EFTA01392649.pdf

ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: 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.' 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 OBTCA'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 arty tax obligations and any other regulatory reporting duties a; idicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your acct .nt(s) and your business relationship with (MICA 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 as:fir:able to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your accour, !Island your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the best of ,our 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 respective tax obligations that may arise for 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. la acklition, you agree to notify us immediately of any material than: s to the information provided by you on this Application. You represent end warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for DepositAccounts are aobject to change. Acceptance You understand- 1,1s-implication is subjeC oceptance by DBTCA. Aceoun k4 lger's si Data ///-2,1Roi 3 /127,)/20/3 Data For Nem C-- ale Date 3 13.: ..ym-0101 013111.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0097909 CONFIDENTIAL SDNY_GM_00244093 EFTA01392649