EFTA00165614.pdf

Deutsche Asset • & Wealth Management DBTCA Deposit Account Opening Application Pnvate Wealth Premiumn" Private Wealth Premium ' m Private Wealth Premiumik. Elite Personal Accounts Eli3p-Business Accounts Banking Services O Checking Acct. S Checking Acct. O Consumer Debit Card O Elite Checking with Interest 0 Elite Checking with Interest O Joint Applicant Debit Card N Acct Acct. N APY PY E O Business Debit Card CI Elite Money Market Deposit lite Mone Market De sit Acct. I Acct. N 04el u CheFIstiosik Style N APY APY 67//e fr 4 roelfeehbge O Certificate of Deposit O Certificate of Deposit In Name Only Acct. N Acct. N 5/ Name and Address APY APY Term Term O Duplicate Statement Addr O DB AG NY Profaned DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. Acct. 4 State Zip Code_ APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (0BTCA deposit account required. (OBTCA deposit account required, along with a D8 AG Preferred Terms along with a DB AG Preferred Terms City and Conditions) and Conditions) State Zip Code Private Wealth Premium"' O Cash Master Swoop Account Internet Banking Services Checking Acct. N ❑ 08 Private Wealth Online Plus Elite Money Market Deposit 12( Link to Existing Online Relationship Acct. N I 030 i'l5 1) APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship ❑ Individual Account O Custody under NY UTMA CI Corporation 0 Joint Tenants with Right 0 Foundation O Limited Liability Company of Survivorship O Joint Tenants in Common O Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow CI Limited Liability Partnership Death/As Trustee for O Trust O landlord Master Escrow 0 Estate 13-AWM-0101 NAOS0000015602-000104611 013959 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001356 EFTA_00014830 EFTA00165614  Account Title and Joint Application Information H g 8 k AS-52SeLet.‘ki Pt< • Name of Account Title / Joint Applicant (last nor • ' ' '" r Business (last name, first name, middle initial) Social Sewn er or axpayer Number Social Security Number or Taxpayer ID Number Si( & It/ ow APO) the • ._ ,-02 "'" V ' = Rd Address Address _E O Zipicit City Suite Code t:LC__Notanalltable City, State and Zip Code Ho Business Telephone Number Business Telephone Number Dale7f)TBirth 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 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 intormation that will allow us to identity 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 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 verily these changes. Telephone, Facsimile or Email Instructions By signing below, you agree that from lime to time you may give instructions by telephone. facsimile or email regarding the above captioned accounts) (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 grass negligence or willful misconduct of Deuscho Bank Trust Company Americas (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 OBTCA 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 discretion refuse 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 tunes 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 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 requests from 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. OBTCA may honor checks, orders or withdrawal requests from the survivor's) attar the death of any owner's) and may treat the account as the sole properly of the survivor(s) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner oot to pay or deliver any joint deposit or addition er accrual, OBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the recaiot of the notice referred to in the previous sentence, 'MICA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 13-AWM-0)01 013959.032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001357 EFTA_00014831 EFTA00165615  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 ewer into a separate Internet flanking 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 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), settler(s). beneficiary(ies), pertner(s), etc. to enable him/hed them to fulfill any respective tax obligations that may arise for hirralter/ them in connection with your business relationship with DBTCA. Please complete and attach separate W-8 or W-9 documeotation 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 accurate. The Terms and Conditions for DepositAccountsare subject to change. Acceptance You Uncle and that t application is subject to acceptance by DBTCA. Accoun er Si.nature Date 9/fin, hint ru Holder's Signature Oate 94s1/3 FOS nt er aff• iteCiteliNed sod/ riza g.t...c•?.iVrnat.„,z_,. `-'47.-":'''t age; .7r r. 'X- - PP r-7.4 • ->"---ka-c*- - • ' - e›.). rom•-tlb • bIgUrc itirr . - ,catt., • r t0P4giti r )hk- aeWtt) *carm %Cp. r. ,.n- ervm 4 pat akar Xi% -- -ram F. W4 1.1 •-tt ny- 4 pledr C tecte TiVanWil l‘ riatt WeigezWel,' ' ••• tionv 'tat ki"" .14WItiOV: • vi,:-44"%,‘" NOttyfr. . i# s1, 7 t. fa. a v ats a eft a *tgatv .re co. 13-AWPA-0101 013959 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001358 EFTA_000 14832 EFTA00165616