EFTA00238165.pdf

*UBS Electronic Funds Transfer Service UBS Financial Services Inc. Account Number an Non•UBS Financial Service Inc. Accounts Complete the information below for your accounts other than 1/95 Financial Services Inc. accounts. The ABA routing number usually appears on the bottom of printed checks or deposit tickets. II account permission *Withdrawal from' is selected. please attach a voided check (for checking accounts) or a deposit slip (for savings accounts). It neither is available a client statement or letter on bank stationery confirming account title, account number, and ABA routing number is sufficient To transfer funds into a 08$ Financial Services inc. account from an external account that you have authority over. but is titled differently, a signed Lefler of Authorization train aN other account 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 Financial Institution Telephone Number Scott Borgerson Account Title/Name Account Number Account Type: External Account Permission: (select all that apply) El Deposit to authorized external account O Withdraw from authorized external 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 permission above O Deposit to authorized external account O Withdraw from authorized external account Allow UBS to Initiate Transfers to or from this External Account 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 the above external account identified 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 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 this external account and we will use this authorization as instructions for 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 the External Account Permission selected for that account. O Savings gl( Checking 1 0170710841 AC-Ft (Rev. 10/15) 020t5 UBS Financial Services Inc All ghts eserved. Member 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 Financial 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) ($1,000,000 maximum • UBS Online Services) Start Date End Date 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 Withdraw from authorized internal account Allow UBS to Initiate Transfers to at from this Internal Account upon Verbal Authorizadon: By signing below, you authorize U8S financial Services to accept verbal authorization ham any person with authority over this Account to initiate "On Demand" transfers to or from the above internal account identified 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 internal Account Permissions above. 2) One-Tome Transfer. Check the box at left if you do not wish to allow verbal authorization for UBS to initiate transfers to this internal account and we wiR use this authorization as instructions for a one tune transfer only. Branch Initiated Transfers require the client's verbal consent for the branch to initiate the transfer and are limited to the Internal Account Permission selected for that account. Client Authorization I authorize 065 Financial Services Inc. and its processing institution (the 'Processing Bank') to initiate the types of transactions indicated above (including adjustments for any entries made m error) to or from my account(s) listed above, and authorize the depository(ies) named on my Authorized External Account(s) or 085 Financial Service Inc. to debit and/or 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 (ACM) debit and credit entries. I understand these instructions will remain in effect until UBS Financial Services Inc. has received written notification from me of termination or modification in such time and manner as to afford U8S Financial Services Inc a reasonable opportunity to act on it. If I close or change any account listed above, I will promptly notify UBS Financial Services Inc. of this change. I authorize U8S Financial Services Inc at its discretion to discontinue the electronic funds transfer service from any accounts listed above if I fail to maintain adequate funds in such account) to cover my requested transfers. All electronic funds transfers will be initiated in accordant, with this authorization and the terms and conditions governing my account. I acknowledge that the initiation of electronic funds transfers mat comply with applicable U Slaw 0170710841 1 AC-FT (Rev. 10/15) Account Holder Signatwe Date O2015 U8S Financial Services Inc. All rights eserved. Member SIPC I rnmrinFMTIAI UBSTERRAMAR00002616 EFTA00238166