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NEW ACCOUNT APPLICATION - Union Bank

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2. PRIMARY <strong>ACCOUNT</strong> HOLDER (continued)Know Your Client (KYC) Profile (continued)Expected Level of Activity:Expected Monthly Deposits(including incoming wires)01- 56 - 1011+Expected Monthly Incoming Wires:01- 56 - 1011+Expected Monthly Withdrawals(including checks and outgoing wires)01- 56 - 1011+Expected Monthly Outgoing Wires:01- 56 - 1011+Expected Deposit Amount(including incoming wires)$0$1- $10,000$10,001 - $100,000$100,001+Select Origin of Wire ActivityDomesticInternationalList countries of origin for international wires:Expected Monthly Withdrawal Amount(including checks and outgoing wires)$0$1- $10,000$10,001 - $100,000$100,001+Select Destination of Wire ActivityDomesticInternationalList countries of destination for international wires:3. SUITABILITYFinancial ProfileAnnual Income Estimated Net Worth Investable/Liquid Assets Federal Tax BracketFrom all sources Excluding primary residence Including cash and securities15% or belowUnder $25,000$25,000 - $50,000$50,001 - $100,000Over $100,000Under $50,000$50,000 - $100,000$100,001 - $500,000Over $500,000Under $50,000$50,000 - $100,000$100,001 - $500,000Over $500,00025% - 27-1/2%27-1/2% or AboveEstimated Tax Bracket Required$ $ $Estimated Amount Required Estimated Amount Required Estimated Amount RequiredInvestment ProfileInvestment ObjectivesRisk ToleranceGeneral Investment KnowledgeRank your investment objectivesfor this account in order ofimportance (1 being the highest).Review the attached CustomerAgreement for importantinformation on investmentobjectives.Preservation of capitalIncomeCapital AppreciationSpeculationTrading profitsOther:Conservative (C)Moderate (M)Aggressive (A)Combination (X):Investment Time Horizon< 3 years (C)3-5 years (C)6-10 years (I)over 10 years (L)None Limited Good ExtensiveYears:Investment Product KnowledgeNone Limited Good ExtensiveStocksBondsMutual FundsOptionsVariable ContractsLimited Partnerships51047 (Rev. 06/2011) eformPage 4

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