EFTA00165617.pdf

• Deutsche Asset • & Wealth Management i 1M rter-xttl 3 °-)- DBTCA Deposit Account Opening Application Private Wealth Premium!'" Private Wealth Premium D's Private Weafth Premium."' Elite Personal Accounts Elir Business Accounts Banking Services O Checking Acct.. a Checking Acct. It O Consumer Debit Card If 97.1S b '7 3 O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card N Acct. I Acct. N APY APY O Business Debit Card N O Elite Money Market Deposit Acct. I Acct. Nit 4 la DAlite Money Market ar Deposit 1 Oet e Chpgkbook . Style I / APY APY Do' en/WC% env jri floy‘ O Certificate of Deposit O Certificate of Deposit GI Name Only Acct. N Acct.. a Name and Address APY APY Term Term O Duplicate Statement Addr O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. I Acct. X State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Add( (DBTCA deposit account requited, (DBTCA deposit account required. along with a DB AG Preened Terms along with a DB AG Preferred Terms City and Conditional and Conditions) State Zip Code Private Wealth Premium"" O Cash Master Sweep Account Internet Banking Services Checking Acct. N e rr DB Private Wealth Online Plus Elite Money Market Deposit O 1. Link to Existing Online Relationship Acct.. /030 15 45—t) APY (User/Co. ID Numbed Target Amount Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA O Corporation ❑ ..10011 Tenants with Right O Foundation O Limited Liability Company of Survivorship O Joint Tenants in Common O Non-Profit Organization O Partnership O In Trust For/Payeble on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for I ❑ Trust O Landlord Master Escrow O Estate 134W/1640101 NAOSODD0015602-000104611 013959 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001359 EFTA_000 14833 EFTA00165617  bglAl yolk At-count Tile and Joint4paication Information • tc Name of Accourd Title gl,- tuffre Oast name. first name, middle initial) or Business Joint Apphcam hint name, first name, middle innate ft.^ VOIN /1 §eclat/wino:et or Taxpayer ID,Numbeu.,— Social Severity Number or Taxpayer ID Number ( /tic, ai titHc #, 1"C -- Address " C . LCncrt it71 fr g'Pr :lc el —r•li -•--- :7Address PY 411.7 &W..,_14i2Latarallcable Cut state an zip code - City. State and Zip Code Home Telephone Number Home Telephone Number 1111 1 1 / 4 3 0 441 4 74 3/ i t Business Telephone Numbs Business Telephone Number Date of Birth Date of Binh Name of Employer Name of Employer Address Address Not applicable • City. State and Zip Code Mate 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 wnh a financial institution. This 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 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 chants we currently have a legal obligation to ask our customers questions regarding their identities. addresses. source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners or control structures arid 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 verify 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 atcountls) (defined herein as "Verbal InstruCtiOns"). It is understood that the risk of Verbal Instructions bairn given by person or persons purported td be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnity and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorizeo Verbal Instructinns. You understand that MICA 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 aocoum(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 pf all owners. DBTCA may honor checks, orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds 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 chocks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the account as the sole property of the sunwor(s) after the death of any ()vassals). Unless OBTCA receives written 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 cheoks. orders or withdrawal requests from any owner. Atter 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.OlOr 013959.032513 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001360 EFTA_000 14834 EFTA00165618  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions ol the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement nub DBTCA before you can access the Internet Baoking 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 Mat it is your responcibifiry to fulfill any tax obligations and any other regulatory reporting dblies applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountls) 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 airy other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounrys) 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). beneficiaryties), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for hirritherf 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 change 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 lor Deposit Accounts are subject to change. Acceptance You understand that this application is su 'eel to acceptance by DBTCA, 9 /1 /3 Account Holder's Signature Date Joint Account Holders Signature Date t en 7,:l 4, ,..,....z.. re-rwir -. 1.iii...,rme.vat i rc e tor I t,,4,e- i 4 n. n r• gitzfrice., Co - n e, r r.19 " ' '1X *; • ; :,. ..,; •;..x.:.s-W:.S•s.`It'se.::•W:(7- I 4.4's s tes-.1,- . sAv iVfnf;;;;I&b. Ja raPit, ,e:14 /. ,... L Nail ; 4ira;;POW4041t , IS I-;,Ss (.. ..".17R,teetteak.‘ . TiSa7:Iti ' Cr I-Pt"S eln,latsor n f 1,-^ r ***P7*.a,,,Mirs'arelnr),Vgif ;', X701Valnert4s..at ' irer '"' rathig? i -traOsTVkra'OW ; .; - ,t,a t 4Ii;f: ii, .... :11naiithIAVII nt ., ' nP:i 7Va le - • IS 4, .ot - 9b 0 IAA. IM • : ' IACSOPt t ' 1 . 6., . from. ., y.. .. ..- ,...:Q .W.: w.x......" . Namerr it'ESIS0 • Wi0p7r4r3e..Ai TArapiriatWirtra.1. '' "tecclal .44,.. 4../4 -figa •74-W t 6frS Pr: Wri..41 .1470.1' 'Pei 0 S r. 'ffr .fl S A. fay poICA. A pc; ta ;:es. • 1:1 :.•4 r.,..cime,,sra*. gewice... .........r......vz.eff2a, 7P4k •4, -4 tirsi ' n t.,....crow 2iti - - ki .- t i i 4.. ,wats",.... -.Z-s, 1‘;1431%tVt r- 14' 54 Mir es Tig 12/""; Tag I' - fie: • 4 V . . .4.pv •e -.,t. ralbaigh• ii g ta.M.a* ir9IarCgittagini&I - 4.2.449Ass 1 447 151 . .1- ;Erg' ‘": •. , i. _ ws.,.14 / 3 113.AV/M-0101 013959.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001361 EFTA_00014835 EFTA00165619