US BROKERAGE ACCOUNT APPLICATION How to Apply for A BrokerAge Account • Please note you must be 18 years of age or older US Account Applications • Complete sections 1–5 in BLOCK CAPITALS. E*TRADE Securities Limited • tick, sign and date your completed application form. Vintners Place • complete, sign and date your w-8Ben form if you’re not a U.S. Citizen. 68 Upper Thames Street London EC4V 3BJ • Please return your completed application form and the following documents to the address on the left: United Kingdom - A legible copy of your passport or National ID card - Evidence of your residential address which can be a recent original bank statement or utility bill Questions? (dated within the last 3 months) Email : firstname.lastname@example.org - For joint account please submit an additional passport copy, w-8Ben form and evidence of Telephone: +44 203 192 0010 residential address we cAnnot process your ApplicAtion witHout tHese items. importAnt informAtion ABout proceDures for opening A new Account To help the government fight the funding of terrorism and money laundering activities, the USA Patriot Act requires all financial Institutions to obtain, optionAl verify, and record Information that identifies each person who opens an account. What this means for you: When • If you wish to trade on margin, please fill in section 6. you open an account, we will ask for your name, address, date of birth, and other information that will allow us to identify you. We may also ask to see your drivers license or other identifying documents • If you wish to trade on Option Markets, please fill in the The U.S. Options Trading Application Form. 1 Choose Your Account Type Individual Account Joint Account 2 Enter Your Account Holder Information (please print) Securities industry regulations require that we collect all of the following information. Primary Account Holder Co-Account Holder (if applicable) Mr. Ms. Name (first, middle initial, last) Mr. Ms. Name (first, middle initial, last) Dr. Dr Home Street Address (cannot be a P.O. box) Home Street Address (cannot be a P.O. box) City, Postal Code, Country City, Postal Code, Country Mailing Address (if different from above; P.O. box may be used) Mailing Address (if different from above; P.O. box may be used) City, Postal Code, Country City, Postal Code, Country Home Phone (include country code) Business Phone (include country code) Home Phone (include country code) Business Phone (include country code) E-mail Address (required for account updates) E-mail Address (required for account updates) Date of Birth (mm/dd/yyyy) U.S Social Security No. (if applicable) Date of Birth (mm/dd/yyyy) U.S Social Security No. (if applicable) Employment Status Employment Status Employed Self-employed Retired Student Employed Self-employed Retired Student Not Employed Not Employed Employer Specific Occupation Employer Specific Occupation Line of Business (This box must be filled in by both employed and self-employed persons) Line of Business (This box must be filled in by both employed and self-employed persons) Business Street Address Business Street Address City, Postal Code, Country City, Postal Code, Country Are you employed by a registered securities broker/dealer, investment advisor, Are you employed by a registered securities broker/dealer, investment advisor, bank, or other financial institution? bank, or other financial institution? No No Yes (you must submit a compliance letter on letterhead with this application) Yes (you must submit a compliance letter on letterhead with this application) Continued on next page 1 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION Primary Account Holder Co-Account Holder (if applicable) Are you a director, 10% shareholder or policymaker of a publicly held company? Are you a director, 10% shareholder or policymaker of a publicly held company? No Yes (specify companies) __________________________________ No Yes (specify companies) __________________________________ Do you have accounts at other brokerage firms or mutual fund companies? Do you have accounts at other brokerage firms or mutual fund companies? No Yes (check all that apply below) No Yes (check all that apply below) Discount (traditional) Discount (electronic) Full Commission Discount (traditional) Discount (electronic) Full Commission If you are not a U.S. citizen, please provide the following information. (U.S. citizens residing abroad need to attach a W-9 form) Passport Number Country of Issue Passport Number Country of Issue Country of Legal Residence (please attach Form W-8BEN) Country of Legal Residence (please attach Form W-8BEN) Country of Citizenship (please attach FORM W-8BEN) Country of Citizenship (please attach FORM W-8BEN) If you have been at your current address for less than six months, please provide your previous address Street Address Street Address City, Postal Code, Country City, Postal Code, Country 3 Create Your Investment Profile Securities industry regulations require that we collect the following information: For joint accounts please include combined amounts. Overall Investment Objective for this Account Investment Annual Income Approximate Net Worth Approximate Liquid Net Worth (choose only one) Experience (excluding residence) (cash, stocks, etc.) Capital preservation None $0-14,999 $0-24,999 $0-14,999 Minimize the potential for any loss of principal $15,000-$24,999 $25,000-$49,999 $15,000-$24,999 Income Limited $25,000-$49,999 $50,000-$99,999 $25,000-$49,999 Provide current income rather than growth of principal Good $50,000-$99,999 $100,000-$499,999 $50,000-$99,999 $100,000-$199,999 $500,000-$999,999 $100,000-$199,999 Growth Excellent Increase investment value over time while $200,000+ $1,000,000+ $200,000-$499,999 accepting price fluctuations. $500,000-$999,999 Speculation $1,000,000+ Assume the highest degree of risk for potentially higher returns 4 Select Your Account Features Select Your Account Features Receive Your Account Documents Online Earn Income on Your Cash Balance For