EFTA01282999
Dataset 10 · 4 pages · 656 KB · 1,601 words
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D,eytsche Asset & Wealth Management cc_ DBTCA Deposit Account Opening Application Private Wealth PremiumTM Private Wealth Premium TtA Private Wealth PremiumiM Elite Personal Accounts Eli Business Accounts Banking Services O Checking Acct. I Checking Acct. N O Consumer Debit Card N ci Elite Checking with Interest ID Elite Checking with Interest O Joint Applicant Debit Card I Acct. SI Acct. 0 APY ❑ Business Debit Card N O Dila Money Market Deposit Elite Money Market Deposit Acct. N APY Acct. APY i :Mime Checkbook Sniff I 6i.nat'arati. /14 O Certificate of Deposit O Certificate of Deposit 0 Name only •3-3?c-tyS( Acct. Acct. N (Name and Address Ir. ' Cat csk APY APY Co coit. Gz.ce-q Term Term O Duplicate Statement Thie.crimcf4r Addr O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. I Acct.N State Zip Code APY APY D Mailing address (if different) Term Term Name Promo term Promo term Addr (DBTCA deposit account required. ID8TCA deposit account required. along wens DB AG Preferred Terms along with a 08 AG Preferred Terms City and Conditional and Conditional State Zip Code Private Wealth PremiumtM ID Cash Master Sweep Account Internet Banking Services Checking Acct. N DB Private Wealth Online Plus Elite Money Market Deposit nk to Existing Online Relationship Acct. N O.3O,< APY (User/Co. ID-Number) Target Amount Trigger Amount Client Relationship D Individual Account O Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation ID Limited Liability Company of Survivorship O Joint Tenants in Common O Non-Profit Organization D Partnership O in Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for O Trust O Landlord Master Escrow O Estate 13 AWM.Oloi NAOSOD000156024:100104611 013959.032613 SDNY_GM_00038621 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001445 EFTA_00149230 EFTA01282999 Accou it • and Joint Application Information 111- Nitriteof CCO4JIM tree - Joint Applicant (lest ea Oast name, first name, middle initial) Socit Security Num er o: Taxpayer ID Number Social Security Number or Taxpayer ID Number /40 Leo (/wk 0`)"44... Address Address u5 0 noncs City. State and Zip City, State and Zip Code Home Telephone Nome Telephone Number Business Telephone Number Busmen Telephone Number Date of Binh Date of Binh Name of Employer Name of Employer Address Address Not applicable City, State and Zip Code City. State end Zip Code 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, verily, 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 identify 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 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 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 lime 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 (l3BTCA), 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 Instrticsions You unoerstand that DBTCA may, but shall not be required to. seek verification of your verbal, facsimile or email insunctions 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 eccount(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. DMA may honor checks. Orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may by 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 chocks, orders or withdrawal requests from the survivor(s) 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 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 authorization of any or all joint owners for airy further payments or deliveries. 2 13.AWM-0101 013959.032613 SDNY_GM_00038622 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001446 EFTA_00I 4923 I EFTA01283000 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 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 less than annually to the relevant beneficial owner(s), settlor(s), beneficiary(iesh partner(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 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 information provided by you on this Application. You represent and weasel that all of the information provioed-by you on this Application is accurate. The Terms and Conditions for Deposit Acco are subject to change. 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P. 6(e) DB-SDNY-0001447 EFTA_00I 49232 EFTA01283001 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 USERS] 6-e GL c,„ DEUTSCHE BANK TRUST COMPANY AMERICAS By Prom Nameffille reig AAA et st,),Ario Hal@ Date I I (FOR ALL OTHER USERS] Account Name NameThtle Siertature Date wm134667 21 ounatteete13 SDNY_GM_00038624 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001448 EFTA_00149233 EFTA01283002