📄 Extracted Text (1,409 words)
EFTA01444647
EFTA01444648
EFTA01444649
Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Pfiva^ Wealth Premium
Elitp^usiness Accounts
Private Wealth Premium`"
Banking Services
❑ Consumer Debit Card #
Private Wealth Premium^'^
Elite Personal Accounts
Q Checking Acct. #
Q Elite Checking with Interest
Acct. #
0 Joint Applicant Debit Card #
❑ Elite Checking with Interest
Acct. #
APY
Q Elite Money Market Deposit
Acct. #-
APY
Q Certificate of Deposit
Acct. 40-N
APY
Term,
CPY
Elite Money Market Deposit
Acct. #
APY
❑ Certificate of Deposit
Acct. #
APY
Term
Q Business Debit Card #
Checkbook- Style # .
/Af/
❑ NameOnlvOLno5-5-^?arH^I
f^'Name and Address "Tripi'Ccr
" C5LOtt .Bl-De
Hec^lMg3cw&
Q Duplicate Statement
Addr
Q DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Terrri
EFTA01444650
Promo term
(DBTCA deposit account required,
along with a DB AG Preferred Terms
end Conditions)
Q Cash Master Sweep Account
Checking Acct. M
Elite Money Market Deposit
Q 1^Link 'to Existing Online Relationship Acct. # II •
APY
Target Amount
Trigger Amount
❑ DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Term
Promo term A
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
City
Zip Code
State
0 Mailing address (if different)
Name
Add r;_
City.
State
Zip Code
TM
Private Wealth Premium
Iht^net Banking Services
Bi
DB'Private Wealth Online Plus
log
(User/Co. ID Number)
Client Relationship
Q Individual Account
Q Joint Tenants with Right
of Survivorship
E Corporation
Q Limited Liability Company
Q Custody under NY UTMA
❑ Foundation
❑ Partnership
Q Non-Profit Organization
Q Joint Tenants in Common
❑ Limited Liability Partnership
❑ Attorney Trust Escrow
Q In Trust For/Payable on
Death/As Trustee for
EFTA01444651
Q Trust
Q Estate
❑ Landlord Master Escrow
13-AWM-Of0I
Account Title
Information
Joint Applicant '
(last name, first name, middle initial)
Name of Accjjuht Title
(last name, first name, midtila'initiolj or Business
Social Sscurity Number or TaxQayer ID N^iiber
Social Security Number or Taxpayer ID Number
(C^
Address
Address
6T TA^r^f5
oti^acDllcable....
City, State and Zip Code
City. Stote and Zip Code r.
Home'telephone Number
Busine^ TelephoneNiimber
Home Telephone Number
Business Telephone Number
D^eoFBTrfh"
bate'of Birth
Name of Employer
Name of Employer
Address
Address
Not applicable
Cly, State and Zip Code
City. State and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering
activities. Federal law requires 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. This means that we
will ask for your name, address, and other
EFTA01444652
information that will allow us to identify you. We may also ask to see
identifying documents such as a certificate of
formation or good standing (legal entities) 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 money laundering
and terrorist financing; these rules call for an active involvement of both
asset management firms and their clients. For
new and existing clients we currently have a legal obligation to ask our
customers questions regarding their identities,
addresses, source of funds and, if necessary, legal representatives,
authonzed signatories, beneficial owners or control
structures and to collect requisite documentation to substantiate the
information. Also, enhanced anti-money laundering
requirements require that should any of the above personal or institutional
information change, our clients would be
obliged to immediately notify us of the change(s) and provide us with
relevant documentation to verity these changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions
by telephone, facsimile or email regarding
the above captioned account(s) (defined herein as "Verbal Instructions"). It
is understood that the risk of Verbal
Instructions being given by person or persons purported to be you is your
own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Aroericas (DBTCA), you egree to
indemnify and hold harmless DBTCA foi
any claims, losses, expenses, costs or attorneys' fees resulting from
DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may, but shall
not be required to, seek verification of your
verbal, facsimile or email instructions by call back. In case of doubt,
DBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any
liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any account(s)
without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the
following information: This deposit and any
additions to the account shall become the property of each owner as joint
tenants, and DBTCA may release the entire
account to any owner during the lifetime of all owners. DBTCA may honor
checks, orders or withdrawal requests from
any owner during the lifetime of all owners. The Bank may he reqdired by
service of legal process to remit fundo held in
the joint account to satisfy a judgment entered against, or other valid debt
incurred by, any owner of the account. DBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after
EFTA01444653
the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any
owoer(s). Unless DBTCA roceivab writteo ootice
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 ownar
After the receipt of the notice referred to
in the previous sentence, DBTCA may require the written authorization of any
or all joint owners for any further payments
or deliveries.
2
13-AWM-0101
013959032613
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes
acceptance of the terms and conditions of the
Cardholder Agreement contained in the Terms and Conditions of Deposit
Accounts.
internet Banking Service
If you have selected to receive Internet Banking Services, you understand
that you will be required to enter into a
separate Internet Bahking Services Agreement with DBTCA before you can
access the Internet Banking Service.
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 duties applicable
to you in any relevant jurisdictions that may arise in connection with
assets, income or transactions in your account(s)
and your business relationship with DBTCA.
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 duties applicable
to it in any relevant jurisdictions that may arise in connection with
assets, income or transactions in your account(s) and
your business relationship with DBTCA, Furthermore, you confirm that the
necessary information (to the best of your
knowledge and capabilities) is made available no less than annually to the
relevant beneficial owner(s), settlor(s),
beneficiaryjies), pariner(s), etc. to enable him/her/ them to fulfill any
respective tax obligations that may arise for him/her/
them in connection with your business relationship with DBTCA.
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 to this
Application and agree to be bound by them. In addition, you agree to notify
us immediately of any material chartge to
the information provided by you on this Application.
EFTA01444654
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 subje"to change.
Acceptanc" ,
You understand that this"appijsai
is.subject to acceptance by DBTCA.
0,
Date'
Amount Holder's Signature
Date
joint Account Holder's Signature
13-AWM-0101
MOM=
IN WITNESS WHEREOF, the undersigned, by and through its authorized officer,
has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERS)
Business Narno / ^
v'-p.N"
712>"v
iNorhornne:
7
Signatu're.
Date
PEUT"HE BANK TRUST COiyiPANY AMERICAS
By
:kA-Cr ^
vrbx./
-,-V\ /vLAi
PrintNome);"ril6
r
JO
Date
[FOR ALL OTHER USERS)
Account Name
Name/Title
Signature
Date
EFTA01444655
21
EFTA01444656
ℹ️ Document Details
SHA-256
09c754ba9ac21b45bc76310c5f177b46df71ebeec5612b78a3d9afe3107c380f
Bates Number
EFTA01444647
Dataset
DataSet-10
Document Type
document
Pages
10
Comments 0