📄 Extracted Text (1,461 words)
EFTA01444499
EFTA01444500
EFTA01444501
L-autsche Asset
& Wealth Management
c.r' Oy"
DBTCA Deposit Account Opening Application
TM
Private Wealth Premium"'"
Banking Services
Q Consumer Debit Card #
Private Wealth Premium"*"
Elite Personal Accounts
Q Checking Acct. #
Private Wealth Premium
Elit"usiness Accounts
[3^ Checking Acct. #
Q Joint Applicant Debit Card #
Q Elite Checking with Interest
Acct. #
APY
Elite Money Market Deposit
Acct. #
APY
Q] Certificate of Deposit
Acct. #
APY
Term
Q Elite Checking with interest
Acct. #
APY
Q Elite Money Market Deposit
Acct. #
APY
Q Certificate of Deposit
Acct. #
APY
Term
I I Business Debit Card #
Q'^el^e C lepk^ok S^le #
Name Only^^r [0^-^.
0 Name and Address 'T'^x0U Ccx
Cd\o&'
❑ Duplicate Statement
Addr
❑ DB AG NY Preferred
Certificate of Deposit
Acct. #
EFTA01444502
APY
Term
Promo term
(DBTCA deposit account required.
along with a DB AG Preferred Terms
and Conditions)
Q Cash Master Sweep Account
Checking Acct. #
• Elite Money Market Deposit
Acct. #
❑ DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Term
Promo term
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
Private Weahh Premium
Internet Banking Services
Private Wealth Online Plus
Link to Existing Online Relationship
(User/Co. ID Number)
City
State
Zip Code
Q Mailing address (if different)
Name
Add r_
City,
State
Zip Code
TM
^/zT-5 3.432-
VV / Z 4 ?3Y
APY
Target Amount
Trigger Amount
Client Relationship
Q Individual Account
Q Joint Tenants with Right
of Survivorship
n Corporation
[7] Limited Liability Company
0 Custody under NY UTMA
0 Foundation
0 Partnership
0 Non-Profit Organization
0 Joint Tenants in Common
EFTA01444503
0 Limited Liability Partnership
0 Attorney Trust Escrow
0 In Trust For/Payable on
Death/As Trustee for
0 Landlord Master Escrow
0 Trust
0 Estate
13-AWM-0101
N AOSOD00015602-000104611
013959.032613
Account Title and Joint Application Information
" Llc
jnt Title and Join
of A&ount Title
Name of Account Title
(last name, Jirst naiite, middle initial) or Business
Joint Applicant
(last name, first name, middle initial)
me, Jirst naiite, middle initial) or Business
of- c-7<^n<3 \cc^o -
I Security Number or Taxpayer IDkNumber
KdO ^cic
Social Security Number or Taxpayer IDkNumber
Social Security Number or Taxpayer ID Number
Address
Address
LSt//
NotaoDllcable
City, State and Zip Code
City, State and Zip Code
/7-1
Home Telephone^mber - / "n
/fz}Z)cj-j)- j^css
- RaT
Home Telephone Number
Business Telephone Number '
Business Telephone Number
Date of Birth
Date of Birth
Name of Employer
Name of Employer
Address
Address
Not applicable
City. 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
EFTA01444504
institutions to obtain, verify, and record information that identities each
person who establishes an account, investment or
other business relationship whh a financial institution. This means that we
will ask for your name, address, and other
information that wili allow us to irientify 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 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 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 yoo is your
own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to
indemnify and hold horroless OBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from
DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. Yoo uridetstand that DBTCA may, but shall
not be recjuired to, seek verification of your
verbal, facsimile or email instructions by call back. In case of doubt,
OBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any
liabiliry. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accourn{s)
without written instructions bearing your original
signature.
I
Joint Account Disclosure
You have opened a Joint account with OBTCA 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
EFTA01444505
checks, orders or withorawal requests bom
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 or withdrawal requests from the survivor(s) alter
the deatrt of any owner(s) and may treat the
account as the sole property of the survivor's) after the 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, DBTCA may require the written authorization of any
or all joint owners for any further peymenls
or deliveries.
I
2
13-AWM-0101
0'! 3959.032613
I
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 respondbility 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 (to the best of your
knowledge and capabilities) is made available no less than annually to the
relevant beneficial owner(s), settlor(s).
beneficiary(ies). partner(s), etc. to enable him/her/ them to fulfill any
EFTA01444506
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 provided by you on
this Application is accufate.
The Terms and Con'dltiorfs for Deposit Accounts aresubjeett^lcha^e.
Accep^nce j
You^derstecid that this appli'
by DBTCA.
(account Holder's Sign^ure
Date
Date
Joint Account Holder's Signature
t
is
13-AWM-0101
013959.032613
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)
Lie
Business
Name/l^tle" "
Signature
Date
DEUTSCHE BANK TRUST COMPANY AMERICAS
By'
Zlc
[r\ou
I"
t
Print Name/TitleV-
loM 1
Date
[FOR ALL OTHER USERS)
Account Name
Name/Title
EFTA01444507
Signature
Date
I
WM134667
010198.080613
21
EFTA01444508
ℹ️ Document Details
SHA-256
615d044a84d028f4fe8e4cb9254094f57f4d12f0aa550c1c17a0229e245df156
Bates Number
EFTA01444499
Dataset
DataSet-10
Document Type
document
Pages
10
Comments 0