📄 Extracted Text (1,540 words)
Dflutsche Asset
& Wealth Management (l e, LLC
DBTCA Deposit Account Opening Application
Private Wealth Premiumn" Private Wealth Premium im Private Wealth Premium rte
Elite Personal Accounts Eli Business Accounts Banking Services
O Checking Acct. II Checking Acct. O Consumer Debit Card I
O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card #
Acct. II Acct. #
APY O Business Debit Card 11
O Elite Money Market Deposit Elite Money Market Deposit
Acct. Acct. #
APY APY
rit I Ch
ta ct ri
b k ler/
?LIZ 444,,
O Certificate of Deposit O Certificate of Deposit O Name Only pLi7cr3 .3-3Qurt11
Acct. # Acct. It [Name and Address -rr' t ; cs"tc
APY APY Coca'. Gaeffe1
4/1
Term Term O Duplicate Statement rAficii ?lc imr
Add;
CI DB AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. Acct. ft State Zip Code
APY APY O Mailing address (if different!
Term Term Name
Promo term Promo term
Addr
10131CA deposit account required. IDBICA deposit account required,
along with a 08 AG Preened Terms along with a DB AG Preferred Terms City
and GOndiuonS) and Conditions! State Zip Code
Private Wealth Premiumrm O Cash Master Sweep Account
Internet Banking Services Checking Acct. #
DB Private Wealth Online Plus Elite Money Market Deposit
Eletnk to Existing Online Relationship Acct. It
APY
(ite2Cc?Ice;SNtrmber) Target Amount
Trigger Amount
Client Relationship
O Individual Account O Custody under NY UTMA O Corporation
O Joint Tenants with Right O Foundation O Limited Liability Company
of Survivorship
O Joint Tenants in Common ❑ Non-Prolit Organization O Partnership
O In Tryst For/Payable on O Attorney Trust Escrow O Limited Liability Partnership
Death/As Trustee for
O Trust O Landlord Master Escrow
O Estate
13.AWM4101
NAOSOD00015602-000104611
023959032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001343
EFTA_00014817
EFTA00165601
AceOu an Joint Application Information
l
Name of teount T Joint Applicant
(last na Best name, first name. middle initial)
Social Security Nu r or Taxpayer ID Number Social Security Number or Taxpayer ID Numbe
&/40
Address
Iii2 Mak ta.mnige, $3 Address
t)5V, 040L.-•
5 7— Titell(C..—NoLapiallcable
City, State and Zia Code -
1
City. State and Zip Coda
Noma Telephone Nome Telephone Number
Business Telephone Number Business Telephone Number
Date of Birth Date
hTo irth
Name of Employer Name of Employer
Address Address
Not eppllcable
City. Stan 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. end 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 Ell 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 IIITS 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 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 verily 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 Americas (OBTCA), you agree to indemnity and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You uneerStand that OBTCA may, but shall not be required to. seek verification of your
verbal, facsimile or email insunctions by call back. In case of doubt, OBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to execute you;
Verbal Instructions to transfer funds or securities to any-eccount(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 ol 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 bp 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 or withdrawal requests from the survivor(s) alter the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any owneris). Unless DBTCA receives written notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. OBTCA shall not be liable to any owner
for continuing to honor checks. orders or withdrawal requests from any owner 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.
13-AWta
013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001344
EFTA_00014818
EFTA00165602
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 D8TCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBICA'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($
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 apse 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). senloqs),
beneliciary(ieS). Partner(sh 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 change to
the information provided by you on this Application.
You represent and warrant that all of the information on:Niced by you on this Application is accurate.
The Terms and Conditions for Deposit Acco are subject to change.
Date
SA
Joint Account Holdercrignature Date
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3 13AWM-0101
013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001345
EFTA_00014819
EFTA00165603
IN WITNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
IFOR BUSINESS USERS(
Sig ture
OEUTSCIHE BANK MUST COMPANY AMERICAS
Prim NamerMe
rnq AA. rA Vaica sic,
I 01 0- I
Date
(FOR ALL OTHER USERS]
Account Name
Nameffitle
Signature Oate
wr.4134667
21 M01380806*
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001346
EFTA_000 14820
EFTA00165604
ℹ️ Document Details
SHA-256
34c5f441a374a508521e01a7966206b22d47701c92924562361eacf874178b3f
Bates Number
EFTA00165601
Dataset
DataSet-9
Document Type
document
Pages
4
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