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EFTA01282882

Dataset 10 · 3 pages · 440 KB · 1,390 words

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Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth PremiumMA             Private Wealth Premiumni                 Private Wealth Premium ^"
Elite Personal Accounts              Elite Business Accounts                  Banking SeMces
O                                    O Checking Acct. 11                          Consumer Debit Card
i ll      Elite Checking with Interest    O   Elite Checking with Interest         15(Joint Applicant Debit C lid e
Acct. a                             Acct.
((        APY
it   ❑
APY
Elite Money Market Deposit
D Business Debit Card a
Elite M       arket De
Acct. a                             Acct. I                                  Deluxe Checkbook Styl
APY                                 APY                                      sick b tun dirct B oe-
O Certificate of Deposit                 O   Certificate of Deposit                   O Name Only
Acct. lil
APY
Acct. 4/
APY
O
X    Name and Addrest
Duplicate Statement
Term                                       Term
Addr
❑ 08 AG NY Preferred                     ❑   OB AG NY Preferred
Certificate of Deposit                     Certificate of Deposit                   City
Acct. •                                    Acct                                     State          Lp Cod'
APY                                        APY                                  O   Mailing address (if differ • in)
Term                                       Term                                     Name
Promo term                                 Promo term
Addr
(DBTCA deposit account squired.            IDEITCA deposit SOCOUrlt squired.
along with • GB AG Preferred Terms         along with a DEI AG Preferred TIM.       City
end Conditions)                            and Conditions)                          State          Zip Corti
Private Wealth Premiums""               ❑   Cash Master Sweep Account
et Banking Services                   Checking Acct.
08 Private Wealth Online Plus       Elite Money Market Deposit
O Link to Existing Online Relationship       Acct.
APY
(User/Co. ID Number)                Target Amount
Trigger Amount
Client Relationship
•       Individual Account               ❑ Custody under NY UTMA                  O Corporation
Joint Tenants with Right         o   Foundation                           O   Limited Liability Comps' -;
of Survivorship
O Joint Tenants in Common                o   Non-Profit Organization              O   Partnership
o In Trust For/Payable on                ❑ Attorney Trust Escrow                  O   Limited Liability Partneri lip
Death/As Trustee for
•       Trust                            O   Landlord Master Escrow
O       Estate
tar • MM-0101
NAOSOD00015974-001 '101600
OIX '003264
SDNY_GM_00038477
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)                                                                              DB-SDNY-0001301
EFTA_00I 49086
EFTA01282882
Account Th
Rime
Von
,eirea fhelaZ
Joint
OastIll
FlaneTelepho                                                   Home Telephone Number
ZniAT-2zeidir
Business Tele ons
imber
ac
Cite of rth
/WI
Nes LLC
Nameof Emros
rei col           vista t                             Name of Employer
snipe"( r
Address                                                        Address
NY N1 /0021
City. State and Zlp Cods                                       City, State and tip Code
Notice of Customer Identification Policy
Important Information
To help the government tight the funding of terrorism and money laundering activities, Federal law requires all fin.: icial
institutions to obtain, verify, and record information that identifies each person who establishes an account, ',owes (rent or
other business relationship with a financial institution. This means that we will ask for your name, address, and otl
information that will allow us to identify you. We may also ask to see identifying documents such as a certificate
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 tau •iferintI
and terrorist financing; these rules call for an active involvement of both asset management firms and their client For
now and existing clients we currently have a legal obligation to ask our customers questions regarding their ident lies.
addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners ore' rirot
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money law hiring
requirements require that should any of the above personal or institutional information change, our clients would :o
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these char psis.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email reg :ding
the above captioned *wounds) 'defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being giveo by person or persons purported to be you is your own. Absent the gross negligence or w
misconduct of Deusche Bank Trust Company Americas (DBTCA, you agree to Indemnify and hold harmless OBT(.'t for
any claims, losses. expenses, costs or attorneys' fees resulting teem OBTCA's acting upon such misunderstood ar
unauthorized Verbal Instructions. You understand that DBTCA may, but shell not be required to, seek verification 'if your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to ex mite
your Verbal Instructions or ahy port thereof, without incurring any liability. DBTCA is under so obligation to sxecu ii your
Verbal Instructions to transfer funds or securities to any account(*) without written instructions bearipg your origii izi
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit ire' any
additions to the account shell become the property of sea owner as joict tenants, arc O87CA may release tie er lite
account to any owner during the lifetime of all owners. 087CA may honor checks, orders or withdrawal requests tom
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds f iild In
the joint account to satisfy a judgment entered against, Or other valid deal incorreo' by. ahy owner of the account. DBTCA.
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any myriads) end may tre it the
account es the sole property of the survivor(s) after the death of any owner(s). Unless O8TCA receives written non:*
signed by any owner nos to pay or deliver any joint deposit or addition or stoma', DBTCA shalt not be liable to tiny :wner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice ref&nod to
in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further pa imam:
or deliveries.
2                                                13•A •N.0101
maw n.072513
SDNY_GM_00038478
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED IR_ CRIM. P. 6(e)                                                                                 DB-SDNY-0001302
EF1'A_00149087
EFTA01282883
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 end 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 int..,
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 IDdividuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that It Is your responsibility to fulfill any tax obligations and any other regulatory reporting duties ar Amble
to you in any relevant jurisdictions that may arise in connection with assets, income or uansactions in your sect ...nqs)
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 ac Arabia
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accour Ils) and
your business relationship with DBTCA. Furthermore. you confirm that the necessary information lto the best of ,our
knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerts), settler(s)
benefitiarYlieS, Partneri,a etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for itim/hra/
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
8y 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 chant e to
the information provided by you on this Application.
You represent and warrant that ell of the information provided by you on this Application is accurate.
The Terms and Conditions for DepositAccounts are aubject to change.
Acceptance
You                                              cceplanco by DBTCA.
ft/2%7/Ra/ 3
Aicourn                                                                 Date
/1/2)120/-3
3c0-170-At        is Signature                                          Ostia
For Bathyse t       Reviewed by:
Name
MIS
I ti  10
NIA
Aepted bljr DBTCA:
r /l
-
Nana
Title
, AD
(2- (12Ill
re
e
NOC
on
3                                                   11; te/h4.01t)I
01x13.072313
SDNY_GM_00038479
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)                                                                                   DB-SDNY-0001303
EFTA_00I 49088
EFTA01282884
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