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efta-01283015DOJ Data Set 10Other

EFTA01283015

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Unknown
Source
DOJ Data Set 10
Reference
efta-01283015
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3
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EFTA Disclosure
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. ..)ft./AAr-stri-e—_ Account Holder's *cesium Joint Account Holler's Signature Date Date 9//g1/23 only eLealnrsp-,.. s... - . at mama, r*- ley 4 1 raw, 1-a.r.smat..xff ek: _ rs'.5gfr Mei .fnkt4V.St .1.x:t%vrtri.t . pretir sm Orin 1694.141-terz* ‘ftztx:.g/v ty. ttftitEWt ri- •PiftY • ir fe j a _ 7 7Pir stt rei tr.;2t.etWsPrge,15:WV.iFigagittl'E nyceixyx'tc..n)-/.).ktAtt-t.ros).V... mitat4- 1713ltti4 1-4 „IL*: .v..4 -0.74,4 7. 4 3 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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