EFTA01282995
Dataset 10 · 4 pages · 650 KB · 1,582 words
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Extracted Text #
Deutsche Asset I c4-4—LD
& W3aIth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiumml Private Wealth Premium TM Private Wealth Premium TM
Elite Personal Accounts Eh Business Accounts Banking Services
0 Checking Acct. N [Checking Acct. I 0 Consumer Debit Card e
0 Elite Checking with Interest Elite Checking with Interest 0 Joint Applicant Debit Card X
Acct. 8 Acct.
APY ZAPY O Business Debit Card N
❑ Elite Money Market Deposit Elite Money Market Deposit
Acct. X Acct. It Delute Checkboojs Style N / f_
❑
APY APY tAar( Ved KS (',r_ /<f
0 Certificate of Deposit D Certificate of Deposit 0 Name Only ca" c-4 ant's))
Acct. I Acct. I r~Qlr Cats,
[]Name and Address 1
APY APY Lobe:.
Term Term O Duplicate Statement col % *Prtojenctal-
Addr
DB AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. I State Zip Code
Acct.
APY APY ❑ Mailing address (it different)
Term Term Name
Promo term Promo term
Addr
(DBTCA deposit account required. (DBTCA deposit account required,
along wish a DB AG Preferred Terms along with a DRAG Preferred Terms City
and Conditions' and Conditions) State Zip Code
Private Wealth Premiums 13 Cash Master Swoop Account
Internet Banking Services Checking Acct. N
e
Ea'
DB Private Wealth Online Plus
.^°' - Relationship
Elite Money Market Deposit
Acct.
APY
(User/Co. ID Number) Target Amount
Trigger Amount
Client Relationship
El Individual Account CI Custody under NY UTMA O Corporation
In Joint Tenants with Right CI Foundation 0 Limited liability Company
of Survivorship
O Joint Tenants in Common ❑ Non-Profit Organization O Pannorship
❑ In Trust For/Payable on D Attorney Trust Escrow O Limited Liability Pannoiship
Death/As Trustee for
CI Trust Q Landlord Master Escrow
ID Estate
13.AM•4•0 tat
NAOSOD000156O2-000104511
013959.032613
SDNY_GM_000386t7
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001441
EFTA_00I 49226
EFTA01282995
Joint Applicant
Best name, first name, middle initial)
Social Soapily Number or Taxpayer ID Number
Address , 00 • Address
S
Ci-r rAppoi-sr, t1541LNOLIIDISIICilble— City. State and Zip Code
N Telepho Number Home Telephone Number
Business Telephone Number Business Telephone Number
olie of Birth ate of mh
Name of Employer Name of Employer
Address Address
Not applicable
City. Suite and Zip Code City. State and Zip Eat
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 identifies 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 identity you. We may also ask to see identifying documents such es a certificate of
formation or good standing (legal entities) ore 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 or conttol
structures and to collect requisite documentation to substantiate the information. Also, enhanced antiimoney 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
I the above captioned account(S) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person er persons purported to be you is your own. Absent the gross oegkgeoce or willful
i 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 DEITCA's acting upon such misunderstood and
unauthorized Verbal fnstructinns. You understand that DBTCA may. but shall not be required to, seek verification of your
verbal, facsimile or email instructions by call back. 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 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 ownors. MICA may honor checks. orders or withorawal requests from
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 survivor(s) attar the death of any owner(s) and may treat the
account as the sole property of the survivors) 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 o accrual, DBTCA shall not be liable to any owner
for continuing to honor checks, orders er withdrawal requests from any owner. After the receipt of the notice ref erred to
in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2 13-AWM.0101
013959.032513
SDNY_GM_00038618
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001442
EFTA _00149227
EFTA01282996
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
II you have selected to receive Internet Banking Services, you understand that you will be required to enter into a
separate Internet Bankinci Services Agreement with DBTCA before you can aocess 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 responcibility 10 fulfill any tex obligations and aoy 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 DMA.
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 MCA. Furthermore, you confirm that the necessary information (to the best of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerls). settle:is),
beneficiaryfies), panne:is), 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 artd attach separate W8 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 information provided by you on this Application.
You represent and warrant that all of the information provided by_you.on this Applicati3n is accurate.
The Terms and Con for Deposit Accounts Act to change.
Acceptance
You understand that this
Accdtint Holder's Signature Date
Joint Account Holder's Signature Date
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MINIASSINAMiti 3 13.AWM4101
013959C:326Q
SDNY_GM_00038619
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL DB-SONY-0001443
EFTA_00149228
EFTA01282997
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
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Busmen N rne
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Date
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DEUTS EB K TRUST COtAPANY AMERICAS
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(FOR ALL OTHER USERSI
Account Name
Name/Mee
Sezinanste Date
WIA 134567
21 01019e 0,0613
SDNY_GM_00038620
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001444
EFTA 00149229
EFTA01282998