📄 Extracted Text (1,460 words)
D'-eutsche Asset
& Wealth Mariagement
DBTCA Deposit Account Opening Application
Private Wealth Premium"
Elite Personal Accounts
•
Checking Acct. #
•
Elite Checking with Interest
Acct #
APY
•
Elite Money Market Deposit
Acct. #
APY
0 Certificate of Deposit
Acct. #
APY
Term
• 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 Wealth Premium"
Internet Banking Services
B Private Wealth Online Plus
0
Link to Existing Online Relationship
(User/CoriD Number)
Private Wealth Premium"
Elite Business Accounts
U\ Checking Acct. #
•
Private Wealth Premi .:mm
Banking Services
• Consumer Debit i IJard #
Elite Checking with Interest
Acct. #
APY
[7) Elite Money Market Deposit
Acct. #yy/3ns^£^
APY
Certificate of Deposit
Acct. #
APY
EFTA01417033
Term
• DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Term
Promo term
(DBTCA deposit accoum 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
•
Deluxe Checkbot 1: Style #
• Name Only j
Q Name and A, ;Jdress
Q Duplicate Statenri iint
Addr
City
State
"1 \
Z p Codo
0 Mailing address (i 1 different)
Name
Addr
City _
State
Zi •:> Code
Q Joint Applicant [ 'ebit Card #
•
Business Debit Gird #
Client Relationship
Individual Account
•
Q Joint Tenants with Right
of Survivorship
[ZI Joint Tenants in Common
LD In Trust For/Payable on
Death/As Trustee for
0 Trust
•
•
Custody under NY UTMA
LD Foundation
IZ) Non-Profit Organization
EFTA01417034
Attorney Trust Escrow
Q Landlord Master Escrow
Estate
I
13-AVVM-OIOI
NAOSOD000156 ii0-000IOSISS
0139!M.032613
Corporation
Limited Liability C ::mpar,y
Partnership
Limited Liability Piirtnership
EFTA01417035
Account Title and Joint Application Information
Name of Accoum Trtle
(last name, first name, middle initial) or Business
26-6639711
Social Security Number or Taxpayer ID Number
6100 Red Hook Quarter, B3
Address
St. Thomas
City, State and Zip Code
Home Telephone Number
Business Telephone Number
27/dec/2006
Date of Birth
Name of Employer
Address
Not applicable
City, State and Zip Code
Notice of Customer Identification Policy
Important Information
Crty, State and Zip Code
U.S. Virgin ISIQ 00802
City, State and Zip Code
Home Telephone Number
Business Telephone Number
Date of Birth
1
Name of Employer
Address
Joint Applicant
(last name, first name, middle in'rtial)
Social Security Number or Taxpayer ID Number
Address
A
I
To help the government fight the funding of terrorism and money laundering
activities. Federal law require: all financial
institutions to obtain, verify, and record information that identifies each
person who establishes an accouni investment or
other business relationship wrth a financial institution. This means that we
will ask for your name, address, :ind otoer
information that will allow us to identify you. We may also ask to see
identifying documents such as a certi "cate 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 moliey laundering
and terrorist financing; these rules call for an active involvement of both
asset management firms and theii client;. For
EFTA01417036
new and existing clients we currently have a legal obligation to ask our
customers questions regarding the r identities,
addresses, source of funds and, if necessary, legal representatives,
authorized signatories, beneficial owne '5 or control
structures and to collect requisite documentation to substantiate the
information. Also, enhanced anti-moriiy laundering
requirements require that should any of the above personal or institutional
information change, our clients .vould be
obliged to immediately notify us of the change(s) and provide us with
relevant documentation to verify the;.3 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 Vi rbal
Instructions being given by person or persons purported to be you is your
own. Absent the gross negligent ii or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to
indemnify and hold harmles DBTC^A for
any claims, losses, expenses, costs or attorneys' fees resulting from
DBTCA's acting upon such misunders'ood and
unauthorized Verbal Instructions. You understand that DBTCA may, but shall
not be required to, seek verifi lation of your
verbal, facsimile or email instructions by call back. In case of doubt,
DBTCA may in its sole discretion refus ii 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 yoi v original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the
following information: This cuposit 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
checks, orders or withdrawal re( uests from
any owner during the lifetime of all owners. The Bank may be required by
service of legal process to remit jimds held in
the joint account to satisfy a judgment entered against, or other valid debt
incurred by, any owner of the ac:;:ount. DBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after
the death of any owner(s) and ri • ay treat the
account as the sole property of the survivor(s) after the death of any
owner(s). Unless DBTCA receives writt nn notice
signed by any owner not to pay or deliver any joint deposit or addition or
accrual, DBTCA shall not be liable i:o any owner
for continuing to honor checks, orders or withdrawal requests from any
owner. After the receipt of the noti; :2 referred to
in the previous sentence, DBTCA may require the written authorization of any
or all joint owners for any fur 'ler payments
EFTA01417037
or deliveries.
13-AW/M-0101
0139!i9.032613
EFTA01417038
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes
acceptance of the terms and condit :)ns 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 ente i' into n
separate Internet Banking Services Agreement with DBTCA before you can
access the Internet Banking S irvice.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included
in the Application Packat
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 du lies applicable
to you in any relevant jurisdictions that may arise in connection with
assets, income or transactions in yoi r accoUnt{s)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies.
You confirm that it is your responsibility to fulfill any tax obligations
and any other regulatory reporting du lies applicable
to it in any relevant jurisdictions that may arise in connection with
assets, income or transactions in your <• ;count(s) and
your business relationship with DBTCA. Furthermore, you confirm that the
necessary information (to the bi'ist of your
i<nowledge and capabilities) is made available no less than annually to the
relevant beneficial owner(s), se"tlor(s),
beneficiary(ies), partner(s), etc. to enable him/her/ them to fulfill any
respective tax obligations that may ai i>e 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 tc this
Application and agree to be bound by them. In addition, you agree to notify
us immediately of any materic 1 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 accurate.
The Terms and Conditions for Deposit Accounts are subject to change.
Acceptance
"ou understand that this applicatic)n-ts su,
aefceptance by DBTCA.
9
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yoihtiAcajuht'Hbldei"s Sig^
;Date<
^Date:
EFTA01417039
y?.'.'v..'>i'f(A*.'K.i 'i
13-/1WM-8101
013959.032613
EFTA01417040
IN WITNESS WHEREOF, the undersigned, by and through its authorized officer,
has caused this in; Irumeht to be
executed on the date listed below.
[FOR BUSINESS USERS)
Butterfly Tmst
:B_usihesSjNarne^^
Darren Indyke/ Trustee
•Narne/Title;
iSigiwWre;
0
DEUTSChfE B/^K TRUST COMPANY MAEH\CAS
By
Prim Name/Title^
iiik
Datl
[FOR ALL OTHER USERS]
Account Name
Name/Title
Signature
Date
A
i^ '
'Dat^^
Richard KahrxTTrustxa^
21
WM 134667
010198.080613
EFTA01417041
ℹ️ Document Details
SHA-256
986fa4ebeea51bd33feeb42562fc2c2220439a1bd05dac1a9aa96f32cd775e49
Bates Number
EFTA01417033
Dataset
DataSet-10
Document Type
document
Pages
9
Comments 0