your convenience, account documents such as monthly statements, and trade confirmations will be delivered to you via a secure online file cabinet Select only one of the following choices instead of by mail. We will notify you at the primary account holder’s e-mail ad- for the cash balance in your account. For current yields and descriptions, go to dress provided in section 2 whenever a new document is available. This feature global.etrade.com in the ‘Pricing and Rates’ section. is provided automatically unless declined below. E*TRADE Financial International I would prefer to receive the following items by U.S. mail: Sweep Deposit Account (ISDA) Monthly statements Cash Balance Interest on your cash accrues daily and is paid monthly. Trade confirmations Prospectuses Fund your account Corporate reports, proxies and reorganization notices Tell us how you’ll make your initial deposit. A $1,000 minimum is required for cash accounts ($2,000 for margin accounts). Check one of the following: You must provide us with your e-mail address in section 2 to receive elec- tronic account documents. I have enclosed a cheque or money order for $_______________________ You may change your delivery preferences at any time. With respect to docu- made payable to E*TRADE Clearing LLC. ments you elect to receive electronically, you agree to all the terms of section My completed Account Transfer Form is attached 10 of the E*TRADE Securities Limited Customer Agreement U.S. Supplemental Terms at global.etrade.com I will transfer funds from an existing account I plan to wire funds from another financial institution Continued on next page 2 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION 5 Sign and Date Your Application In accordance with UK Financial Services Authority Rules, you will be classified as a Retail Client. Fully Disclosed Clearing Arrangement Securities products and services are offered by E*TRADE Securities Limited. For the purpose of trading in U.S. equities, options and bonds, your account is with E*TRADE Securities Limited. E*TRADE Clearing LLC (member NYSE/FINRA/SIPC) will execute, clear and settle transactions pursuant to a fully-disclosed clearing agreement. The legal and regulatory regime applying to E*TRADE Clearing LLC will be different from that of the United Kingdom. E*TRADE Clearing LLC is a broker dealer registered with the U.S. Securities and Exchange Commission (“SEC”) and is subject to the rules of SEC and other US regulatory organisations as well as any other federal, state or foreign laws, rules and regulations (collectively, the “US Rules”). We have attached a copy the 382 Disclosure Notice which outlines important information on the fully disclosed clearing arrangement. Client Money As a result of the fully disclosed clearing arrangement any money we receive from you and hold under an investment agreement will not be subject to the Financial Services Authority Client Asset rules. Please note, E*TRADE Clearing LLC is a member of the Securities Investor Protection Corporation (“SIPC”). SIPC currently protects the Securities and/or Other Property in each of your accounts up to $500,000, including $100,000 for claims for cash. (Please note that money market fund balances are not considered cash for this purpose; they are considered to be securities.) E*TRADE Clearing offers additional protection secured through an independent insurer. Account protection and coverage (either under SIPC or the additional insurance secured by E*TRADE Clearing) does not cover fluctuations in the market value of your investments. Positions held away are not in the custody or control of E*TRADE Clearing, nor are they covered by SIPC or the additional insurance secured by E*TRADE Clearing. As a retail client you will still be eligible for this protection. If you are eligible for an E*TRADE Options, please be aware that we will be unable to activate your account until we receive this signed confirmation. Marketing Communications We would like to send you occasional promotional material (including Emails) to keep you updated on our products and services. We will not divulge your details to any third party for promotional purposes. If you do not want us to contact you with such promotional material, please contact us at email@example.com. You must tick the boxes below to complete your application I have read, understood and acknowledged the term and conditions set out in the E*TRADE Financial BSA Account Agreement which can be found at global.etrade.com. I have read and understood the NYSE Rule 382 Disclosure Notice and I acknowledge that my trading in US products will be subject US Rules as part of the fully disclosed clearing arrangement between E*TRADE Securities Limited and E*TRADE Clearing LLC. I am of legal age to enter into this contract. I acknowledge that I have read, and agree to be bound by the terms and conditions as currently set forth in the E*TRADE Customer Agreement and the US Supplemental Terms and as both are amended from time to time. The E*TRADE Customer Agreement and the US Supple mental Terms are both available online at global.etrade.com at the bottom of the Homepage. I ACKNOWLEDGE THAT E*TRADE SECURITIES LIMITED DOES NOT PROVIDE INVESTMENT, TAX, OR LEGAL ADVICE. I understand that you will supply my name to issuers of any securities held in my account so that i might receive any important information regarding them, unless I notify you in writing not to do so. I am not a U.S. person and have attached a passport copy, W-8BEN form, and evidence of my residential address (which can be a recent original of a bank statement or utility bill or equivalent document to verify my address). Definition of a U.S. person: 1) A citizen or resident of the United States, 2) A partnership created or oganised in the United States or under the law of the United States or of any State, 3) A corporation created or organised in the United States or under the law of the United States or of any State, or 4) Any estate or trust other than a foreign estate or