EFTA01282900.pdf

Cleutsche Asset ? c.r; tin & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premiumm Private Wealth Premium TM Private Wealth Premium" Elite Personal Accounts Elite usiness Accounts Banking Services O Checking Acet. I Checking Acct. O Consumer Debit Card # O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card N Acct. Acct.* APY fPY O Business Debit Card # O Elite Money Market Deposit g r Elite Money Market Deposit Acct.* Acct. N Erpelbl ic Ciekt}iik S lef t izini fx APY APY O Certificate of Deposit 0 Certificate of Deposit O Nam* OnlYDLI(Oh -3:triSi Acct.N Acct. N fej Name and Address Th pfLiratc. APY APY Term Term O Duplicate Statement BASE PAW-LIN:4qt Addr ❑ DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. il Acct. I State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (DBTCA deposit account rewired. (DBTCA deposit account required. along with a DB AG Preferred Terms along with a OB AG Preferred Terms City and Conditions) and Conditions) State Zip Code Private Wealth Premium TM ❑ Cash Master Sweep Account Internet Banking Services Checking Acct. N O DB Private Wealth Online Plus Elite Money Market Deposit V Link to Existing Online Relationship Acct. II APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship ❑ Individual Account O Custody under NY LITMA O Corporation O Joint Tenants with Right O Foundation 0 Limited Liability Company of Survivorship ❑ Joint Tenants in Common O Non-Profit Organization ❑ Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for ❑ Trust O Landlord Master Escrow O Estate 13-AWM-0101 NAOSOD00015602-000104811 013,459.032613 SDNY_GM_00038499 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001323 EFfik_00149108 EFTA01282900  Accou Title and Joi t Application Information IV. C Name of m Title Joint Applicant hest nem (lieu name. first name, middle initial) Social Social Security Number or Taxpayer ID Number 6A9 5r2-42•I LAI4 „tot_ Address City, S City, State and Zip Code Home Telephone Number Business Telephone Number r Business Telephone Number bate of Born b712 o! inn Name of Employer Name of Employer AddreSs Address Not applicable City. State end Zip Code City. State end Tip 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 wiN ask for your name. address, and other information that wili allow us to identity you. We may also ask to see identifying documents such as a certificatb 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, authorized signatories, beneficial owners er 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 changes) 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 account(s) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being given by person er persons purported to be yon is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DBTCAI. you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from DI3TCA's acting upon such misunderstood and unauthorized Verbal Instructions. Yon 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 exeeute 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 accoum(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 withorassal requests born 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 checks, orders nr withdrawal reth.ests from the survivor(s) alter the deem of any owner(s) and may treat the account as the sole property of the survivals) after me death of any owner(s). Unless DBTCA 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 continuiog to honor checks. orders or withdrawal requests from any owner. After the receipt of the notice referred to in the previous sentence, OBTCA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 i3-AW/A.010i 013959 032613 SDNY_GM_00038500 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001324 EFTA_OOI 49109 EFTA01282901  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 Banking 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 responcibility io 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 Ito the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerls), settior(s), beneficiary(ies), panner(s), etc. to enable hirrdhed them to fulfill any respective tax obligations that may arise for him/hed 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 Atcounts 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 acctitate. The Terms and for Deposit Accounts are su• Accept ace You ndersieed that this ph ante by OBTCA. Date 9403 Joint Account Holder's Signature Date 7174iT) lz-#34;74,3„ ,-S-xaS-2$. /VW, en , -A. If''WrgAt.4$47:PAP:4 i Ai'f-M4Ateciti<48.,„:4?-4. "I'''INtaactMarat .rs.l. ';'?" AWIAMIVEnfitS, - 3 ,,.... .7s, .*, — .043,-;1, 7mw,-Ltw-,:eltla 4 -.4 Allumill4WAAW4, ": &core.. sat,Ifitt _ araiss. -Al.Favetzi.,E: tIt% o-ilwaklat ; , :1%,t4s0 .0 .110.4,1,Wa stixte ci"'644.1;gatig.:caa*"1-WasinAMW,a460:' ala4 t ".: art."' • 1.1 tZt1 4/ .1 tnrat" d; r;St‘gt . 6P.4 ("-fe-`4n.:3 9,4CtiV4T %M. • .41AAIDIrTadOsas • 2: Vc.:eicta, • ;•tirree's f ras•W-crigi-ygla t5ft. 4V4 wad^ eing•At3ahtnit 7-trotearts tors itsytmthile• to , LicialifathatiriaM424SEMe• ifdtc.- 3 13.AWM4)101 013959.032613 SDNY_GM_00038501 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0001325 EFTA_00I49I lo EFTA01282902  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' POI Air L-1.6 Business Plait ei rr Nam p '4 gnaltlfe 914 3 Date DEUTSCHE BANK MUST COMPANY AMERICAS BY I nit.A..nuffir Print Nameanfe jot II ( 13 Date (FOR ALL OTHER USERS' AccOura Name Name/Title Signature Date WM134667 21 010198.080513 SDNY_GM_00038502 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001326 EFTA_00I49I I I EFTA01282903