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efta-01282904DOJ Data Set 10Other

EFTA01282904

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DOJ Data Set 10
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efta-01282904
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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"M Elite Personal Accounts O Checking Acct. N O Elite Checking with Interest Acct. APY O Elite Money Market Deposit Acct. I APY O Certificate of Deposit Acct. I APY Term DB AG NY Preferred Certificate of Deposit Acct. I APY Term Promo term (DBTCA deposit account required. along with a DR AG Preferred Terms and Conditions) Privets Wealth Premlutnim Intryiet Banking Services DB.Private Wealth Online Plus Link to Existing Online Relationship 03 0 X.50 (USer/Co. it, hurnber) Piave Wealth Premiunilm Elit Business Accounts Privy " o Elite Checking with Interest Acct.* B l Ete Mo Acct. I APY 0 Certificate of Deposit Acct. I APY Tarn ci DB AG NY Preferred Certificate of Deposit Acct. I APY Term Promo term 4DBICA deposit account reputed, along with a DB AG Preferred Terme and Conditions) O Cash Master Sweep Account Checking Acct. Client Relationship O Individual Account O Joint Tenants with RWht of Survivorship O JoInt Tenants In Common O In Trust For/Payable on Death/As Trustee for o Trust O Estate Elite Money Market Deposit Acct. APY Target Amount Trigger Amount Private Wealth Premium" Banking Services O Consumer Debit Card N O Joint Applicant Debit Card 4 O Business Debit Card a DeluseChockbeolt Style N 0 Name Onb DM 03 - 3 -3 Piar-i‘) 0 , Name end Address - n ."'P5'ff-1 rt Csualt.'. BLDG O Duplicate Statement Heeziwyecox Addr City State Zip Code O Mailing address Of different) Name Adds City State Zip Code Custody under NY UTMA Foundation Non-Profit Organization Attorney Trust Escrow Landlord Master Escrow O Corporation O Limited Liability Company O Partnership O Limited Liability Partnership CONFIDENTIAL 13.AWM-0101 NAOSOD00015602-000104611 013155 612113 SDNY_GM_00038503 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001327 EFTA_00I49I12 EFTA01282904 ACC:I/trio and Join?libalicli2:trmation Name of ttle Acci tieprubs1 • _Le list? name. lint Joint Applicant (last name, first name. fuddle initial) Social rill, o.T IDstrint 25; Social Security Humber or Taxpayer ID Number 4 (CO erleflet% {1.5 asual d fcat abla Mein Achkopr. §titiir7d ty Cods f •—• • bly. State and Zip Code (int galz...a.s.?- Heine Hipbone Number Home Telephone Number • ,..39 2C.ftS1'K of v) Business • marrhomealumber ' Business Telephone Number bete of Birth Nemo of Employer Address - Etna ;Mtn Name of Employer Not aulicabla CitY. State andOpUde ZTI i a "I 07 cd . " """ Address 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, verity, and record information that identifies each person who establishes en account, investment or other business relationship with a financial institution. This means that wo 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 end 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 antimnoney 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 io 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 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 fo any claims, losses, expenses, coats or attorneys fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not bo required to, seek verification of your verbal, facs•mile or email instructions by call beck. 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 account(el without written instructions bearing your original signature. Joint Account Disclosure You have opened e joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account shall become the property of earn 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 he nil:Wired by Wvloe 01 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 survIvorfs) 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 owoer(s). Unless DBTCA roceivea minim ootice signed by any owner not to pay or deliver any joint deposIt of addition or eCaual, DBTCA shall not be liable to any owner for Continuing to honor checks, metros or withdrawal requests from any owner After the receipt of the notina ref end to in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments or deliveries. 2 ilAvxmouli 013969032e13 SDNY_GM_00038504 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED_ R CRIM. P. 6(e) DB-SDNY-0001328 EFTA_00149113 EFTA01282905 ATM/Debit Service You agree that the retention or use of the ATIWDebit card constitutes acceptance of the terms and cond,nons of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service It you have selected to receive Internet Banking Services, you understand that you will be requited to onto: 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, ineome or transactions In your accounts) and yow business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibikty to fulfill any tax obligations and any other regulatory reporting dunes 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 end capabilities( is made available no loss than annually to the relevant beneficial owner(s). sertbr(s), beneficiary(es), partner's). etc to enable himthed them to fulfill any respective tax obligations that may arise for hirrilheti 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 info/motion 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 und0 fiend that this ago Account Holder's Signature subject to acceptance OSTCA • / /3 tal Jon Account Holder's Signature Date tsAWM4101 ‘i.otc1474Nzt4;9::%. CONFIDENTIAL 013959.032613 SDNY_GPA_00038505 CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001329 EF1'A_00149114 EFTA01282906 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 USERSI Alf/ _PC: Narita/tile Signajim DEUTFHE BANK MUST COMPANY AMERICAS BY ;.\ iienft.nr,./c.kriCt .e1 191/41 Pun: elornekNo Date (FOR ALL OTHER USERSI Amount Name Namarrie Signature Date WM134667 21 010198MS:613 SDNY_GM_00038506 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001330 EFTA_00I49I15 EFTA01282907

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