foreign trust. I confirm that i have sufficient experience and understanding to participate in financial markets. Please respond to the questions below to complete your application. I confirm have read E*Trade Securities Limited’s Order Execution Policy at www.global.etrade.com Yes No Consent to non-publication of limit orders - Where you place a limit order in shares which are admitted to trading on a Regulated Market and the order is not immediately executed under prevailing market conditions, you agree that E*TRADE Securities Limited may but will not be required to make public the order in a manner which is easily accessible to other market participants Yes No Consent to executions of orders outside a Regulated Market or Multilateral Trading Facility (“MTF”) - Please provide your consent to E*TRADE Securities Limited executing your Orders outside a Regulated Market or MTF. Yes No I confirm that the information provided on this application form is correct. I agree I disagree risk warning please note that the value of your investments may rise or fall depending on market conditions and that you may not always recoup your initial investment. if you are in any doubt as to the suitability of any investment you should seek independent expert advice. Signature of Primary Account Holder Date Signature of Co–Account Holder or Custodian Date Printed Name Printed Name Continued on next page 3 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION Disclaimer in providing you execution only services in relation to your equities trading we are not required to assess the suitability of the instrument or the service provided or offered to you and as a result, you will not benefit from the protection of the FSA rules on assessing suitability. Therefore, we will not assess whether: (i) the relevant product or services meets your investment objectives (ii) you would be able financially to bear the risk of any loss that the product or service may cause; or (iii) you have the necessary knowledge and experience to understand the risks involved. System response and account access times may vary due to a variety of factors, including trading volumes, market conditions and system performance. Securities products and services are offered by E*TRADE Securities Limited. For the purpose of trading in U.S. equities, options and bonds, your account is with E*TRADE Se- curities Limited. E*TRADE Securities Limited has a fully disclosed clearing Agreement with E*TRADE Clearing LLC (member NYSE/FINRA/SIPC), which will execute, clear and settle transactions pursuant to a fully-disclosed clearing agreement. E*TRADE Securities Limited and E*TRADE Clearing LLC are separate but affiliated companies. E*TRADE Securities Limited is a company registered in Scotland No. SC103238 with its principal place of business at Vintners Place, 68 Upper Thames Street, London EC4V 3BJ, United Kingdom, Registered Office: 24 Great King Street, Edinburgh EH3 6QN, United Kingdom. E*TRADE Securities Limited is a member of the London Stock Exchange and is authorized and regulated by the Financial Service Authority. It is a wholly owned subsidiary of E*TRADE Financial Corporation. © 2008 E*TRADE FINANCIAL Corp. All rights reserved. E*TRADE FINANCIAL is a registered trademark and the E*TRADE FINANCIAL logo is a trademark of E*TRADE FINANCIAL Corp. Continued on next page 4 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION 6 Add Margin Borrowing and Overdraft Protection Please read and sign the Margin Disclosure Statement shown below if you wish to add Margin Borrowing and Overdraft Protection to this account. A margin account gives you the flexibility to borrow from E*TRADE Securities using the assets in your account as collateral. Proceeds may be used to purchase additional securities, as overdraft protection, or for any other purpose. Margin transactions involve additional risks, including the risk that you could lose more money than you deposit in your account. For more information, including current margin interest rates and the NASD Margin Disclosure Statement, visit global.etrade.com/e/t/intl/margin See Section 8 of the E*TRADE Securities Limited Customer Agreement U.S. Supplemental Terms at global.etrade.com/e/t/intl/margin for more information about your responsibilities. Margin Disclosure Statement. E*TRADE Securities LLC and its clearing broker, E*TRADE Clearing LLC, are furnishing this statement to you to provide some basic facts about purchasing securities on margin and to alert you to the risks involved with trading securities in a margin account. Before trading stocks in a margin account, you should carefully review the margin agreement provided by us. Contact E*TRADE Securities regarding any questions or concerns you may have with your margin account(s). When you purchase securities, you may pay for the securities in full or you may borrow part of the purchases price from your brokerage firm. If you choose to borrow funds from your firm, you will open a margin account with the firm. The securities purchased are the firm’s collateral for the loan to you. If the securities in your account decline in value, so does the value of the collateral supporting your loan, and as a result the firm can take action, such as issue a margin call and/or sell securities in your account, to maintain the required equity in the account. It is important that you fully understand the risks involved in trading securities on margin. These risks include the following. You can lose more funds that you deposit in the margin account. A decline in the value of securities that are purchased on margin may require you to provide additional funds to the firm. The firm can force the sale of securities in your account. If the equity in your account falls below the maintenance margin requirements under the law or the firm’s higher “house” requirements, the firm can sell the securities in your account to cover the margin deficiency. You will be responsible for any shortfall in the account after such a sale. The