EFTA01282264
EFTA01282278 DataSet-10
EFTA01282282

EFTA01282278.pdf

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brutsche Asset Akio' 7A c2 cicioo • & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium" Private Wealth Premium" Private Wealth Premi Elite Personal Accounts Elite Business Accounts Banking Services O Checking Acct. SI ▪ C O Consumer Debit ,:tard O Elite Checking with Interest ❑ Elite Checking with Interest O Joint Applicant ( +Alit Cud H Acct. Acct Are APY El Business Debit C:ril # ❑ Elite Money Market Deposit O Elite Money Market Deposit Acct. 0 Acct. O Deluxe Checkborl: Style APY APY O Certificate of Deposit O Certificate or Deposit ❑ Name Only Acct. N Acct. 0 O Name and .4.:Idress 1 APY APY Term Term O Duplicate Statem .nt Addr O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City I Acct. 0 Acct. N State Z p Coda APY APY O Mailing address different) Term Term Name Promo term Promo term Addr (08TCA deposit account required, fOBTCA deposit account required, along with a 08 AG Preferred Terms along with a 08 AG Preferred Terms City and Conditions) and Conditional State Zi:rCodti Private Weahh Premium" O Cash Master Sweep Account Internet Banking Services Checking Acct. 0 II / OB Private Wealth Online Plus Elite Money Market Deposit g Relationship Acct. APY Target Amount Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation O Limited Liability C::mpany of Survivorship O Joint Tenants in Common O Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for O Trust ❑ Landlord Master Escrow ❑ Estate 13.Awmotot NAOSOD 000156 W000105135 0139!9037613 SDNY_GM_00037681 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0000505 EFTA_00148290 EFTA01282278 Account Tide and Joint Application Information Butterfly Trust Name of Account Title Joint Applicant (last name, first name. middle Initial' or Business Oast name, first name, middle initial 264639711 Social Security Number or Taxpayer ID Number Social Securny Number or Taxpayer ID Number 6150 Red NookSROP:RtUID Address Address .St_Thomas U.S. Vimin Isle' 00802 City. State and Zip Code City, State and Zip Code Home Telephone Number Name of Employer Name of Employer Address Address Not apyllcabte City, State and Zip Code City. Stale and Zip Code Notice of Customer Identification Policy Important Information To help the government tight the funding of terrorism and money laundering activities, Federal law require all financial institutions to obtain, verify, and record information that identifies each person who establishes an account investment or other business relationship with a financial institution. Ibis means that we will ask for your name, address, and other information that will allow us to identify you. We may also ask to see identifying documents such as a certi'.cate of formation or good standing (legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo ley laundering and terrorist financing: these rules call for an active involvement of both asset management firms and theh client;. For new and existing clients we currently have a legal obligation to ask our customers questions regarding the identities, addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owns • ; or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor cry laundering requirements require that should any of the above personal or institutional information change, our clients .vould be obliged to immediately notify us of the changels) and provide us with relevant documentation to verify the: .3 changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you may give instructions by telephone, facsimile or en i id regarding the above captioned aCCOunt(s) (defined herein as "Verbal Instructions") It is understood that the risk of Vi :bat Instructions being given by person or persons purported to be you is your own. Absent the gross negligent si or willful misconduct of Dcusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmles OBTCA for any claims. losses, expeosos. costs or attorneys' tees resulting from DBTCA's acting upon such misunders ood and unauthorized Verbal Instructions. You understand that DBTCA may. but Shall not be required to, seek verifi :item at your verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion refus to execute your Verbal Instrucdnns or airy pert thereof, without incurring any liabdity. DBTCA is under ne &legation to 'mature your Verbal Instructions to transfer funds or securities to any accounts) without written instructions bearing yet I original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c posit and any additions to the account shell become the property of each owner as joint tenants, sod DBTCA may Tersest tha entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal rer nests Irom any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit !kinds held in the joint account to satisfy a judgmunt onteied against, nr other valid debt Incurred by, any ownet of the ac count. OBTCA may honor checks, orders or withdrawal requests from the survivor(sl atter the death of any owners) and r •ay treat the account as the sole property of the survivor(s) atter the death of any owner(s). Unless DBTCA receives writt to notice signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti:z referred to in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any fur ter payments or deliveries. 2 13.AWM.0101 013959.032613 SDNY_GPA_00037682 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED. R CRIM. P. 6(e) DB-SONY-0000506 EFTA_00148291 EFTA01282279 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and condit Ins of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to reeerve Internet Banking Services, yon underetand that you will be required to eat( into it separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S Acknowledgement of Receipt of Privacy Notice By signing below. you acknowledge receipt of OBTC.A's Privacy Notice included in the Application Packer it. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting dues applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yot r account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies. You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du %es applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your i :count(s) and your business relationship with DBTCA furthermore, you confirm that the necessary information (to the t ost of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se' Ilona), beneliciandies), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may al :a for him/her/ them in connection with your business relationship with OBTCA. Please complete and attach separate W-8 or W-9 documentation as applicable. Terms and Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached k this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materir I champ) to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. • The Terms and Conditions for Deposit Accounts ate subject to change. Acceptance You understand that this applicat su eptance by DBTCA atiCA-e-4-•••-1 ": 9 /xi /3 t!0490:e•0100011kr0. .Date- 'ttoinriAccetinfHolderliSignande tare For a , Use nIxe,pevieitby: at d:E4tstHiresw zia /ch.. No.....' r 'if&mnteet; Oarai.&:sal • ams, ',sr 1,:-.‘ CA: it-,, ‘,.. 41,.,,.a Ii.1. 120,1se,tri,r,,k, a Nam .C47.7-tin:Meriffaritta+Sta, 13-AW1.90101 013%9.032613 SDNY_GM_00037683 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. CONFIDENTIAL 6(e) DB-SDNY-0000507 EFTA_00 148292 EFTA01282280 IN WITNESS WHEREOF. the undersigned. by and through its authorized officer. has caused this int Irumen to be executed on the date fisted below. IFOR BUSINESS USERSI Butterfly Trust 119sleSsANan19 Darren Indyker Trustee Richard Kahn/Trust:is:, 'Planteniqa ki -Aft cke Q NeCitk— i Italtdi KittAl (Vi tiliVO Siprutiira 'Pete: DEUTSCHE BANK TRUST COMPANY AMERICAS • [FOR AU, OTHER USERSI Account Name Namennle Signature Date WM136667 21 010198 030613 SDNY_GM_00037684 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0000508 EFTA O0148293 EFTA01282281
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002e4a4c9f7daf902f13bdc1828d9636e23e822be9ba5bf06c5f1c435d87a56b
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EFTA01282278
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DataSet-10
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document
Pages
4

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