EFTA01444711.pdf

EFTA01444711 EFTA01444712 EFTA01444713 f 9WOc) QVutsche Asset - & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Preml Banking Services Q Consumer Debit I I'ard # TM Private Wealth Premium^^ Elite Personal Accounts ❑ Checking Acct. # Private Wealth Premium Elite Business Accounts [7] Checking Acct. # Q Joint Applicant C 'ubit Card # Q Elite Checking with Interest Acct. # APY ❑ Elite Money Market Deposit Acct. # APY ❑ Certificate of Deposit Acct. # APY Term Q Elite Checking with Interest Acct. # APY Q Elite Money Market Deposit Acct. APY ❑ Certificate of Deposit Acct. # APY Term Q Business Debit C: rd # \ Q Deluxe Checkbotl: Style# Q Name Only ■ Q Name and AJdress Q Duplicate Statem iint Addr Ciry_ State I EFTA01444714 ❑ 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 B Private Wealth Online Plus ❑ 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) Q Cash Master Sweep Account Checking Acct. # Elite Money Market Deposit Acct. # APY ' Target Amount Trigger Amount Z Ii Codf)_ Q Mailing address (1 different) Name Add r. City. State Zi Code [7] Link to Existing Online Relationship (User/CoriD Number) Client Relationship ❑ Individual Account Q Corporation Q Limited Liability C ::mpar.y ❑ Custody under NY UTMA Q Joint Tenants with Right of Survivorship ❑ Foundation Q Partnership ❑ Non-Profit Organization D Joint Tenants in Common Q In Trust For/Payable on Death/As Trustee for EFTA01444715 0 Trust Q Limited Liability Pjirtnership Q Attorney Trust Escrow Q Landlord Master Escrow Estate Account Title and Joint Application Information Butterfly Trust Name of Account Title {last name, first name, middle initial) or Business MMIMMIIIMINI Joint Applicant (last name, first name, middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 6100 Red Hook Quarter. B3 Address Address U.S. Virgin Isla 00802 St. Thomas City. State and Zip Code (2.(Z \ q^7(-i3c^, City. State and Zip Code Home Telephone Number Home Telephone Number f q?l - V^D(^ Business Telephone Number Business Telephone Number Date of Birth Date of Birth Name of Employer Name of Employer Address Address I 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 require: all financial institutions to obtain, verify, and record information that identifies each person who establishes an account inves'tment or other business relationship wrth a financial institution. This means that we will ask for your name, address, ;ind other information that will allow us to identify you. We may also ask to see identifying documents such as a certi 'icate of EFTA01444716 formation or good standing {legal entities) or a passport or other photo identification (individuals). 3rd EU Notice Governmental rales have also broadened the scope of the Bank's obligations to aid in the fight against mo: ley laundering and terrorist financing; these rules call for an active involvement of both asset management firms and theii client*. For 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 ci^ntrol structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mof ny 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 en i ail 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 n or willful misconduct of Deusche Bank Trust Company Americas {DBTCA), you agree to indemnify and hold harmles DBT(^A for any claims, losses, expeosos, 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 ;atinn of your verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion refus !i to execute your Verbal Insrrucdnns or airy pert thereof, without incurring any liability. DBTCA is under ne ebagation tb isxeeule yout Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yoi r 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 prooecty of each owner as joint tenents, and DBTCA may release tha entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal ret uests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit j i inds held in the joint aecount to satisfy a judgment onteied against, or other valid debt Ihcurred by, any ownef of the ac count. DBTCA may honor checks, orders or withdrawal requests from The survivor{s) after The death of any owner(s) and r ay treat the account as the sole property of the survivor(s) after the death of any EFTA01444717 owner{s). Unless DBTCA receives writ) iin notice signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be lisble '0 any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti; i2 referred to In the previous sentence, DBTCA may require the written authorization of any or all joint owners for any fur ler payments 2 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, yon understand that you will be required to eotr i' into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S :rvice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packac n. 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 :;es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yoi 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 ies applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your < xount(s) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the fc ost of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se' llor(s), beneficiary(ies), partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may ai :>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 materij I 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. EFTA01444718 The Terms and Conditions for Deposit Accounts are subject to change. Acceptance ^u understand that this application4s subjeet4o a^eptance by DBTCA. -:Date-< bimfAcc uhTHb!def?^igrwture: IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this ins i rument to be executed on the date listed below. [FOR BUSINESS USERS) Butterfly Trust •Busine^Narhe; Darren Indyke/ Trustee Richard Kahn/Trust.4i?^ jNarir^itlC \,Q. ;Dat^ ^SigHaW^e: U DEUTSC HE BANK TF BANK TRUST COMPANY AMERICAS By 3X fY^CLU^^ Print Name/Tftle' Zc I Dati C ' I I [FOR ALL OTHER USERS] Account Name I I Name/Title Signature Date EFTA01444719 I EFTA01444720