📄 Extracted Text (1,545 words)
Deutsche Asset
&r Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium" Private Wealth Premiums" Private Wealth Premiumr '
Elite Personal Accounts EhyBusiness Accounts Banking Services
❑ Checking Acct. I • -✓ Checking Acct It
L ❑ Consumer Debit Carf II
❑ Elite Checking with Interest ❑ Elite Checking with Interest ❑ Joint Applicant Debit :arc! t
Acct. # AM. N
APY Apy ❑ Business Debit Card;
❑ Elite Money Market Deposit VI Elite Mona Market De sit
Aect. I Acct. # DeluxbZuckelictogl #
APY API 5.• At/co
❑ Certificate of Deposit ❑ Certificate of Deposit ❑ Name Only
Acct. I Met. Ef Name and Addrt :.S
APY APY
Term Term ❑ Duplicate Statement
Addr
❑ DB AG NY Preferred ❑ DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. X Acct. N State Zip Gine
APY APY ❑ Mailing address (if dit went)
Term Term Name
Promo term Promo term
Addr
10B7CA deposit account required. (DBTCA deposit account required,
along with a DR AG Preferred Terms alone wan a DB AG Preferred Terms City
and Conditions) and Conditional State Zip Cc:le
Private Wealth Premium" ❑ Cash Master Sweep Account
Internet Banking Services Checking Acct. #
• B Private Wealth Online Plus Elite Money Market Deposit
Link to Existing Online Relationship Acct. N
APY
(User/Co. ID Number) Target Amount
Trigger Amount
Client Relationship
❑ Individual Account ❑ Custody under NY UTMA ❑ Corporation
❑ Joint Tenants with Right ❑ Foundation ❑ Limited Liability Comp ay
of Survivorship
❑ Joint Tenants in Common ❑ Non•Profit Organization ❑ Partnership
❑ In Trust For/Peyabie on Attorney Trust Escrow ❑ limited Liability Parini iship
❑
Death/As Trustee for
❑ Trust ❑ Landlord Master Escrow
❑ Estate
t•nwallolot
NAOSOD00015602-0: let 04411
el.:$41.03Zel3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001464
EFTA_00014938
EFTA00165722
Accouiv jigs andCLC
Joint Application Information
for-,
Name of Account Title Joint Applicant
east namadaisi name. (last name, first name, middle initial)
St:sell
/O S:Uri tritir a rlgp v Ntirn
v t e 12. 7 Social Security Number or Taxpayer ID Number
rr —a
Ad roes
tS ji 0%Crf---- Address
kstva V vA100
alleable
City. Stare and Zip Cote- City. State and Zip Code
Nome Telephone Number
Butineu Telephone Numbe Business Telephone Number
Datetc iirth aof Binh
Name of Employer Name of Employer
Address Address
Not applicable
Cay, Stale one Zip Code Crry. State and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government light the funding of terrorism and money laundering activities. Federal law requires a finan:ial
institutions to obtain, verify, and record information that identifies each person who establishes an account, ii vestment or
other business relationship with a financial institution. This means that we will ask for your name, address, an: other
information that will allow us to identity you. We may also ask to see identifying documents such as a canine ite of
formation or good standing (legal ontrties) or a passport or other photo identification (individuals).
3rd EU Notice
Governmental rules have also broadened the scope of the Bank's obligations to aid in the fight against monet laundering
and terrorist financing: these rules cantor an active involvement of both asset management firms and their el lints. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their it mutieS,
addresses. source of hinds and, if necessary, legal representatives, authorized signatories, beneficial owners I control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti.money hunde ring
requirements require that should any of the above personal or institutional information change. our clients wo. Id be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these r tangos.
Telephone, Facsimile or Email Instructions
8y signing below, you agree that from time to time you may give instructions by telephone, facsimile or Mail ',melding
the above captioned account(s) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbi
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence o - willful
misconduct of De usche Eank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless D.iTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstooi and
unauthorized Verbal Instructions. You understand that OBTCA may, but shall not be required to. seek verificati. in of your
verbal. facsimile or email instructions by cell hack In case of doubt, DBTCA may irrits sole discretion refuse to ixeCUPO
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to ext cute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your or jinal
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This dap° i't and any
additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the :fibre
account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal reques from
any owner during the lifetime of owners. The Bank may be required by service of legal process to remit fuod: held In
the joint account to satisfy a judgment entered against, or other valid debt incurred by, any owner of the accoui DBTCA
may honor checks, orders or withdrawal requests from the sun/Worts) after the death of any owner(s) and may i 'eat the
account as the sole prooeny of the survivors) aftor the deeth of any owner(s). Unless OBTCA receives wrinen n :zice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to a 'y owner
for continuing to honor checks, orders or withdrawal requests from any owner. Alter the receipt of the notice re ,red
in the previeus sentence, D8TCA may require the written authorization of any or all joint owners for any further :payments
or deliveries.
2 12. Wile-0101
01:!49.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001465
EFTA_000 14939
EFTA00165723
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditio •r; of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
II you have selected to receive Internet Banking Services, you understand that you will be required to enter j to a
separate Internet Banking Services Agreement with DBTCA before you car access the Internet Banking Sen ce.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package.
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 dutie applicable
to you in any relevant jurisdictions that may arise in connection with assets. income of transactions in your ccourn(s)
and your business relationship with OBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that it Is your responsibility to fulfill any tax obligations and any other regulatory reporting Maio veritable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your acc mils) and
your business relationship with OBTCA. Furthermore. you confirm that the necessary information (to the bey of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settle' Is).
beneficiary(ies). partner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise ;N hirelher/
them in connection with your business relationship with DBTCA.
Please complete and attach separate W8 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 to th t.
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cl Inge 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 are subject to chance
Acceptance
zYou understand that this appli
ount Holders Signature Cate
Joint Account Holders Signature One
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OW ,9.032513
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001466
EFTA_000 14940
EFTA00165724
ℹ️ Document Details
SHA-256
0087491f19bd59dc39d9a66121b82b02e68d9d81f0ceb4df612799a73d5f2523
Bates Number
EFTA00165722
Dataset
DataSet-9
Document Type
document
Pages
3
Comments 0