firm can sell your securities without contacting you. Some investors mistakenly believe that a firm must contact them for a margin call to be valid and that the firm cannot liquidate securities in their accounts to meet the call unless the firm has contacted them first. This is not the case. Most firms will attempt to notify their customers of margin calls, but they are not required to do so. However, even if a firm has contacted a customer and provided a specific date by which the customer can meet a margin call, the firm can still take necessary steps to protect its financial interests, including immediately selling the securities without notice to the customer. You are not entitled to choose which security in your margin account is liquidated or sold to meet a margin call. Because the securities are collateral for the margin loan, the firm has the right to decide which security to sell to protect its interests. The firm can increase its “house” maintenance margin requirements at any time and is not required to provide you with advance written notice. These changes in firm policy often take effect immediately and may result in the issuance of a maintenance margin call. Your failure to satisfy the call may cause the firm to liquidate or sell securi- ties in your account. You are not entitled to an extension of time on a margin call. Although an extension of time to meet margin requirements may be available to customers under certain conditions, a customer does not have a right to an extension. I understand that my account, if approved, will be upgraded to a margin account. I acknowledge that securities held in my margin account may be pledged, repledged, hypothecated, or rehypothecated for any amount due E*TRADE Clearing in my account(s) or for a greater amount which E*TRADE Clearing, at its sole discretion, may deem necessary. Signature of Primary Account Holder Date Signature of Co–Account Holder or Custodian Date Printed Name Printed Name For E*TRADE Securities Use Only I have received this application and believe the account is suitable for: Margin Cash ______________________________________ _____________________ Approval Date 5 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION US OPTIONS TRADING APPLICATION This application is optional Complete this form if you would like to apply to add US options trading capability to your account. Visit global.etrade.com to learn more about the risks and rewards of options trading. Options Activity (select only one box) If no box is selected, you will be considered for Level One account activity only. Level One: Write Covered Calls Level Two: Level One + Level Three: Level Two + Level Four: Level Three + Uncovered (Custodial accounts will only be considered Purchases/Covered Puts Spreads/Uncovered Equity Puts Equity/Index Calls and Uncovered Index for Level One or Two activity.) (Level 3 accounts require you to sign Puts the margin disclosure on page 3.) (Level 4 accounts require you to sign the margin disclosure on page 3.) Investment Objective for Options Trading (choose only one) Capital preservation Income Growth Speculation Minimize the potential for any loss of Provide current income rather than Increase investment value over time Assume the highest degree of risk for principal. growth of principal. while accepting price fluctuations. potentially higher returns. Primary Account Holder Co–Account Holder, If Applicable (or custodian if custodial account) Martial Status Martial Status Single Married Divorced Widowed Single Married Divorced Widowed Number of Dependents (including self) Number of Dependents (including self) 1 2 3 4 Other:_________ 1 2 3 4 Other:__________ Options Investment Knowledge Options Investment Knowledge None Limited Good Excellent None Limited Good Excellent Options Trading Experience Options Trading Experience None Covered calls Covered puts Purchases None Covered calls Covered puts Purchases Spreads Uncovered calls Uncovered puts Spreads Uncovered calls Uncovered puts Any section left blank will be assumed to be zero or none. Any section left blank will be assumed to be zero or none. Years of Experience Years of Experience Stocks: ____ yrs. / Bonds: ____ yrs. / Options: ____ yrs. / Futures:____ yrs. Stocks: ____ yrs. / Bonds: ____ yrs. / Options: ____ yrs. / Futures:____ yrs. Total Transactions per Year Total Transactions per Year Stocks Bonds Options Futures Stocks Bonds Options Futures 0–9 0–9 0–9 0–9 0–9 0–9 0–9 0–9 10–14 10–14 10–14 10–14 10–14 10–14 10–14 10–14 15–24 15–24 15–24 15–24 15–24 15–24 15–24 15–24 25–74 25–74 25–74 25–74 25–74 25–74 25–74 25–74 75+ 75+ 75+ 75+ 75+ 75+ 75+ 75+ Average Transaction Size Average Transaction Size 0-$9,999 $10,000-$24,999 $25,000+ 0-$9,999 $10,000-$24,999 $25,000+ Continued on next page 6 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION special statement for uncovered options writers There are special risks associated with uncovered options writing which expose the investor to potentially significant loss. Therefore, this type of strategy may not be suitable for all customers approved for options transactions. • The potential loss of uncovered call writing is unlimited. The writer of an uncovered call is in an extremely risky position, and may incur large losses if the value of the underlying instrument increases above the exercise price. • As with writing uncovered calls, the risk of writing uncovered put options is substantial. The writer of an uncovered put option bears a risk of loss if the value of the underlying instrument declines below the exercise price. Such loss could be substantial if there is a significant decline in the value of the underlying instrument. • Uncovered options writing is thus suitable only for the knowledgeable investor who understands the risks, has the financial capacity and willingness to incur potentially substantial losses, and has sufficient liquid assets to meet applicable margin requirements. In this regard, if the value of the underlying instrument moves against an