EFTA01283012
Dataset 10 · 3 pages · 608 KB · 1,483 words
Extracted Images (3) #
Extracted Text #
Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumlM Private Wealth Premium TM Private Wealth Premium TM Elite Personal Accounts ElityBusiness Accounts Banking Services O Checking Acct. g i A t.N O Consumer Debit Card N O Elite Checking with Interest ❑ Elite Checking with Interest O Joint Applicant Debit Card N Acct. N Acct. N APY PY O Business Debit Card I O Elite Money Market Deposit V Elite Money Market De sit t Acct. If Acct. N o Del CheAbook Style N APY APY )1,kb...tics I-F*7/4.4 4 (e O Certificate of Deposit O Certificate of Deposit 0 Name Only Acct. N Acct. N APY a Name and Address APY Term Term O Duplicate Statement Addr O 08 AG NY Preferred o DB AG NY Preferred City Certificate of Deposit Certificate of Deposit Acct. Acct. a State Zip Cede APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (DBTCA deposit account saquired. (DBTCA deposit account required. along with a DB AG Preferred Twins along with a GB AG Preferred Terms City and Conditions) and CandniOnel State Zip Code Private Wealth Premiumm O Cash Master Sweep Account Internet Banking Services Checking Acct. N O OB Private Wealth Online Plus Elite Money Market Deposit d Link to Existing Online Relationship Acct. II 1030.1SSO APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA 0 Corporation O Joint Tenants with Right O 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 O Landlord Master Escrow El Estate 13AWM4101 NAOS0000015602-000104611 013959.032613 SDNY_GM_00038634 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001458 EFTA_00149243 EFTA01283012 Account Title and Joint Application Information HARI< A 45.4_3Cdejej ACC • Name of Account Title i Joint Applicant Out na ' '• Business Bast name. first name. middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number Address 91 < (iv/ Md./cwt.( v42 - VS rAt. Addnns e , Ad NotApollcabla_ City State Zip Code City, State and Zip Code II me Tele Number Business Telephone Number f Business Telephone Number Mina -Birth dale Binh Name of Employer Name of Employer Address Address Net applicable City. State and Zip Code City, State and Zip Code Notice of Customer Identification Policy Important Information To help the government light the funding of terrorism and money laundering activities. Federal law requires all financial institutions to obtain, verify, and record information that identifies each parson 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 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 end 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 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 or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (DMA), you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys' fees resulting Mom 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 sole discretion refuse to execute your Verbal Instructions or any part thereof, without incturingsny liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funos or securities to any account(s) without written instructions benring 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. (MICA 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 hinds 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 sun/loons) after the death of any owner(s) and may treat the account as tho sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner cot to pay or deliver any joint deposit or addition er accrual, DBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the mole% 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-AWM-0101 013959.032613 SDNY_GM_00038635 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED_ R_ CRIM. P. 6(e) DB-SDNY-0001459 EFTA_00149244 EFTA01283013 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 In receive Internet Banking Services, you understand that you will be required to ewer 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 GiBTCA. 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(ies). penner(s). etc. to enable himMer/ them to fulfill any respective tax obligations that may arise for himihed 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 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 Unde and that th application is subject to acceptance by DBTCA Acc 9/70, Joint t Holders Signature Date 9A03 rt.,- t wed',tie4Tewed kii,-•- ci:-• A...25,, -,c•:::O- -.• n• 12 4" kerne YarnSWa r Nk t 1-r. fta34,341 We, " W at , 3 treaSial 03;04 fatirafaeta k kr: dy BTCA: t it er 0 520cr~2sTa P n ar saattal, a gtt r9 itat ; at 7croldWe eikeer:76 S", kt 7... .;AcSNM.30.-- 91 1 ••• /CS. by:Dialfeg HI cj ..4 C 170 044erf. e ier OW;SW-.41kta, aat 64CCSAt‘e.-ca . : hv.,S.74,W0WWZ:k.7MM.rjet? WtrenA.Ptia44 Ffrec5H,11%.* :.141.411M.1 trantiTh" ilitan Th r pre jaitt . 3 13-AWM-0101 013969.032613 SDNY_GM_00038636 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0001460 EFTA_00I 49245 EFTA01283014