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efta-01282882DOJ Data Set 10Other

EFTA01282882

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DOJ Data Set 10
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efta-01282882
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium MA Elite Personal Accounts O i ll Elite Checking with Interest Acct. a (( APY Elite M arket De it Acct. a APY O Certificate of Deposit Acct. lil APY Term K 08 AG NY Preferred Certificate of Deposit Acct. • APY Term Promo term (DBTCA deposit account squired. along with • GB AG Preferred Terms end Conditions) Private Wealth Premiums"" et Banking Services 08 Private Wealth Online Plus O Link to Existing Online Relationship Private Wealth Premiumni Elite Business Accounts O Checking Acct. 11 O Elite Checking with Interest Acct. APY K Elite Money Market Deposit Acct. I APY O Certificate of Deposit Acct. 4/ APY Term K OB AG NY Preferred Certificate of Deposit Acct APY Term Promo term IDEITCA deposit SOCOUrlt squired. along with a DEI AG Preferred TIM. and Conditions) K Cash Master Sweep Account Checking Acct. (User/Co. ID Number) Client Relationship Individual Account Joint Tenants with Right of Survivorship O Joint Tenants in Common o In Trust For/Payable on Death/As Trustee for Trust O Estate Private Wealth Premium ^" Banking SeMces Consumer Debit Card 15(Joint Applicant Debit C lid e D Business Debit Card a Deluxe Checkbook Styl sick b tun dirct B oe- O Name Only X Name and Addrest O Duplicate Statement Addr City State Lp Cod' O Mailing address (if differ • in) Name Addr City State Zip Corti Elite Money Market Deposit Acct. APY Target Amount Trigger Amount K Custody under NY UTMA o Foundation o Non-Profit Organization K Attorney Trust Escrow O Landlord Master Escrow O Corporation O Limited Liability Comps' -; O Partnership O Limited Liability Partneri lip tar • MM-0101 NAOSOD00015974-001 '101600 OIX '003264 CONFIDENTIAL SDNY_GM_00038477 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001301 EFTA_00 I 49086 EFTA01282882 Account Th Von Rime Oast Ill Fla Telepho ne ,eirea fhelaZ Joint Home Telephone Number ZniAT-2zeidir Nes LLC Nameof Em rei ros col vista t Address NY N1 /0021 City. State and Zlp Cods Business Tele ons imber ac /WI Cite of rth Name of Employer snipe"( r Notice of Customer Identification Policy Address City, State and tip Code Important Information To help the government tight the funding of terrorism and money laundering activities, Federal law requires all fin.: icial institutions to obtain, verify, and record information that identifies each person who establishes an account, ',owes (rent or other business relationship with a financial institution. This means that we will ask for your name, address, and otl information that will allow us to identify you. We may also ask to see identifying documents such as a certificate 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 tau •iferintI and terrorist financing; these rules call for an active involvement of both asset management firms and their client For now and existing clients we currently have a legal obligation to ask our customers questions regarding their ident lies. addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners ore' rirot structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money law hiring requirements require that should any of the above personal or institutional information change, our clients would :o obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these char psis. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email reg :ding the above captioned *wounds) 'defined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being giveo by person or persons purported to be you is your own. Absent the gross negligence or w misconduct of Deusche Bank Trust Company Americas (DBTCA, you agree to Indemnify and hold harmless OBT(.'t for any claims, losses. expenses, costs or attorneys' fees resulting teem OBTCA's acting upon such misunderstood ar unauthorized Verbal Instructions. You understand that DBTCA may, but shell not be required to, seek verification 'if your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to ex mite your Verbal Instructions or ahy port thereof, without incurring any liability. DBTCA is under so obligation to sxecu ii your Verbal Instructions to transfer funds or securities to any account(*) without written instructions bearipg your origii izi signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit ire' any additions to the account shell become the property of sea owner as joict tenants, arc O87CA may release tie er lite account to any owner during the lifetime of all owners. 087CA may honor checks, orders or withdrawal requests tom any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds f iild In the joint account to satisfy a judgment entered against, Or other valid deal incorreo' by. ahy owner of the account. DBTCA. may honor checks, orders or withdrawal requests from the survivor(s) after the death of any myriads) end may tre it the account es the sole property of the survivor(s) after the death of any owner(s). Unless O8TCA receives written non:* signed by any owner nos to pay or deliver any joint deposit or addition or stoma', DBTCA shalt not be liable to tiny :wner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice ref &nod to in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further pa imam: or deliveries. 2 13•A •N.0101 maw n.072513 CONFIDENTIAL SDNY_GM_00038478 CONFIDENTIAL - PURSUANT TO FED IR_ CRIM. P. 6(e) DB-SDNY-0001302 EF1'A_00149087 EFTA01282883 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: the Cardholder Agreement contained in the Terms end 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 int.., 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 OBTCA's Privacy Notice included in the Application Package. Non-US IDdividuals: Confirmation of Tax and Compliance Responsibilities. You confirm that It Is your responsibility to fulfill any tax obligations and any other regulatory reporting duties ar Amble to you in any relevant jurisdictions that may arise in connection with assets, income or uansactions in your sect ...nqs) 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 ac Arabia to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accour Ils) and your business relationship with DBTCA. Furthermore. you confirm that the necessary information lto the best of ,our knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerts), settler(s) benefitiarYlieS, Partneri,a etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for itim/hra/ 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 8y 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 chant e to the information provided by you on this Application. You represent and warrant that ell of the information provided by you on this Application is accurate. The Terms and Conditions for DepositAccounts are aubject to change. Acceptance You cceplanco by DBTCA. ft/2%7/Ra/ 3 Aicourn Date 3c0-170-At is Signature For Bath yse t Reviewed by: Name Ostia /1/2)120/-3 MIS NIA I ti 10 /l - Aepted bljr DBTCA: r Nana ,AD Title re (2- (12 Ill NOC e on 3 11; te/h4.01t)I 01x13.072313 CONFIDENTIAL SDNY_GM_00038479 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001303 EFTA_00 I 49088 EFTA01282884

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