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EFTA01282987

Dataset 10 · 4 pages · 635 KB · 1,443 words

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LautSChe Asset                                                          or, t-t.c._
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth PremiumTM                  Private Wealth Premium TM                Private Wealth Premium T"
Elite Personal Accounts                   Elite_Business Accounts                  Banking Services
O Checking Acct. N                            Checking Acct. N                     O Consumer Debit Card 0
O    Elite Checking with Interest         O Elite Checking with Interest           O   Joint Applicant Debit Card N
Acct. I                                 Acct. I
APY                                      PY                                   O Business Debit Card I/
❑    Elite Money Market Deposit           Orite Money Market Deposit
Acct. I                                 Acct. if                              ErDelerh C
ctettk7ok S le N
APY                                     APY                                       ll
O Certificate of Deposit                  O Certificate of Deposit                      OYYName Only
Acct. /
APY
Acct. N
APY
d    Narne and
Term                                     Term                                 O   Duplicate State
Addr
❑    DB AG NY Preferred                   O   DB AG NY Preferred
Certificate of Deposit                   Certificate of Deposit                   City
Acct. 0                                  Acct.I                                   State             Zip Code
APY                                      APY                                  ID Mailing address (if different)
Term                                     Term                                     Name
Promo term                               Promo term
Addr
(DBTCA deposit account required.         (DBTCA deposit account required.
along with a DB AG Preferred Terms       along with e DB AG Preferred Terms       City
and Conditions)                          and Conditions)                          Stato             Zip Code
Private Wealth PromiumTM                  O Cash Master Sweep Account
Internet Banking Services                   Checking Acct.
048 Private Wealth Online Plus              Elite Money Market Deposit
0 7 Li                     tionship           Acct. N
APY
(U                                       Target Amount
Trigger Amount
Client Relationship
❑ Individual Account                      O Custody under NY UTMA                  El Corporation
O Joint Tenants with Right                O Foundation                             O   Limited Liability Company
of Survivorship
Joint Tenants in Common               O   Non-Profit Organization              O Partnership
O In Trust For/Payable on                 O   Attorney Trust Escrow                O Limited Liability Partnership
Death/As Trustee for
❑ Trust                                       Landlord Master Escrow
O    Estate
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)                                                                        DB-SONY-0001425
EFTA_00I 49210
EFTA01282987
Accou   Tide and Joi i Application Information
IA,  LL C
Name of     nt Title                                          Joint Applicant
(last                                                         Bast name, first name, middle initial)
Sock                                                          Social Security Number or Taxpayer ID Number
Addis                                                         Address
5r
City,                                                          City, State and Zip Code
Nora                                                          Nome Telephone Number
Bust                                                          Business Telephone Number
Date of Birth                                                 15iTi pfboth
Nemec( Employer                                               Name of Employer
Address                                                       Address
Not applicable
City, State and Zip' ode                                      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 identities 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
information that will allow us to identify you. We may also ask to see identifying documents such as a corniced) 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 er 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 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 accounts) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person er persons purported to be yoo 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 for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. Too understand that 138TCA may. but shall not be recluired to, seek verification of your
verbal, facsimile or email instructions by call beck. In ease of doubt, DBTCA may in its solo discretion refuse to execute
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accourn(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 ciawithoraval requests bom
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. DBTCA
may honor checks, orders or withdrawal requests from the survivals) alter the dean, of any Owner(s) end may treat the
account as the sole property of the survivals) after the death of any owner(s). Unless DBTCA receives written notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. DBTCA shall not be liable to any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to
in the previous sentence, DBTCA may require the written autborization of any or all joint owners for any further payments
or deliveries.
2
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)                                                                           DB-SDNY-0001426
EFTA 0014921I
EFTA01282988
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance ol 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 enter 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. 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 lass than annually to the relevant beneficial owner(s). stations).
berieliciarylies), panner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/her/
them in connection with your business relationship with DBTCA.
Please complete and attach separate IN-8 or W9 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 information provided by you on this Application.
You represent and warrant that all of the information provided by you on this Application is emulate.
The Terms and C.ondit*        for Deposit Accounts are s
Accept nce
You ndermand that this
9/ 463
cunt Holder's Signature                                                 Date
Joint Account Holders Signature                                            Date
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SDNY_Gt.4_00038603
CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e)
CONFIDENTIAL                                                                     DB-SDNY-0001427
EFTA_00149212
EFTA01282989
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
USlateSS Name
dirt'
Nam
It     Irk                           bar
2////3
gnatrare                                                                    Date
DEUTSCHE BANK "MUST COMPANY AMERICAS
ap
Print NamarTntet                                 F
(3
Data
(FOR ALL OTHER USERSI
Account Name
Namentle
Signature                                                                     Data
2i
SDNY_GM_00038604
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)                                                                   DB-SDNY-0001428
EFTA_00I 49213
EFTA01282990
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