EFTA01444637.pdf

EFTA01444637 EFTA01444638 EFTA01444639 L-autsche Asset & Wealth Management V f c.r' oy^ ut5::_ 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 Checking Acct. # Q Joint Applicant Debit Card # Q Elite Checking with Interest Acct. # APY 0' 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 ColOrZ' ❑ Duplicate Statement Addr ❑ DB AG NY Preferred Certificate of Deposit Acct. # EFTA01444640 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 LIZA'S 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 EFTA01444641 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 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 EFTA01444642 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 EFTA01444643 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 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 EFTA01444644 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 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 EFTA01444645 Signature Date I 21 EFTA01444646