📄 Extracted Text (1,504 words)
' Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium TM Private Wealth Premium TM Private Wealth Premium Tm
Elite Personal Accounts Elite Business Accounts Banking Services
O Checking Acct. I Ef Checking Acct. X O Consumer Debit Card I
O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card I
Acct. Acct. N
APY ZAPY Business Debit Card
O Elite Money Market Deposit Elite Money Market Deposit
Acet. X Acct. I Del , emspgabook Style/ f
APY APY tnt-Krer, &teal• ,94%
ID Certificate of Deposit ❑ Certificate of Deposit 0 Name Only 'Du I - 3 -3*pastrA
Acct. Amt. I 0/Name and Address Trap licc&fr
APY APY
Term Term O Duplicate Statement lam'.
Addr Carril lictiit4Caopc
O DB AG NY Preferred ❑ 08 AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. Acct State Zip Code
APY APY O Mailing address (if different)
Term Term Name
Promo term Promo term
Addr
lOBTCA deposit account required. (OBTCA deposit account required.
along wan a Eig AG Preferred Terms along with a DB AG Preferred Terms City
and Conditions) and Conditfons) State Zip Code
Private Wealth Premiumml O Cash Master Sweop Account
Int,net Banking Services Checking Acct. I
O DB Private Wealth Online Plus Elite Money Market Deposit 4/ 29S3 yz y
O Link to Existing Online Relationship Acct. N
(User/Co. ID Number)
APY
Target Amount
1-7`//z i)
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 D Non-Profit Organization Et Partnership
O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership
Death/As Trustee for
O Trust O Landlord Master Escrow
D Estate
IlAWM-0101
NAOS0000015602-000104611
013959 032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001319
EFTA_000 14793
EFTA00165581
Account
_ jilt
.12vand Joint Application Information
F fie.; t_I-C,
Han. of p A oust Title Joint Applicant
past ..,,,,..j.......mme. middle initial) or Busmen
Past name, first name, middle initial)
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locialSecurity 7mber or Ta
Loa
yei ID ter Social Sitcom Number or Taxpayer Number
too el) - 6 v-lai /53
Address Address
0° Ca rl ' -
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Tkoutts •_ is5 / fal aim:likable
los
City, State andZipO3dt
Nome Telephone Number
iness etephone Nun** Business Telephone Number
OiteFirttinh Date of Birth
Name of Employes Name of Employer
Adtress Address
Not eppeciatte
City. State and Zip Code City. State and Zip Code
Notice of Customer Identification Policy
Important Inhumation
To help the government fight the funding of terrorism and money laundering activities. Federal law requites all financial
institutions to obtain, verily, 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
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 chants we currently have a legal obligation to ask our customers questions regarding their identities,
addresses, source of funds and. if necessery, legal representatives, authorized signatories, beneficial owners or contra!
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 rime to time you may give instructions by telephone, facsimile or email regarding
the above captioned account(s) (defined herein as "Verbal Instructions- I. 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 (DBTCA). you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DEITCA'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 may in its sole disoretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. DB1CA 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 loflowing 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 hdnor checks. orders or withdrawal requests from
any owner dining the lifetime of ell owners. The Bank may he required by service of legal process to rerhit funds held in
the point 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 survive:MI after the death of any owner(s) and may treat the
account as the soie prnperty of the survivals) alter the death of any owner(s). Unless DBTCA receives wrineo meice
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 continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to
in the previous sentence. DBTCAitnay Meta* the written authorization of any or all joint owners for any lathe' payments
or deliveries.
13-AWI1
4/4.0101
012959.032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001320
EFTA_000 14794
EFTA00165582
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 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 accounts)
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 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 owner(s), settlons).
beneficiary(ies), panner(s). etc. to enable him/her/ them to fulfil any respective tax obligations that may arise for himiher/
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 ratify us immediately of any material change to
the information provided by you on this Application.
You represent and warrant that allot the information provi ed-byliiii on this Application is accuratet
The Terms and C Mon • r Deposit Acco are subject to change.
Acceptanc
You u t‘csland that th' e by DBTCA.
to
O14/3
n't Hotder's Signature
Joint Account Holder's Signature Date
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13.AWM-0101
013959 032013
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001321
EFTA_00014795
EFTA00165583
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(
Napvg,
Business Na
s-p-PSHCe5ki'h
Nam.„Ma
Bignature Date
514
/ 3-4.;
DEUTSCHE BANK TRUST COMPANY AMERICAS
Print Name/li
sof IT I n
Dal I
(FOR ALL OTHER USERS(
Account Name
Neale/Tree
Signature Data
V016i11667
21 010141080613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001322
EFTA_000 14796
EFTA00165584
ℹ️ Document Details
SHA-256
73a95e6df0b5ac381ce1843c5761fdef6f376112d398681446f1c62841833445
Bates Number
EFTA00165581
Dataset
DataSet-9
Document Type
document
Pages
4
Comments 0