uncovered writer’s options position, the investor’s broker may request significant additional margin payments. If an investor does not make such margin payments, the broker may liquidate stock or options positions in the investor’s account with little or no prior notice in accordance with the investor’s margin agreement. • For combination writing, where the investor writes both a put and a call on the same underlying instrument, the potential risk is unlimited. • If a secondary market in options were to become available, investors could not engage in closing transactions, and an options writer would remain obligated until expiration or assignment. • The writer of an American-style option is subject to being assigned an exercise at any time after he has written the option until the option expires. By contrast, the writer of a European-style option is subject to exercise assignment only during the exercise period. I agree not to enter into any options transactions until I have received, read, and understood the disclosure document entitled Characteristics and Risks of Standardized Options, which can be found at global.etrade.com. In particular, please direct your attention to the chapter entitled Principal Risks of Options Positions. This statement is not intended to enumerate all of the risk entailed in writing uncovered options. I am aware of the special risks and obligations of options tr ading. I have read, understood, and agree to be bound by the options trading terms and conditions outlined in section 9 of the E*TRADE Securities Limited Customer Agreement US Supplemental Terms, which can be found at global.etrade.com. as it is amended from time to time. In accordance with UK Financial Services Authority Rules, you will be classified as a Retail Client. (Please tick as appropriate) On the basis of the information that you have provided to us in this application in relation to your knowledge and experience, we may consider that derivative products are not appropriate for you. Please confirm if you still wish to proceed with your application. You should note that derivative products may not be appropriate for you and that you may be exposing yourself to risks that fall outside of your level of knowledge and experience. Yes No Before investing in derivative products you should consider whether it is suitable given your particular circumstances and, if necessary, seek professional advice. Derivative Products give rise to substantial risk and are not suitable for all investors. You may loose more than your initial deposit. Only speculate with funds you can afford to loose. Do you wish to continue and invest in Derivative Products and have you read and understood the risks associated with Derivative Products: Yes No IMPORTANT: You must also sign in section 6 of the Brokerage Application before we can open your account. You cannot use this application to upgrade an existing account. If you would like to add options trading capability to an existing account, please use the Margin/Option Account Upgrade Form, which can be found at global.etrade.com. Options trading carries high risk to your capital. You may lose more than your initial deposit. Only speculate with funds that your can afford to lose. SIGN HERE Signature of Primary Account Holder Date Signature of Co–Account Holder or Custodian Date For E*TRADE Securities Use Only I have reviewed this application and believe the account is suitable for: Approval Date Margin Cash Options Level One Options Level Two Options Level Three Options Level Four Approval Date System response and account access times may vary due to a variety of factors, including trading volumes, market conditions and system performance. Securities products and services are offered by E*TRADE Securities Limited. For the purpose of trading in U.S. equities, options and bonds, your account is with E*TRADE Securities Limited. E*TRADE Securities Limited has a fully disclosed clearing Agreement with E*TRADE Clearing LLC (member NYSE/FINRA/SIPC), which will execute, clear and settle transactions pursuant to a fully-disclosed clearing agreement. E*TRADE Securities Limited and E*TRADE Clearing LLC are separate but affiliated companies. E*TRADE Securities Limited is a company registered in Scotland No. SC103238 with its principal place of business at Vinters Place, 68 Upper Thames Street, London EC4V 3BJ, United Kingdom, Registered Office: 24 Great King Street, Edinburgh EH3 6QN, United Kingdom. E*TRADE Securities Limited is a member of the London Stock Exchange and is authorized and regulated by the Financial Service Authority. It is a wholly owned subsidiary of E*TRADE Financial Corporation. ©2008 E*TRADE FINANCIAL Corp. All rights reserved. E*TRADE FINANCIAL is registered trademark and the E*TRADE FINANCIAL logo is a trademark of E*TRADE FINANCIAL Corp. 7 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION Form W-8BEN Certificate of Foreign Status of Beneficial Owner (Rev. February 2006) for United States Tax Withholding OMB No. 1545-1621 Department of the Treasury � Section references are to the Internal Revenue Code. � See separate instructions. Internal Revenue Service � Give this form to the withholding agent or payer. Do not send to the IRS. Do not use this form for: Instead, use Form: ● A U.S. citizen or other U.S. person, including a resident alien individual W-9 ● A person claiming that income is effectively connected with the conduct of a trade or business in the United States W-8ECI ● A foreign partnership, a foreign simple trust, or a foreign grantor trust (see instructions for exceptions) W-8ECI or W-8IMY ● A foreign government, international organization, foreign central bank of issue, foreign tax-exempt organization, foreign private foundation, or government of a U.S. possession that received effectively connected income or that is claiming the applicability of section(s) 115(2), 501(c), 892, 895, or 1443(b) (see instructions) W-8ECI or W-8EXP Note: These entities should use Form W-8BEN if they are claiming treaty benefits or are providing the form only to claim they are a foreign person exempt from backup withholding. ● A person acting as an intermediary W-8IMY Note: See instructions for additional exceptions. Part I Identification of Beneficial Owner (See instructions.) 