EFTA01444479.pdf

EFTA01444479 EFTA01444480 EFTA01444481 G ? (3 ' . Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium""^ Banking Services Q Consumer Debit Card # Private Wealth Premium^" Elite Business Accounts \7] Checki^^ixt. tf Private Wealth Premium^'^ Elite Personal Accounts Q Checking Acct. # Q Checking with Interest Acct. # APY [71 Elite Money Market Depqs Acct. #4W APY Q Certificate of Deposit Acct. # APY Term Q Joint Applicant Debit Card # Q Elite Checking with Interest Acct. # APY Q Elite Money Market Deposit Acct. # APY ❑ Certificate of Deposit Acct. H APY Term Q Business Debit Card # Q Deluxe Checkbook Style # Q Name Only Q Name and Address Q Duplicate Statement Addr City_ State ❑ DB AG NY Preferred Certificate of Deposit Acct. # APY EFTA01444482 Term Promo term (OBTCA deposit account required, along with a DB AG Preferred Terms and Conditions) Q Cash Master Sweep Account Checking Acct. # Elite Money Market Deposit Acct. # APY ' Target Amount Trigger Amount ❑ DB AG NY Preferred Certificate of Deposit Acct. # APY Term Promo term (OBTCA deposit account required, along with a OB AG Preferred Terms' and Conditions) Private Wealth Premium Internet Banking Services (3 DB Private Wealth Online Plus \ ] Link to Existing Online Relationship Zip Code Q Mailing address (if different) Name Add r. City. State Zip Code TM (User/Co. ID Number) Client Relationship 0 Individual Account Q Joint Tenants with Right of Survivorship [7] Corporation Q Limited Liability Company ❑ Custody under NY UTMA Q Foundation ❑ Partnership Q Non-Profit Organization D Joint Tenants in Common Q Limited Liability Partnership Q In Trust For/Payable on Death/As Trustee for D Trust Q Attorney Trust Escrow l EFTA01444483 Q Landlord Master Escrow ❑ Estate 13-AWM-0101 NA0S0D00014509-000102559 013959.032613 Account Title and Joint Application Information Jeepera. Inc Name of Account Title (last name, first name, middle initial) or Business Joint Applicant (last name, first name, middle initial) 66-0629193 Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number A100.Red.Hp.ok.Quartor.BA Address Address U.$. Virgin Islo 00802 _St._Thomas City, State and Zip Code .3A0_?75.2525 Home Telephone Number City, State and Zip Code Homo Telephone Number 340 775 2525 Business Telephone Number Business Telephone Number 20/AUGf2003 Date of Birth Date of Birth Name of Employer Name of Employer Address Address Not applicable Ctry, State and Zip Code City, State and Zip Code Notice of Customer Identification Policy Important Information To help the government light 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, and other information that will allow us to identify you We may also ask to see identifying documents such as a certificate of EFTA01444484 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 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 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 or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Oeusche Bank Trust Cpmpany Americes (DBTCA), you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may, but shall not be required to, seek verification of your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA )ney in its sole discretion refose 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 account(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 properly 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 withdrawal requests from any owner during the lifetime Of at) 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) after the death of any owner(s) and may treat the account as the sele properly of the stirvivor(s) after the death of any EFTA01444485 owner{s}. Unless DBTCA receives written notiee signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not bo 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 reouiie the written authorization of any or all joint owners for any further payments or deliveries. 13-AWM-0101 013959.032613 2 ATM/Debit Service You agree ihal 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 v\'ill 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 responsibility to fulfill any tax obligations end any other regulatory reporting duties applicabife to you in any relevant jurisdictions that may arise in connection with assets, iocomo or transactions in your account(s) and your business relationship with OBTCA. 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 OBTCA. 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 uwner(s), seulor(s), beneficiarylies), partner(s), 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 provided by you on EFTA01444486 this Application is accurate. The Terms al Acceptance Yoi/understand that this appfi"ion is subject to accept"icfe"y DBTCA. onditions Ion Deposit Accounts are subi&ct-to'chanae. I B I Account Holder's Signature Date Date Joint Account Holder's Signature ■ For'IrcikW" Reviewed b": I Nairw" 4^ • Title II f g - 1 Date. »..v ■ * 1 f^amej. •Title 1 Date.- Accej^ by DBTCA: I \/v. ('L 1 -2 . Narfi0 7 EFTA01444487 •'Title :inf'NOC- Date' 3 I3-AWM-0101 013959.032013 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] Jeepers, Inc Business Nao\e Jeffrey E^stSln Name/ptle q/h (1 3 Date Signature L DEUT^HE BANK TRUST COMPAhJYAMERICAS By Print NameAitle 1jlLi3 Date (FOR ALL OTHER USERS] Account Name Name/Tiilo Signature Date I I WMt3fi667 0<0198.080SI3 21 EFTA01444488