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📄 Extracted Text (1,315 words)
EFTA01444470
EFTA01444471
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•.'Deiilsche; Asset .
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AGCGaO Pp^i;^, I /KppJiGatipp:
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Private:Wealth Prernium^^',
Banking Services.
❑ CqnsurnerpebrtCard#
.Private WdallhPremiurh.^. 1^
Elite-Business Accounts.
■-S Checking
• Q Elite Checking,with Interest;
APY' .- • : - • .
.0 Elite Mbnev.Martcet Deppsjt
Acct; Z^ . aVZ
-APY
Q Certihcate of Deposit
' :Acct.;# •
APY -. ■
Term
Private;Wealth Premium'"
Elite Personal Accounts
Checkifig.Acctv#
is
V.«
Q Joint Applicant OebirGanj #
Bit^-Ch^ib^withlme^st:;-'
APY-..U....
Q. Eilte;Money Market,Deposit
:Acct. S mm ■. ■. -.
ARY.
. 0 .Certificate of Deposit
"" Acct. #
APV ' mom '
EFTA01444472
,o OB AG.NY Preferred
Certific^e of. deposit
:Acct; i •
APY -mom
'Term'^
Promo term- .
.100"TCAdeposit:accbum required.
along With a DB AG Preferred Terms
:and Cof^itions) "
: Private VVealtti Premium!"
Internet BanklrigSefyiMs:
;;" D8 :Priyate;Wealth Online Plus
0 Link iq;Exisl(ng ,Online Relationship;
0 Business Debit Card:#
.Q Deluxe Checkt^k 'Styje #
0. Narhe-Only;
0 Name.and Address
0 Duplicate Statarnent
^Addr .........
Gity
State Zip Code
0 Mailing address (if different)
Name -v- -.
;Addy
o : DB.AG NY Preferred
' Certificate of:Deposit:
Acct,- #- • mom r-.:r .
APY m. • "
Terrh. ,
Pfiomo. terrh - m. • -. • - •
. 1.(OBtcA.deppsitlic^u.nt.fequir^.. '
- along,with a OB AG Preferfed-Tefftis'
.and Corkfhions).
:0 Cash. Master Sweep Account
Checking;Acct*..#. m.
Elite,Money-Market Oe^sit
ACCt..#A •
City.
' 2ip Code '
State
. .APV_
Target Ambuht: .
TriggehArhount.
.(User/Co; ID Number)
Client Relationship
Q Jndlyidijai.Accbunt
Q -Jpint.Tenants-wIthi Right
EFTA01444473
bf.S.ufyiyo"hip " '
,❑ Joint Tenants in Cpmrrion
0 In Trust pdrA"ayable on
peatf"As ;t.ru?tee fpr
Trust
0 Estate
❑ Custody uhdef.NY.gtMA
0 Foundation
0 Corporation
0 Limited Liability Gompany
Q Non-Prbfitdrganization
0 Anbrney .Trust E"rovy
0 Partnefsbip
0 Limited LlabiiitY.Ps"nership
0 Landlord Master' Escrow
,13-AWMrOlpl.
NApSOPOOpl4l64f<)pp098824
0,13959.032.aV3 .
Amount Title and Joint Application Information
Southern Financial LUC - •
Name of Accdum TttJe ' ' . ' ... .
.{last name, first name;.middle initiaD.or Business
66>0799t92• •
Social Security NyirilMf. Of Taiepi"er ID Nutnter
-giW-Red..>dOPJL9uaELgLS."".
Address
■ • /Joint AppliM/it...... . •
(lam-name, first name, middle initial)
Sdpat Secunly Numbef or Taxpayer ID Niirhber
; Address'
JfoLabDUckblBj68fi2_:
stThamag
: City, Stete and Zip Code-
' Home Telephone Number "
■ • Ciry,: State and Zip Code'
-HomeTQlephpne Number
340 m2525
" ■ Bu&rieira Telephone Numter
BusinessTefephdhe Number'
25/FEB/2013
-....96teof.Birth' '^
Date of Birth "
Name of Efhpidyer
• Name'of Employer ^
Address '
- Address ■
EFTA01444474
■ Notapbnibable
City; State arid Zip Code
City; State end-Zip Gride , ■
Nptiqe of Custorner Identificatiph Ppliey
Imporvint Information
To Help the gbvernmeni fight the funding of tefrprism-and money laundering
activities. Federal law requires all financial
institutions to obtain. yerify,.and record inforrhatioh that kleniifies each
^rtidn. who establishes,an.3cc6.unt..inve^rhent or
oth'erbusiness'relationship with a fihartcial iristKution. This means
that'.we vyill ask for your name/address, and other
infprtnaiion that will ailqw us to identify you. -We may alsq ask io
ideniifying docurments such as a certificate of-'
formation or good standing (legai-entittesj or a passport or-other photo
identification (individuals).
3rd EU Notice
Governrnehtal rules haW also broadened the.scope.of the Bank's obligations
to aid in the fight against-money laundering
and tertonst financing;;these rules call.for an active'invplvernent of both
asset rnanagernent firths and their clients. For
nevy and existing clients we currently;have a legal obligation to. ask our
customers questions regarding their iderithles;
addresses, source of funds and. if necessary, legal representatives,
authorizedisignatofies, berteficial owners or; control
structures and to collect requisite doctimehtdtlon.tg'.siibstahtiate.the
informatiph: Also,-enhanced anti-rnoney. laundering
requirerhents require.that ahouid any of the above perspnaf or instrtutionaJ
information change, pur clients would be
obliged to irnmediately notify us.pf .the change(s) and-prqyide .us
whh'rete'yant dbeurhentatidn to verifyith'e^ changes.