1 Name of individual or organization that is the beneficial owner 2 Country of incorporation or organization 3 Type of beneficial owner: Individual Corporation Disregarded entity Partnership Simple trust Grantor trust Complex trust Estate Government International organization Central bank of issue Tax-exempt organization Private foundation 4 Permanent residence address (street, apt. or suite no., or rural route). Do not use a P.O. box or in-care-of address. City or town, state or province. Include postal code where appropriate. Country (do not abbreviate) 5 Mailing address (if different from above) City or town, state or province. Include postal code where appropriate. Country (do not abbreviate) 6 U.S. taxpayer identification number, if required (see instructions) 7 Foreign tax identifying number, if any (optional) SSN or ITIN EIN 8 Reference number(s) (see instructions) Part II Claim of Tax Treaty Benefits (if applicable) 9 I certify that (check all that apply): a The beneficial owner is a resident of within the meaning of the income tax treaty between the United States and that country. b If required, the U.S. taxpayer identification number is stated on line 6 (see instructions). c The beneficial owner is not an individual, derives the item (or items) of income for which the treaty benefits are claimed, and, if applicable, meets the requirements of the treaty provision dealing with limitation on benefits (see instructions). d The beneficial owner is not an individual, is claiming treaty benefits for dividends received from a foreign corporation or interest from a U.S. trade or business of a foreign corporation, and meets qualified resident status (see instructions). e The beneficial owner is related to the person obligated to pay the income within the meaning of section 267(b) or 707(b), and will file Form 8833 if the amount subject to withholding received during a calendar year exceeds, in the aggregate, $500,000. 10 Special rates and conditions (if applicable—see instructions): The beneficial owner is claiming the provisions of Article of the treaty identified on line 9a above to claim a % rate of withholding on (specify type of income): . Explain the reasons the beneficial owner meets the terms of the treaty article: Part III Notional Principal Contracts 11 I have provided or will provide a statement that identifies those notional principal contracts from which the income is not effectively connected with the conduct of a trade or business in the United States. I agree to update this statement as required. Part IV Certification Under penalties of perjury, I declare that I have examined the information on this form and to the best of my knowledge and belief it is true, correct, and complete. I further certify under penalties of perjury that: 1 I am the beneficial owner (or am authorized to sign for the beneficial owner) of all the income to which this form relates, 2 The beneficial owner is not a U.S. person, 3 The income to which this form relates is (a) not effectively connected with the conduct of a trade or business in the United States, (b) effectively connected but is not subject to tax under an income tax treaty, or (c) the partner’s share of a partnership’s effectively connected income, and 4 For broker transactions or barter exchanges, the beneficial owner is an exempt foreign person as defined in the instructions. Furthermore, I authorize this form to be provided to any withholding agent that has control, receipt, or custody of the income of which I am the beneficial owner or any withholding agent that can disburse or make payments of the income of which I am the beneficial owner. Sign Here � Signature of beneficial owner (or individual authorized to sign for beneficial owner) Date (MM-DD-YYYY) Capacity in which acting For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 25047Z Form W-8BEN (Rev. 2-2006) 8 (05/12/08 ) XB U.S. Individual BROKERAGE APPLICATION simplifieD instructions for completion of Form W-8BEN – Certificate of Foreign Status of Beneficial Owner for United States Tax Withholding NOTICE: THESE SIMPLIFIED INSTRUCTIONS ARE PROVIDED AS A CONVENIENCE AND ONLY APPLY TO THE FOLLOWING CUSTOMERS OF E*TRADE: 1. These instructions only apply to brokerage accounts owned by individuals 2. These instructions only apply to individuals who are not either a U.S. citizen or a U.S. resident 3. These instructions only apply to accounts which do not produce income effectively connected with a U.S. trade or business All OTHER ACCOUNT HOLDERS SHOULD REFER TO THE OFFICIAL IRS INSTRUCTIONS FOR FORM W8-BEN, WHICH CAN BE FOUND AT WWW.IRS.GOV IMPORTANT NOTICE: E*TRADE Securities Limited is an execution only stockbroker, and hence does Line 3. If you are an individual, please check the ”individual” box. If you are not an individual, not provide tax advice, recommendations or warrant the accuracy of this document. E*TRADE please do not follow these instructions. Instead, please refer to the IRS instructions. Securities Limited is providing this Simplified Instructions as a service to the customer and will not be liable for the customers correct filling of the document. Should discrepancies occur Line 4. Enter your permanent residence address. Do not abbreviate city names, e.g. please between this Simplified Instruction and the Official IRS Instructions the Official IRS Instructions use “HONG KONG” and not “HK”. will prevail. Note: Your “permanent residence address” is the address in the country where you claim to be COMPLETE W8-BEN INSTRUCTIONS a resident for purposes of that country’s income tax. Do not show the address of a financial institution, a post office box, or an address used solely for mailing purposes. If you are an Official IRS instructions to Form W8-BEN