBS Financial Services obligal•ons to atatiartal check users Int account to me 1./BS Financial Senates Inc. ones no users but it not requeXt to. Kt on inStruCtens or respond to communications from such additional Kushner • , Agent fest Name . . • . • Low of Cita Date or kin sse 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 Agent Past Name tail Name cc 7 )/46 Agent Crude Dale Authorized Agent Removal for RMA/Business Services Account BSA Check Writing d you are term:who an authorized agent, please 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 III Account Holder First Name Last Name AC-FtW (Rev. 10/15) 01594427621 Account Holder Signature Date Account Holder Signattoe Date CR2015 UBS Financial Services Inc All nhts eserved Member SIPC. Page 2/2 CONFIDENTIAL UBSTERFtAMAR00002183 EFTA00237762