EFTA01282904
Dataset 10 · 4 pages · 634 KB · 1,465 words
Extracted Images (4) #
Extracted Text #
Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium"M Privy
Piave Wealth Premiunilm Private Wealth Premium"
Elite Personal Accounts Elit Business Accounts Banking Services
O Checking Acct. N " O Consumer Debit Card N
O Elite Checking with Interest o Elite Checking with Interest O Joint Applicant Debit Card 4
Acct. Acct.*
APY O Business Debit Card a
O Elite Money Market Deposit B l Ete Mo
Acct. I Acct. I DeluseChockbeolt Style N
APY APY
O Certificate of Deposit 0 Certificate of Deposit 0 Name Onb DM 03 - 3 -3Piar-i‘)
Acct. I Acct. I 0 , Name end Address - n ."'P5'ff-1rt
APY APY Csualt.'. BLDG
Term Tarn O Duplicate Statement Heeziwyecox
Addr
DB AG NY Preferred ci DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. I Acct. I State Zip Code
APY APY O Mailing address Of different)
Term Term Name
Promo term Promo term Adds
(DBTCA deposit account required. 4DBICA deposit account reputed,
along with a DR AG Preferred Terms along with a DB AG Preferred Terme City
and Conditions) and Conditions) State Zip Code
Privets Wealth Premlutnim O Cash Master Sweep Account
Intryiet Banking Services Checking Acct.
DB.Private Wealth Online Plus Elite Money Market Deposit
Link to Existing Online Relationship Acct.
03 0 X.50 APY
(USer/Co. it, hurnber) Target Amount
Trigger Amount
Client Relationship
O Individual Account Custody under NY UTMA O Corporation
O Joint Tenants with RWht Foundation O Limited Liability Company
of Survivorship
O JoInt Tenants In Common Non-Profit Organization O Partnership
O In Trust For/Payable on Attorney Trust Escrow O Limited Liability Partnership
Death/As Trustee for
o Trust Landlord Master Escrow
O Estate
13.AWM-0101
NAOSOD00015602-000104611
013155 612113
SDNY_GM_00038503
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001327
EFTA_00I49I12
EFTA01282904
ACC:I/trio and Join?libalicli2:trmation
Acci tieprubs1 • _Le
Name of ttle Joint Applicant
list? name. lint (last name, first name. fuddle initial)
Social rill, o.T IDstrint 25; Social Security Humber or Taxpayer ID Number
4 (CO
Achkopr.
er leflet%f {1
§titiir7d ty Cods
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asual abla
d fcat Mein
• bly. State and Zip Code
(int galz...a.s.?- Home Telephone Number
Heine Hipbone Number
• ,..39 2C.ftS1'K
Business • marrhomealumber
of
'
v) Business Telephone Number
bete of Birth Etna ;Mtn
Nemo of Employer Name of Employer
Address Address
-
•
Not aulicabla
CitY. State andOpUde ZTI i a "I07.cd
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Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism end money laundering activities, Federal law requires all financial
institutions to obtain, verity, and record information that identifies each person who establishes en account, investment or
other business relationship with a financial institution. This means that wo will ask for your name, address, and other
information 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
end 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 antimnoney 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 io verify these 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 Verbal
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to Indemnify and hold harmless DBTCA fo
any claims, losses, expenses, coats or attorneys fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not bo required to, seek verification of your
verbal, facs•mile or email instructions by call beck. 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 funds or securities to any account(el without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened e joint account with DBTCA and acknowledge receipt of the following information: This deposit and any
additions to the account shall become the property of earn 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 he nil:Wired by Wvloe 01 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. DBTCA
may honor checks. orders or withdrawal requests from the survIvorfs) after the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any owoer(s). Unless DBTCA roceivea minim ootice
signed by any owner not to pay or deliver any joint deposIt of addition or eCaual, DBTCA shall not be liable to any owner
for Continuing to honor checks, metros or withdrawal requests from any owner After the receipt of the notina refend to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2 ilAvxmouli
013969032e13
SDNY_GM_00038504
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED_ R CRIM. P. 6(e) DB-SDNY-0001328
EFTA_00149113
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ATM/Debit Service
You agree that the retention or use of the ATIWDebit card constitutes acceptance of the terms and cond,nons of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
It you have selected to receive Internet Banking Services, you understand that you will be requited to onto: into a
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 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, ineome or transactions In your accounts)
and yow business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibikty to fulfill any tax obligations and any other regulatory reporting dunes 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 end capabilities( is made available no loss than annually to the relevant beneficial owner(s). sertbr(s),
beneficiary(es), partner's). etc to enable himthed them to fulfill any respective tax obligations that may arise for hirrilheti
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 to this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material change to
the info/motion 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>....-
You und0fiend that this ago subject to acceptance OSTCA
• / /3
Account Holder's Signature • tal
Jon Account Holder's Signature Date
‘i.otc1474Nzt4;9::%.
tsAWM4101
013959.032613
SDNY_GPA_00038505
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001329
EF1'A_00149114
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IN WITNESS WHEREOF. the undersigned, by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERSI
Alf/ _PC:
Narita/tile
Signajim
DEUTFHE BANK MUST COMPANY AMERICAS
BY ;.\
i ienft.nr,./c.kriCt
Pun: elornekNo
.e1 191/41
Date
(FOR ALL OTHER USERSI
Amount Name
Namarrie
Signature Date
WM134667
21 010198MS:613
SDNY_GM_00038506
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001330
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