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efta-01282885DOJ Data Set 10Other

EFTA01282885

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DOJ Data Set 10
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efta-01282885
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
:OtitSalle.A4set $l: Wealth MaYiStn:en i! BTCA DOY10eit AcOo.uht 0006614 Private Wealth Premium/11 . Elite Personal Accounts 0 Checking Acct. IS K ma, quickhv win! Interest QEtta. Checking with Bit:Greif Actc.• Elite Wm* Merlyn: Deposit Met. APY O O. DB AGNY Preferred Pri;ratioWealth PletrilUift Elite buidisi, Aocotinti APT: O Elite Acct O Conificanrolbeposii Acct. . O 08:.A0 'NY. WOWS' Certificate. Certificate of Deposit: Cr!ttlf'catd Of PePPsit: Aeci. le. A" tt. g - An • .1. --1,ri term . ••Terre _ . laintA (*task octi!arii $quflc aSeng.with a DB AG Pinned Terms !MO Gondilidnal Promo term. IDOcAdePtBilPeceBetr.attuired. aPP AG Pril(arfed'trla Ind Candied/ xi PriVete Wealth Premlurvi'm 0 Cash Mester:Swee0 ACcount I!!terflta al.^1.4119 ,Serwni Checking Ain. N DB Private WastilsOnline plus Elite : Money Media% Deitesit O: link to Letting Online Relationship •.Acot../.. . - (U.ser/Co. ID Number), TargetAmount Trigger Amount Private Wealth Pririlluiti'M Elcirdring:SerViess 0 Consumer Detiit .Cardli' la Joint Appiidant DOB Cord .8irsinaselDebit Card . DeluxeCheckbook Style* O Name Only O Name and Address. Doplielite Statement Addt. ' Zip Code. .0 Mailing address Ilf different): Name dierif.titelationship. K individ.tril AeOcsitt, Joint Tenants with RigM- rg:Sur,ivorSblls O* -Joint Tenants in Common 0:In Trull' Forkijible OA. . 0411.03-Ns* !or Trust K 64(4.t. .CyAtooymowsygno, F99^6.160% O 'Nent-Prceit 0tganizatIon A#0a*CeritIO e*cco, . O Landlord Master Escrow .City Corporation K ti lted LieleilitycoMpany O :partnership. O Unified Liebtfity:ParintirShip. CONFIDENTIAL SDNY_GM_00038480 CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001304 EF1'A_00149089 EFTA01282885 SONNIIT;tiNSICONIParkiele Name of Account Title Joint APSeci pea neme, first name ntidellieiNtiagor ilfogeris Mister* drat name: rrediarlinirlail Siam& Security member or:Taxpayer:O Number- SocheSecumy Number or Tainsayar.ID Nome's. t ii City Stetaind Zip Code " alft.iiili0444011 city, s tetew . Number ••••••7."-Ttrr? , Sacco 19.4, Kb" tail Dare Binh Marne of:Employer Namalet Erreployet Address . Address .000 cygt -teritir idep- toidoilip polio Impertant information to help the government fright the funding otteriorigrn and Money iiimdering activities, Fedeial law requires adfinancial Institutions to obtain;verife.end record Information that identifies each.person who establishes anacitount, inyestMent.or other business relationship with a fnantial instituntio thisMeans Thai we will ask for yOur name; addrege and other information that will allovi us to identifyWu. We maielso ask to misidentifying documents Such as:a certificate of formation or, geed Standing/00gal entities) ors pitesderver other,Ohoto identification (indiVidueb). :3rd 8U Notice .G6vernmental Yules.hatro also broadened the Scope of the flank's obligations to aid in the fight against mbriey laundering and terrorist lancing these call for an -active InvolvementOf both assetmanagemont firms and Mei:Clients. For newand-existing clients we currently have a legal obligation to ask our.cusiorrians questiong regarding their identities. addresses, source of Witt and; if nectissoryriegalsepresentatives. authorized signatories, beneficial owners or control involutes and to collect requisite documentation to substantiate the iriformition. Also, enhanced anti-money thundering recWirer,nentarequire that 'should any Of 'the'abigye personal or institutional Information change, our taints would be 'obliged tairnmedietely notify pa of thechagge(s) and proeideus with relevant documentation to verify these changes. . . Telephone, Fatsithile.or Ernail ItiStfliCtIOEIS By signing below, you agreethat from Omelet time, ournali give instructions by mdephone..facsimiteer email regarding the aboVe captioned acibundM (defined.he rein as -Verbal Instructions") It is understood, the 'risk of Verbal Instructions being given by person or persons purported to be youis your own. Absent the gross negligence or-willful misconduct of Deutsche Bank trust Company Americas (DBTCA). you 'area toindemnifrand hold harmless DBTCA for any diaiwis,lossea expenses. costs or attorneys' feet-resulting frbm MICA'S acting npon such misunderstood arid unatithorized Verbal Instructions. You understand Chit 08tCA may, but