EFTA01283006
Dataset 10 · 3 pages · 595 KB · 1,499 words
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Deutsche Asset • . •& Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumiAl Private Wealth Premium TM Private Wealth Premium°. Elite Personal Accounts Elite Business Accounts Banking Services ❑ Checking Acct. a O Consumer Debit Card SI D Elite Checking with Interest 0 Elite Checking with Interest O Joint Applicant Debit Card if Acct. N Acct. APY APY O Business Debit Card N O Elite Money Markel Deposit Of Elite MM.. Acct. I/ APY Acct. I APY d Deltice Whf/- Gil/Zook fif StyleN O Certificate of Deposit ij Certificate of Deposit O Name Only Acct. Acct. I • Name and Address APY APY Term Term ID Duplicate Statement Addr O De AG NY Preferred 0 DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. I Acct. If State Zip Code APY APY O Mailing address (it different) Term Term Name Promo term Promo term Addr (O14CAdeposit account nequired• (DBTCA deposit account required. along with. OB AG Preferred Terms along with a GB AG Preferred lerms City and Conditional and Conditions) State Zip Code Private Wealth Premiumtm 0 Cash Master Sweep Account Internet Banking Services Checking Acct. ff I2/ DB Private Wealth Online Plus Elite Money Market Deposit I:Zie Link to Existing Online Relationship Acct. N 1030 11 CO APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship ip Individual Account CI Custody under NY UTMA 0 Corporation ci Joint Tenants with Right D Foundation I j Limited Liability Company of Survivorship 0 Joint Tenants in Common ci Non-Profit Organization O Partnership In Trust For/Payable on ❑ j 0 Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee tot Trust 0 Landlord Master Escrow 0 Estate *AMA-0101 NAOSOD00015602-0001001611 013959132613 SDNY_GM_00038628 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001452 EFTA_00I 49237 EFTA01283006 outa itle and Apgcation I ormation /ft -T-A.CktV4iiat 1:".105r/ tt i) ktrd ///0//2 007 Nam* of Account -7 4 Joint Applicant Oast n r Business Bast name, first name, middle inkier) Social "purity tier or jasper/OD5 Number n it A'„, Social Security Number or Taxpayer ID Number 14 flrek its ,ce..1solo 5-7c- -Ceerfete1/4Larkrittce.- Address Address jja_ji 70(Ve iy___NOt applicable City, State antl Zip Code City, State and Zip Code H • TelereiOn• Numbs Home Telephone Number Business Telephone Number L (Justness Telephone Number Date of Birth Date of Birth Name of Employer Name of Employer Address Address Not applicable City. State and bp Code City, Sate 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 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, outbound 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 time to time you may grve 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 for any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. 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 sob discretion refuse to execute your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is wader no oblication tb execute your Verbal Instructions to transfer funds or securities to any account(s1 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 shell 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 or withdrawal 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 survivorfsl after the death of any owns*, end 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 or accrual. DBTCA shall ndt be liable to any owner for continuing to honor checks. Orders or withdrawal requests from any owner. Alter the receipt of the notice referred 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.AWMOKil 013959.037613 SDNY_GM_00038629 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001453 EFTA_00I 49238 EFTA01283007 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 IntelInel 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 sod 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), senlorts). beneficiary(fes), 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 W-8 or W4 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 accurate. The Terms and Conditions for Deposit Accounts are subject to change. Acceptance acceptance by DMA. Date tth aba.3 Joint Account Holder's Signature Date -Fe wgic in et twedrrtaiw Pranvt5iiii: afinsige klilictit-mt mt. • :..t • ts. JIr - Deter„A Ar".captedtty.DBICA:, 14fif .n-A rot iP kty ,Iv - Nor “"FtFattrt • C ^-l st4AVOng rg.t4 e.ea itetfalVat3Srlitrge'ttinatetiteraletfit Seetc.trilWrat ,fee :• ta.kal ligh-hitaa4ittS`IMRIMilaWt tiStfneytt.”319ttronAcirzcs -r .e.43-, rm..; I * V ral "Mir 114 /fib. • Wear (zt. . 4att • ij gg e •• `O4. r Mit Is . Ish errt,stik ti ilbl •• • Tteea...e..4 V4:0 , rA"- Aitlatc-VMWEbtligatAsEq. 4tageare 43 Tra: viss miycze - vectvg;:ra; wmt. 4c- • mt.:Ai 4..a4v • vgi.e.• g it ia asis4ali t •5`ZMe 1 4 / 1 eve NaWahn: 3 1...Pnecel-Wtraie 13.AWAC0101 Ol3959 032813 SDNY_GM_00038630 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0001454 EFTA_00I 49239 EFTA01283008