Case File
efta-01283015DOJ Data Set 10OtherEFTA01283015
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01283015
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
•
DeUtSche Asset
•
Zx' Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiums'"
Elite Personal Accounts
O
Checking Acct.
O
Elite Checking with Interest
Acct. N
APY
K
Ehie Money Market Deposit
Acct. 8
APY
ij Certificate of Deposit
Acct. N
APY
Tenn
K
DB AG NY Preferred
Certificate of Deposit
Acct. 0
APY
Term
Promo term
(OBTCA deposit account ;squired.
along with a DRAG Preferred Terms
end Conditions'
Private Wealth Premiumm4
Internet Banking Services
DB Private Wealth Online Plus
(3" Link to Existing Online Relationship
serlCo. ID Number)
Client Relationship
O Individual Account
EI Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
O In Trust For/Payable on
Deathllis Trustee tot
O Trust
O
Estate
Private Wealth Premiumill
Ell Business Accounts
j
0
O
Elite Checking with Interest
Acct. I
APY
life Mo
Market De
sit
Acct.
APY
O Certificate of Deposit
Acct. N
APY
Term
K
DB AG NY Preferred
Certificate of Deposit
Acct. N
APY
Term
Promo term
(087CA deposit account required.
along with a 08 AG Preferred Terms
and Conditions)
K
Cash Master Sweep Account
Checking Acct. I
Private Wealth Premium ^"
Banking Services
O
Consumer Debit Card N
O
Joint Applicant Debit Card N
/
•
Business Debit Card I
GDel e Chic
.
kbook Style 8
/
figh-R A17F-All &VA
gi Name Only
Name and Address
K
Duplicate Statement
Addr
City
State
Zip Code
O Mailing address (if different)
Name
Addr
City
State
Zip Code
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
K
Custody under NY UTMA
O
Foundation
O
Non-Profit Organization
O Attorney Trust Escrow
O
Landlord Master Escrow
O Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
CONFIDENTIAL
13,AINIA.0101
NAOSODD0015602-000104611
011959 032613
SDNY_GM_00038637
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001461
EFTA_00 I 49246
EFTA01283015
Account Title and Jointerication Infornation
a tc
Name of Account Title
bp, yolk
Int4)—g-tuf
Joint Appecam
Oast name.
or Business
nest name, first name. middle initial)
Socia(Mun ignerifir
cu
tilgtz
n.c....
Social Security Number or Taxpayer ID Number
Address Cam}
itivorore..77--
---filZontss
Py
#.9....e2i_NoteonlIcable.
City. ultra
Zip Code
Guy. State and Zip Code
T l h
N m
r
Business e
one urn
Nome Telephone Number
Business Telephone Number
Date of Binh
Date of Binh
Name of Employer
Name of Employer
Address
Address
Not applicable
City. State and Zip Code
City. State end Zip Code
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering activities. Federal law requires all financial
institutions to obtain, verify, and record information that identifies each person 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
infotrnation that will allow us to identify 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 *ISO 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 and existing clients we currently have a legal obligation to ask our customers questions regarding their identities.
addresses. source of hinds 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 changers) 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 beinn given by person or persons purported td be you is your own. Absent the cross oegligence or willful
misconduct of Deusche Bank Trust Company Americas (08TCA). you agree to indemnity and hold harmless DBTCA for
any claims, losses. expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorizeo Verbal Instructinns. 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 Incurring any liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any aocourn(s) without written instructions bearing 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 pf all owners. DBTCA 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 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 chocks, orders or withdrawal requests from the survivor(s) 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 owner(s). Unless DBTCA receives written notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. DBTCA shall not be liable to any owner
for continuing to honor cheeks, orders or withdrawal requests from any owner. After the receipt 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
IIAWM•0101
0i3eSe032M3
SDNY_GM_00038638
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED R. CRIM. P. 6(e)
DB-SDNY-0001462
EFTA 00149247
EFTA01283016
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
II you have selected to receive Internet Banking Services. you understand that you will be required to enter into a
separate Internet Bonking Senecas Agreement with DMA before you can access the Internet Baoking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below. you acknowledge receipt of DEITCA's Privacy Notice included in the Application Package.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responcibilty to fulfill any tax obligations and any other regulatory reporting ditties appricable
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 arty other regulatory reporting duties applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounts) and
your business relationship with DOTCA Funhermore, 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 ownerts), settlor(s).
beneficiarylies), panner(s), etc. to enable him/her/ them to fulfil any respective tax obligations that may arise for him/her/
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 attrition, 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 informalibn provided by you on this Application is accurate.
The Terms and Conditions for Deposit Accounts are subject to change.
Acceptance
You understand that this application is su .ect to acceptance by DBTCA.
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Account Holder's *cesium
Joint Account Holler's Signature
Date
Date
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CONFIDENTIAL
13AW1.4-0101
013959.032613
SDNY_GM_00038639
CONFIDENTIAL - PURSUANT TO FED_ R_ CRIM. P. 6(e)
DB-SDNY-0001463
EF1'A_00149248
EFTA01283017
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