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efta-01282933DOJ Data Set 10Other

EFTA01282933

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DOJ Data Set 10
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efta-01282933
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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 7- OZZ ZS-CD DBTCA Deposit Account Opening Application Private Wealth PremiumiM Elite Personal Accounts O Checking Acct O Elite Checking with Interest Acct. ft APY O Elite Money Market Deposit Acct.. APY K Certificate of Deposit Acct. I APY Term K D8 AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (DBTCA deposit account required. along with s 08 AG Preferred Terms end Conditions) Private Wealth PromiumTM Internet Banking Services El 98 Private Wealth Online Plus Link to Existing Online Relationship (User o. ID NrmS Client Relationship K Individual Account O Joint Tenants with Right of Survivorship O Joint Tenants in Common O In Trust For/Payable on Death/As Trustee for O Trust K Estate Private Wealth Premium TM Et /Business Accounts O r Checking Accl. O Elite Checking with Interest Acct. 0 AAPY 2 f, Elite Mona Market Deposit Acct. I APY o Certificate of Deposit Acct. 0 APY Term O O8 AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (0BTCA deposit account required along with a DB AG Pottered Terms and Conditional O Cash Master Sweep Account Checking Acct. tt Private Wealth Premiums ' Banking Services 0 Consumer Debit Cart ED O Joint Applicant Oebil 11 O Business Debit Card 0<eluxb_Cieheity c S .le ft A 4.4(0 0 Name Only (21 Name and Addis O Duplicate Statement Addr City State Zip Cr.:a O Mailing address (d dd. went) Name Addr City State Zip Cc tie Elite Money Market Deposit AiXt. # APY Target Amount Trigger Amount O Custody under NY UTMA 0 Foundation O Non-Profit Organization K Attorney Trust Escrow O Landlord Master Escrow O Corporation O Limited Liability Comp: ny O Partnership O Limited Liability Pannt 'ship CONFIDENTIAL 1: AWM.0101 RAO5O0000156024 MDR II 01. 5x03::6'3 SDNY_GM_00038538 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001362 EFTA_00I 49147 EFTA01282933 Accourkt rifle and Joins Application Information Name of Account Tale Joint Applicant (last namet ,grst name, reiddlemitian or Business Past name, first name, middle innialf Soc i SecuriDr Numioeprer,p Number S Social Security Number or Taxpayer ID Number 6100 REO Ad4 rf..! Address T kn." 4 US Netatisdlcabla City, State and Zip Code City, State and Zip Code ems Teleohone Number a Business Telephone Nur g Nome Telephone Number Business Telephone Numbs, bririlirth Date of Birth Name of Employer Name of Employer Address Address Not applicable City, Slat. and 2tp 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 a finanzial institutions to obtain, verify, and record information that identifies each person who establishes an account. ii vestment or other business relationship with a financial institution. This means that we will ask for your name, address, an: other information that will allow us ro identity you. We may also ask to see identifying documents such as a certific rte of lormation 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 ci lints. For new and existing clients we currently have a regal obligation to ask our customers questions regarding their ii sntilteS. addresses, source of funds and, if necessary, legal representatives, authorized signatories. beneficial owners i-• control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money I/mondering requirements require that should any of the above personal or institutional information change, our clients wo .ld be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these r ranges. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email l °gelding the above captioned account(s) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbi ; Instructions being given by person or persons purported to be you is your own. Absent the gross negligence o • willful misconduct of Oeusche Bank Trust Company Americas (D8TCA), you agree to indemnify and hold harmless D. iTCA for any claims. losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You understand that OBTCA may, but shall not be required to. seek verificatri in of your verbal, facsimile or email instructions by cell heck In case of doubt, DBTCA may Mils sole discretion refuse to :mica° your Verbal Instructions or any pan thereof, without incurring any liability. OBTCA is under no obligation to ext i um your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your or final signature Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This dapo i't and any additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the rntire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal reques ; from any owner during the lifetime of al owners. The Bank may be required by service of legal process to remit fund held In the joint account to satisfy a lodgment entered against, or other valid debt incurred by, any owner of the accour DBTCA may honor checks, orders or withdrawal requests from the survivals) aher the death of any owner(s) and may r eat the account as the sole prooeny of the survivals) aftor the dee th of any owner's). Unless DBTCA receives written n :Lice signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to a -y owlier for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice re ;rred f.0 in the previeus sentence. DBTCA may inquire the written authorization of arty or all joint owners for eny further :iaymentS or deliveries. 2 u NWM-0101 01: '69.032813 SDNY_GM_00038539 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001363 EFTA_00 I 49148 EFTA01282934 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditlo 9: of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service II you have selected to receive Internet Banking Services. you understand that you will be required to enter i • to a separate Internet Banking Services Agreement with DBTCA before you car access the Internet Banking Sen de. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of D8TCA'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 NAM any tax obligations and any other regulatory reporting dutie ; applicable to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in your t rcoUnISI and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilitieli. You confirm that it Is your responsibility to fulfill any tax obligations and any other regulatory reporting dunk,' spplicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your acc : and your business reNtionship with DBTCA. Furthermore. you confirm that the necessary information (to the bes: of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settle) Is). banal iciaryliest partner(s). etc. to enable him/hed them to fulfill any respective lax obligations that may arise ;or hiralhed 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 th Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cl Inge 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 7 .. -- Acceptance Youitemend that this *DPI' zo . unt Holder's Signature posit Accounts are sublet Joint Account Holder's Signature Z :n. tall graFra-*: nla Y168:44:dietit Y4Akii4)PIA YJ~xMt' Pro •"/ AN+ 1C/V54nrar ilIt atyrrnWit linal.ni te4WiNt 1;* • 4% .. .J% ...4411.11 .. • % tv• Oate Date 5'1181Vtfr t% t '.- . VainP l C t'r" it :43c."A ''.4Wri:49 1 C* lt atar r r eAt a. ;01 • i ...i: '. \Ti•;37.4.1ta CCiatetv4t. I We 8.1.%. 1: r-N4opta 4.4 0 yp real ...c A. . I : • Tits••,.i%.. % th ansi 'Ate+ . +relic; . Intenne ' •nn±ktelPeZ.V/iii, iti/ganst.V.,:n(olits:d rwrez lipaoEpAntry,., ASSAirli PgifigaitsiSflita akettj•Sr ;4:0".-* ti - • paartst-o, K *-. ..-gf-ar Pataiknea lg ' • P, *PA sac00",if..:sse 4 , ,- A.,. al :41:*.re.,‘'Safit-e;walttit- ... • ex/VA .*.:PIA.N..-4,44.- Pc- it IrNamet). loW k: pea '9r'giliataraigag: . az ; we, Mar 3 13 .iWM.010I OW59.032,13 SDNY_GM_00038540 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001364 EFTA_00149149 EFTA01282935

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