shall not be required to. soskVerilieetken of your ,verbal; facsimile of email instructions by call.bag,k. In 'cave of doubt, DBTCA may in its sole discretion refese foexectite your Verbal Instructions of anygort thereof, without ineurring anyfisbiliry. DBTCA is under no objigation to execute your • :Verbal IngtnititiOnS&O tsanafer fonos or securities, tia.any.gccoonne) witheitt written instructions blaring your Ortginal signature, .JOint Accdtint Disclosure. You have opened Nriplaorxigrrewith DBTCA and acknowledge receipt of the following. informatioM itOs, deposit and any additions to the account shaffbecomeghe property of each owner as joint tenants, and DBTCA may relapse-the entire account to any owner during the lifetime' 1 eltoveners; DBTCA may honor Cheglitt..prders or withdrawal tegrestsffrorn any owner during the lifetime of all owners. The Bank maybe required by service qi legal preens to remit funds held in the joint account to satisfy a lodgment entered against, or other valid debt Incurred by, e ny owner of the account. DBTCA may hoior checks: ordereor withdrawal imotristafrern the survivor(i) after the death of any oivnerfsland mey iron the account as the sole proper*. of .the'sOrvivor(e) after the death-of anYWiner(s).., Unfits DBTCA receives written notice signed by any owner. not-to ply or deliver any joint deposit or addition or sacnial,.08TCA shall not be liable to any owner forContinuing to honor checitscoiders or withdrawal requests from any owner. Altet-the receipt of the notice' referred to' in the previous sentence, DBTCA may require the written authortiation ol any or all joint Mime/Sao any further payments or deliveries. 2 13-MA940101 OtegsgoriM3 CONFIDENTIAL SDNY_GM_00038481 CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001305 EFTA_00149090 EFTA01282886 ATM/Debit ServiCe YOu agree Thal the retention or use. of the ATM/Debit card constitutes acceptance of the terms and conditions of the' CardhOlder Agreement contained in Itia Towns end Conditions of Depotit Accoanti. Internet Banking Service ii you selectecito receivilnMmet Banking Services, you understand that you will be required-to enter. into a separate Internet Banking ServiceS.Agreenient with 013TCAbefore.you can access the Internet:Banking SonAce. Acknowledgernent of Receipt of frivaCy Notice By signing below you acknowledge receipt of OBTCA's •Pinracy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. . . You confirm that it is.eti responsibility to l elf 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 accounts) and yourtuainess relationship with.DEITCA. NOn-U.S Organizations.: Confirmation of Tax and COmpliance Responsibilities; You confirm that it is your responsibility to felt any tax Obligations and any other regulotorY reporting duties applicable to it in any relevant jurisdiotiOris that may arise in connection with assets, income or transactions in youtacCount(s) and your business relationship with MICA. Furthermore, you content. that the neisessary information (to the bait cif yout knowledge and capabilities).is made available no less than annually to the felevant.beneficial owner(s), sonleas). beneficiary(ies). Panner(s). etc. to enable himnier/ them to fulfill any respective taxobligations that may arise for hint/heti these in connection With-your business-relationship with OBTCA. Please complete and attach sepereteW4 or W-9 documentation esappiicable:: Terms and .Conditions. and Representations . . . . . By signing below, you acknowledge receipt of the Turns and Conditions lot Deposit AcCotints attached to. this AppliCatIon and agree to babciund by them. In addition..yonegree to nobly us immediately of any material Change to, the inforination provided byyou on this Application. -You represent aril 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. Accep9nce".—Th Yoy aderite eattiOn itaubieCt to - by Joint Account Molder'sScripture For Opty Da '- Accept FTeine -Ergo° v• E'r 7_67 ;Apse fed fry-paTc.A: 3 NOC 1-47,1.7-41> 3 ta.Weaworot .thatteaccomq CONFIDENTIAL SDNY_GM_00038482 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001306 EFTA_00149091 EFTA01282887 fi f c IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this instrument to be • executed on the detonated below. [FOR.13pSlilES USERS[ _Southern Treat Inv (FORAWOT.HEhlUSERS) . , . 1.h. mom. :21 CONFIDENTIAL .94Ya4:01,2 .:egiteseeitt3 SDNY_GM_00038483 CONFIDENTIAL — PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001307 EFTA_00149092 EFTA01282888

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