EFTA00165570.pdf

tieLitkbe.Assqt Wealth Mei)a§iymin:en.! fr..W60 :OBTCA Debbeitaceouiit abetting. Abpjfeetibn :Privets Wealth Premium" ! Poreia Mirth Premiumno ' Elite 0erional Aricorniti Dite ihniareisacccitinti eiroducoomern • Checking /Wet, # O Cheokirw Aert. a • Consumer Debit Cardal Elite Checking with Wei* Q Este.Checking.vottli•Interesi Joint ApPliCant bets cAre.lt Ade!. # . _ . Art. 'B0SIMISS:Debit Card O Elite Monet Market ()speak O Elite Ma . . . ". • Mot. t Nock- epeCk boo k Styles O dertirientosbeoeti Name (Nits, O Name and Address. Tint Deeeeat• Staterdeat DB AG NY. Prole:rag Q D&AGenoPm:tarred cief Certificate, of Deposit' ce,rtlticat, of Deposit •Aact. Zip Code ri• address (if different) . Mailing . 'Narita Promo term. ' Ade& OtaTCAdeperait acestirrit requited: IDIFT.CKeeeteaPenSnYesfiraiL along %On a OB AG Preferred Terms AlOrg4;rill, • 9# 4G PneeireriTerMS slid COriditiertA, end CbacirtiOnra Prieeti Wealth Firemlurrtni O Ctish Master.Sweep Account intarnm POKY" torilele. Checking Acct. 41 DB Private iNeslih:0ntine Plus Elite money Market Deposit e/t Unk to EY:isnng tir l!nt R010 9!'0'1P .Acct..e. API.; iltseriCo. ID um rt Target Amount Triages Amount t lient.Relationship. O *Md.** Account. .cumuomederfrev. pi* 0 Corporation ❑ Joint Tenants With Right ;O Fi, r#Sittfn. O LiMited Liability Company :Servercirahlp • -Mint Tennis in Common ❑ .N.,0frisiotwksition O :Perteemelp O:In True( FortPayibleete AkioNn*T!‘)0 E#OimY 0 uMlied Liabiety:Pactoterhlo CreitteAs:Trusykstor O " rrusi 0 Landlord Master Escrow O biota tiAwri-otot NAOS0000014165-000091#34 ei3959.0300 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001304 EFTA_00014778 EFTA00165570  . .. •• Account Title and Joint Atiplicatieil Stlei ri Souther. Trust Commis!, . Name of Account Title Joirit Applicant nem Bretname. middle Initial! or .Biraktele easfrisme. lust name' middle initial) Social Security Numb* or:AxpayV.ID NuMber • Social Security Nurnter:er Taxpayer:9 Numher• apisOsiOn14?- Arkin= • : ::, • • • — • .•-• • 1.9.6mPt V .ttrotrid LoCode City, State and 21Ptede m."—A—rren-enr, 1119.7:"Iirr/n Koine TcloahoniNenitair HMIS Telephone Number Business Telephono.teumber FilicialaT9Patl9r4. Pf; Dale of Butte • ''' ' '$w of frith • tame otEmployer barna of.Ernploy.er Address Address '"' '" re 6=9,7 69 416 - fl ://iti eltiriBtebanlittrit0den"' . . Notice of CuStornerlcile.ptilitOioo Policy important information TO help the griviniment fight the landing ofiterioritM and Moneylaimderinpactivities,'Fattleral law requires ail financial institutions to obtain.; weriftend record information that identifies eaclaperson who establishes an.account, irrvistritint.Or other buiinett relationship with afinancial instittititin:Thiarneans that ine.Witi ask foryoUr name. address, and other information that will allow us to identify you. We may.also ask to sesidentifYing documentssuch aaa certificate of formation 0rgood Standingilegal entities) ore plesPorter otherphoto identification (individuals). :3rd FU.Noiiee .Governmintafrules.have also broadened the scope of the:Bank's obligations to aid in the fight against money laundering and terrorist linensMg; !hem:flutes call for an active involvement of both assetthanagement firms and then:clients. For now and existing clients we currently have e legal obligation to ask our.customars questions regarding their identities. addresses, source of hands and. iftecessary,logaisepresentedivea authorized signatories, beneficial owners or control structures and to collect requisite documentation to subtitandate the information:Also. enhanced anti-money laundering requuemehfa (eui/0.0mi'should any 0ftherab0ve Personal or inatitthioriel infOrmitiOn change our clients would be 'obliged taimptedistely notify us of the change(s) and proVide.uswith 'SWIM docu.mentation to verify these changes. Telephone, Facsimile or Ernail Iristrtictions By signing' below, you agreetheffrom ;imamtime youfrnali give instructions by te*thone.facsimiteor email regarding the above captioned accounts) (defined herein eis Matructione). 'It is understood that the Ask of Verbal Instructions being given by person or persons purported to be yoti is.your own'. Abtent the grtiss.nangence or Willful misconduct of bousche Bank-frusi Company Americas fratTC4).:you egree toindetvinifir and hold:harmless OBTCA. for any ileinis..lostel: expenses. Crisis brenorneyo' feet resulting friam DBMS'S actintatipon such misunderstood end unauthorized Verbal Instructions- You understand that OSTCA maituk shall not berequired to, seteetierifieetlen of ;rote verbal; facsimile or email irisiructieni by cattbara. In case of doubt. 