Type Poi:m.OW amill Pm ;cm IK I snne,nb isale:t &Poway Cu. ptomain Oat:, rsir.ci:d NOTE: IRA and ERISA accounts are prohibited from purchasing Structured Products. Account and Owner Information: Provide requested information for wricli beneticial account owner ("Client"). If momMannth: owner e%ists. the Struc

Joint Trost Partner ship Limititx: Liability Corr pony Corporation Other (specify): NOTE: IRA and ER ISA accounts are prohibited from purchasing Structured Products. Account and Owner Information: Provide requested information tor each beneficial account owner ("Client"). If more than one owner exists, the Stru

ount Type Inc,vottJai Jevn yew% nalltArthil5 Aloly COraiwily Corptyawn arm rumedo NOTE: IRA and ERISA accounts are prohibited from purchasing Structured Products. Accouni and Owns( information: Provide requested inlonnation for evil beneficial account owner Mena If mow Irian one owner exists, the Structured

t € Titist Partner ship Limititx: Liability Corr pang Corporation Other (specify): NOTE: IRA and ER ISA accounts are prohibited from purchasing Structured Products. Account and Owner Information: Provide requested information tor each beneficial account owner ("Client"). If more than one owner exists, the Stru

rust, partnership, limited liability company or other entity in the case of such account type, as the case may be. I represent that the purchase of Structured Products is suitable for this account in light of my investment objectives, financial situation, risk tolerance and knowledge. I hereby confirm that I am t

stimated realized gam and losses shaven below are not fa tat purposes. Please rote that gain or toss recognized Co the sae or redmrptiers of certain Structured Products, ike Canting al Debt Securities. may be °refinery. and not Caplla, gain ot loss. Please check vnth your lax attv60, TO (*dale yarn and losses. we '

e estimated realized gains and losses stem, below ale not fa lea purposes. mast rote that g:in coots recognized en the tale or rederrption of °titan Structured Products, Ike Contingent Debt Securities. may to ad nary. and not capita, gain or loss. Meese check with your tar advisor. To calculate gem and losses. we l

e estimated reeked gains and losses Shown belt*/ are na for tea purposes. Please note that On or loss recognized on the sae or redemption of certain Structured Products, ekeContingent Debt Securities, may be ad nary. and not capita, gran a loss, Please check with your tar achnor To talc dae gans hod lasses. we liqu

he es-unwed realized gam and losses stow) below are nor for Ms purposes. Please rate that gan or loss recognized on the sae Of redemption of certain Structured Products, Ike Contingent OM Securities, may to ad nary, and not (Old, gain or loss. Please Check with your lax actsysor To ceicase grins malosses. we liquid