Telephone, Facsimile or Email Instructions
By sighing.below .you agree that.frpm tiihe to time.you rhay give
instructions by.ieiephone.facsimile.or email regarding
the above captioned accqunt(s) (defined herein as "Verbal Instructions"). It
is understood that the risk of Verbal
(nstructiohs being given by. person or (Arsons purported to.be you is your
own. Absent the gross.negligence-or willful
misconduct of.Deusche.Bank Trust Cornpany Arnencas (D8TCA), yo.0 agree to
indernriify arid hold harmless OBTCA for
any claim's, losses, expenses; cd^s'or attorneys'.fees resulting from
OBTCA*$ acting upon such misunderstood and .
unauthorized Verbal Inetructidns. You undereiand that DBTGA rnay, but. shall
not be reqiiired-le. seek yerificatioh of your
verbal,.facsimile or.email Instructions by call back, (n case of doubt.
DBTGA may in Its sqle.discrmion refuse to dx^ute
your VerbaNnstructionsdr ariy part thereof; yvithqut .jncurring.any llabl-
llty!.DBICA .is under no b.bligation':to execute you'r'
.yerbal instructions to transfer funds or secorrties to any accbunt(s)
wfthbut written.ihstru'ctibhs-bearihg ypur'original
signature. ' " ' " ' " " '
EFTA01444475
Joint Account Disclosure
Yoii have opened a joirit account with DBTGA arid acknowledge receipt of the
following,information: This deposit and any
addition's to the.accpunt-shall become.the propeny of each owner as joint
tenants, and. QBTCA rna'y release:the entire.-'
account to any ovvher during the lif^ime.of ail owriers. DBTGA may honor
ohecks, orders or withdrawal requests from
any owner during the lifetirhe. of all,owners; The Barjk may be required by
service of legal process'to. rernit .funds held in.
the joint account to satisfy a Judgment entered: against, or other valid
debt incurred by .'.any owner of the account. DBTCA
rriay honpr ch'ecks. orders or wjthdravval requests frorri the.sufyivor(s)
after the death of-any ownerfs) arid may treat the;
account as the sole property of the suryivorfs), after the death of. ariy
pwnetjs). Unless DBT(^ receives written.notice •
signed by any owner not to pay br.deliver any joint deposit or additioripf
accrual. DBTGA shall not be liable to bny owner
for continuing to honor checks, orders or withdiawal requests from any
owner. After, ihe.receipt.of the notice.referred to
.in the.preyious sentence, DBtCA may require the written authorization of
any or afl joint owriers'fbr ahy.further paynriehts
or deliveries. "
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!3-AWM<O101
013S59.0326t3
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ATM/Debit Service
You-agree that the reteniiph pr use pf .ihe ATM/Debit card
constitutes .acceptance of the temis and conditions of the
Cardholder Agreernehtcdritaindd in the fenns .and Conditions of Deposit
Accounts.
internet Bankirig Service
If you have selected to receive Internet Banking:Services, you imderstand
that you will be required to enter into a
separate. Internet Banking Services Agreement with DBTGA before you can
access .the Internet Bankirig Service.
Acknowledgenherit of Receipt of Pnvaey
Notice
By signing belovv. you acknowledge receipt of DBTCA's Privacy
Notice .included In the Applicadpn Package-
Non-US Individuals: Confirmation of Tax and Cornpliance Responsibilities.
You cdnfii-m that it is.ypur fesjiphsibility to fulfill any tax obitgatipns
EFTA01444476
and any pther regulatory reporting duties applicable.
to you ihahy-relevantjurisclictipns-that may .arise in cdnnecti.dh:wfth
assets,: income pr.tfa.nsactioris ih.your accdunt(s)
and:ydur buaness felatiPhship'with DBIGA-
Nbn"US Ofgahizatioris: Confirmation of Tax and ebmpitance ResporisibiMties.
You confirm that it is your responsibility to fulfill.any tax obligations
and any other;regulatory, reportihg .duties applicable
to it in anyiretevahtlufisdictiohsthai niay arise in cohriection with
assets.-iricpme dr.uan"ctipns in your accbunt(s) arid
your business relationship vi/ith OBTCA. Furtherrhore. yoii cPhfirth
ihat.the necessarv.i.hfprmaUPn (tb the.best;.pf.ypur
knoviriedge and capabilities) is ntade available rip less than annually
to.the relevant beneficial dwrier(s), sen16'r(s); . .
beneficiary(ies)„partn'erfs). etc. to enable hiriT/her/ thern to fulfill
any respective tax obligations that may .arise forhirri/her/
them in corihectign with ydiir business relationship withiDBTCA.
Plea.se complete and attach separate W-8 er W-9 dpcurnehtatioh as applicable.
Terms and Conditions and
Representations
By sighing below, you ackhovi/ledge receipt of the-Terms arid Conditions
fpr.beposil Accpurits attached to this
Application arid agree to be bdundfby.theni.' In'additionVyou agree.to
notify tis iritmodlately of any materia! change to
the information provided by you on this Application. ....
You represent arid wairam that all of the irifofhnatibn provided by you bn
this Application is accurate.
The.Terms and Conditions for Deposit Accounts are siibiecl.to change.
Accept^
You uhMrstand thaffiSs^^Mtion is'subject to Acceptance t^. DBTCA,
A
'.•r.
Date
ibirit Accoufjt Hpldar's Sigratii.re" "
For^.^kU(5/ontyRev,ev,odbv.
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EFTA01444477
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EFTA01444478
ℹ️ Document Details
SHA-256
31924be7b3175a8d0459abab5deff329eb8514c1b744878dc4632f5bda6f10d6
Bates Number
EFTA01444470
Dataset
DataSet-10
Type
document
Pages
9
💬 Comments 0