0BTCA may in its erne discretion reit/sale execute your Verbal Instructions of anypert thereof. without incurring anyliability. OBTCAla under no obligees., to encode Your' ;Verballnstryotions.to transfer forms or.secui7lieetoenyocceiont(e)erithoet written instructions bearing yourenginal signature; Joint Acctiiint Disclosure. . You haveopenede joint ilocciiirrt with .Ditiait and acknowledge receipt ofthe following. information`. This deposit and any additions to the account shall' bacome.the property of each owner as joint tenants, and Ci6TCA.may rehmiethe entire account to any owner eluting the lifetime of alloWneis; inycAmay honor Cheeks..orders or withdrawal 'requests; frorn any owner during the lifetime of an owners. The Bank may be required by Service of legal process to remit fundsheltain the joint account to satisfy a lodgment entered against, or other valid debt incurredby. any.owner 97 the acCouni beTCA may.MAO, cheeks Orders-or withdrawal lectuestafrern the survivor(a) Ghee .the death of arty oivrier(sfand may treat the account as the side properti of.the'sUrvivertsl after the deathof antrotenerls):: Wells DBTCA receives Whiten060S signed by any owner: nettle pay or deliver any loins deposit or addition. or secnial.08TCA shalt not be tablet any owner tor:continuing to honer Chlmisicolders or withdrawal requests:from any owner: After.the receipt;of the:notice' referred to in the previous sentence, 0BTCA may require the Written autlioniation ofiany or all joint n any further payments or or deliveries. 2 taws/moot, 011369.032Gt3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001305 EFTA_00014779 EFTA00165571  ATM/Debit Service You agree that..chbreterbion or use.of the ATM/Debit card &institutes acceptance of the terms and conditions of. the' Cardholder Agreement Contained In theTermi end Conditions of Dap* Accisi its. Internet Banking Seevice if yea have selected io receivelniemet Banking Services, you understand that you will be requited:to enter. whin separate Internet Banking Services Agreement with DEITCA beforo.you can access the.Internet.Etanking Science. Ackhowledgernentof Receipt of Privacy Notice By signing belovii, von acknowledge receipt of DBTCA's Piivacy Notice inclixtedin the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You' onfirm thatit isyour responsibility to fulfil! any-tax obligations and any other regulatory mooning duties applicable. toyou in any relingant turisdictions that:may arise in Connection with assets. income or transactions in you! acCounds) and your bustneteralationship with DEITC.A, Non-US Organizations.: Confirmation of Tax, and C0mpliance Responsibilities: YOUcol-4nm thatit is your responsibility to fillfill any tax obligations and any other regulatory.reporting &sties apPlicable to it in any relevantiurisdietioris that may arise in connection with asset's, income or transactions in your account(sj and your business relationship with DBTCA. Furthermore. you confirth that the nobessary infOmation (to the bait Of youi knowledge and capabilities),is made available noless thanannually ro.the tekieeez beneficial owner(s), siottibr(s), bone!iciarybei), partner's). etc. to enable Iiirrithed them to fulfill any respective tax obligations that may arise for him/heir them in connection With your bntiness relationship with 087CA. Please complete and attach separateWs9 or W-9 documentation 88:applicable. Terms and Conditions and Representations By sinning below. you acknowledge receipt ofBin Terms and Conditions for Deposit Accounts attached to. this Application and agree to 06.bdund by them. In addition, you agree to notify us immediately of any material change to. the information provided by you on this Application. 'You raprosent arid:warrant That all of the information provided or yOu oriThis APplication is accurate. The Terms and Conditions kir:Deposit Accounts are subject-to change. Acce lance try 087CA. Joint Account Holder's Signature-- '• _ uely Reviewaint&____ • 70.7- si Lb) 'Apt. Mt by.alITCA. nvaj) Try rte. T12_01,1'3 3 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001306 EFTA_000 14780 EFTA00165572  IM WITNES.S.WIEROF,:the undersigned, by and through its authorized officer, has caused this instrument to be - emitted on this datelisted below. (FORicISIOES4 USERS, Southern TrueScdrppayty,.bic WOO ALKOT.HE8:USERS) *P29nt tiaffYit " 21 .1hte.4:0112 tetelet0101.13 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001307 EFTA_00014781 EFTA00165573