can be found by clicking the following icon: individual who does not have a tax residence in any country, your permanent residence is where you normally reside. www.irs.gov or www.global.etrade.com Line 5. Enter your mailing address if different from line 4. PURPOSE OF W8-BEN Note: This form is used by a foreign (non-U.S.) person to establish foreign status for U.S. tax purposes, US Addresses: If either the permanent or mailing address shown on line 4 or line 5 of the form to claim beneficial ownership of the income for which the form is being provided and, if is in the United States, we must also receive: applicable, to claim a reduced rate of, or exemption from, withholding as a resident of a foreign country with which the United States has an income tax treaty. • A letter signed by each account holder stating the reason why a U.S. address is associated with the account SPECIAL RULE FOR JOINT (MULTIPLE OWNER) ACCOUNTS • Copies of a valid government-issued identification (ID), such as a passport, for each account holder (that does not include the US address) If your E*TRADE account is a joint account, each joint beneficial account owner must complete and submit a separate Form W8-BEN. Inconsistent Addresses: We must also receive proof of your country of residence or a written explanation for the difference if either the permanent or mailing address shown on line 4 or line WHAT HAPPENS WITHOUT A TIMELY SUBMITTED FORM W-8BEN: Under U.S. tax regulations, if you 5 is not in the country whose treaty benefits are claimed on line 9a do not submit a valid Form W-8BEN to us on a timely basis, all payments made to your account (including gross sales proceeds) may be subject to a 28% withholding tax. Alternatively, if you Line 6. Provide U.S. taxpayer identification number, if any. do not furnish a valid treaty claim, your dividend payments may be subject to a 30% withholding Line 7. Foreign Tax Identifying Number (Optional) rate, regardless of the potential for a lower treaty rate or other exemption from withholding. Any Line 8. Please list all E*TRADE account numbers (Optional). over-withheld tax will generally not be reversible, and it will be your responsibility to file an income tax return with the United States Internal Revenue Service to obtain a refund claim. Part II – Claim of Treaty Benefits COMPLETE AND RETURN YOUR W-8BEN FORM: We need your original executed Form W-8BEN and not a facsimile. Complete and return your from W-8BEN Form to the address of your local Note, part II must be properly completed in order to claim the benefits of any income tax treaty E*TRADE office. The address of your local E*TRADE office can be found on page one of the between the United States and the country in which you are a resident. application or on www.global.etrade.com Line 9a. SOME ACCOUNTS ARE REQUIRED TO USE ANOTHER FORM: Forms W-8BEN are to be completed only by non-U.S. persons who are actual account owners and whose accounts do not produce 1. Check box 9a if you are entitled to benefits under a tax treaty between the U.S. and the income effectively connected with a U.S. trade or business. If you are a U.S. citizen or resident, or country in which you are a resident. acting as a nominee, intermediary, or in an agency or custodial capacity, or if you are a non-U.S. 2. On the space provided please enter the complete name of the country where you claim partnership or pass-through trust, DO NOT SUBMIT FORM W-8BEN. to be a resident for income tax treaty purposes. Please do not abbreviate Note: Please refer to IRS Instructions for the series of Forms W-8 at http://www.irs.gov/for further details. Note: Please refer to IRS Instructions for Form W-8BEN at www.irs.gov for more information on beneficial ownership and tax residency for treaty purposes. instructions for How to complete form w-8Ben Part III – Notional Principal Contracts Part I – Identification of Beneficial Owner Line 11. This does not apply to your account so leave this section blank. Line 1. Enter your full name. If your account is jointly owned, each beneficial owner must complete a separate W8-BEN. Part VI - Certification Beneficial Owner: Please refer to IRS Instructions for Form W-8BEN at www.irs.gov for more The beneficial owner must Sign and date the form in the spaces indicated. You may leave the information on “beneficial ownership”. The “beneficial owner” of income is generally the person “Capacity in which Acting” line blank. who is required under U.S. tax principles to report the income on their US Income Tax Return. Likewise, the “beneficial owner” of an account is the person who owns the assets in the account. We appreciate the opportunity to be of service. If you have any questions or desire further A person is not a beneficial owner to the extent that person is receiving income or holding assets information, please do not hesitate to call your representative at the Introducing Firm. as a nominee, agent or custodian, or to the extent the person is a conduit whose participation in a transaction is disregarded. Line 2. Enter N/A (for “not applicable”). E*TRADE CLEARING LLC DESIGNATION OF RESPONSIBILITIES NYSE RULE 382 DISCLOSURE THIS DISCLOSURE STATEMENT CONTAINS IMPORTANT INFORMATION. PLEASE READ IT CAREFULLY AND RETAIN IT FOR FUTURE REFER- ENCE. E*TRADE Clearing LLC (“E*TRADE Clearing”) is a registered broker-dealer and member of the New York Stock Exchange (“NYSE”). E*TRADE Clearing will clear and settle customer accounts of E*TRADE SECURITIES LIMITED (“Introducing Firm”) on a fully-disclosed basis pursuant to a clearing agreement entered into by E*TRADE Clearing and Introducing Firm. This disclosure statement is intended to advise you that E*TRADE Clearing and the Introducing Firm have allocated certain responsibilities and functions with respect to your account. It is important that you understand the responsibilities as between E*TRADE Clearing and the Introducing Firm, as outlined below. Introducing Firm will be solely responsible for opening, approving and monitoring your