Case File
efta-01372257DOJ Data Set 10OtherEFTA01372257
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01372257
Pages
1
Persons
0
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Text extracted via OCR from the original document. May contain errors from the scanning process.
ATM/Debit Service
You agree that the retention or use of the ATWDebil card constitutes acceptance of the terms and auxin )ns of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
If you have selected to meerve Internet Banking Services, you understand that you will be required to en!, into a
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S twice.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packer .1.
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 dues applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in yob r accounts)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du '.es applicable
to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your r xounds) and
your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t ost of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se' llor(s),
beneficiarybeSI. penner(s), etc. to enable himtherr them to fulfill any respective tax obligations that may at :e for himrhed
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 tc this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any materir I change 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 Deposit Accounts are subject to change.
Acceptance
You understand that this applicat
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13-FNM-0101
013969.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL
DB-SDNY-0065912
SDNY_GM_00212096
EFTA01372257
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