account to assure that the transactions in the accounts are in compliance with all applicable laws, rules and regulations. This means that, among other things, Introducing Firm (and not E*TRADE Clearing) is solely responsible for: (a) receiving and reviewing any financial or personal information about you and your investment objectives; (b) determining if a specific investment strategy is suitable or appropriate for you; (c) supervising the volume of activity, or any other matter regarding the quantity, quality or specifics of any securities or options transaction in your account; (d) making recommendations regarding a specific security or investment strategy; and (e) providing you with research or market interpretations regarding the advisability of purchasing or selling a specific security. If you have an options account or engage in transactions in listed securities options, Introducing Firm will be solely responsible for: (a) delivering a current Options Clearing Corporation (OCC) brochure - Characteristics and Risks of Standardized Options - to you prior to your first options trade and delivering to you periodic updated versions of this brochure as they are published by the OCC; (b) determining which options strategies are suitable for you; (c) notifying you when you have been assigned delivery responsibility on a short options position; and (d) accepting exercise notices from you for long options positions in your account. E*TRADE Clearing will provide you with written confirmation of each transaction entered for your account. E*TRADE Clearing also will provide you with at least one quarterly summary of the status of your account (account statement) that will list your securities and cash positions, margin debt and open options positions, if applicable. E*TRADE Clearing provides Introducing Firm with copies of each confirmation and account statement sent to you. Please direct any questions you may have about your confirmations or account statements to your Introducing Firm as promptly as possible. E*TRADE Clearing will maintain books and records relating to the settlement and clearing of cash and securities transactions in your account. To the extent E*TRADE Clearing provides execution services for Introducing Firm, E*TRADE Clearing will maintain records relating to execution. All other books and records including information and investment objectives, records relating to orders to purchase or sell securities and communications between you and Introducing Firm, including correspondence and documents relating to advertising and promotion will be maintained solely by Introducing Firm. E*TRADE Clearing is responsible for holding and safekeeping your funds and securities in your account. You may deliver funds and securities to E*TRADE Clearing or Introducing Firm for deposit to your account provided, however, that E*TRADE Clearing will only be responsible for holding and safekeeping your funds, and securities from the time they are actually received by E*TRADE Clearing from you or Introducing Firm. Any funds or securities required to settle transactions in your account must be delivered to E*TRADE Clearing on or before the settlement date for the transaction except where you either deliver funds or securities directly to the Introducing Firm, you receive a check directly from Introducing Firm, or you settle the transaction on a delivery versus payment/receive versus payment basis with a third-party custodian. E*TRADE Clearing is responsible for approving, extending and maintaining credit or margin transactions in your account. Introducing Firm, however, is responsible for communicating all information to you regarding margin and credit, including communications and processing margin calls. E*TRADE Clearing may nevertheless contact you as well with respect to margin deficiencies in your account(s). Introducing Firm is solely responsible for accepting orders from you to buy, sell, margin, tender, or exchange securities for settlement in your account. Introducing Firm is also responsible for execution of those orders on the applicable exchange or market. Introducing Firm may request that E*TRADE Clearing or one of its broker-dealer affiliates assist with the acceptance and execution of orders for your account. In those cases where E*TRADE Clearing or one of its broker-dealer affiliates assists Introducing Firm with acceptance and execution, E*TRADE Clearing or its broker-dealer affiliate, as applicable,is acting on behalf of Introducing Firm only and not directly for you. E*TRADE Clearing or its broker-dealer affiliate, as applicable, may rely on any order or instruction it receives from Introducing Firm, or if applicable from you directly, without further inquiry. Orders for your account may only be entered by and through Introducing Firm, unless otherwise agreed to by E*TRADE Clearing. In addition, as part of its clearing and settlement services, E*TRADE Clearing will (a) collect from or pay to third parties money due to or from you for securities transactions in your account; (b) receive from third parties or deliver to third parties securities purchased or sold, as the case may be; (c) collect and pay to you dividends or interest due on securities held in your account in E*TRADE Clearing’s name and charge your account for interest or dividends improperly credited to your account; (d) on your instruction, process exchange, rights and tender offers with respect to securities in your account and (e) in the case of an account which trades in listed securities options, allocate assignment or exercise notices or execute notices to exercise, as the case may be. E*TRADE Clearing also may use and rely upon third parties, including data processors, clearing agencies, transfer agents, and other service providers. We appreciate the opportunity to be of service. If you have any questions or desire further information, please do not hesitate to call your representative at the Introducing Firm.
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