Case File
efta-01380093DOJ Data Set 10OtherEFTA01380093
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01380093
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Trusted Contact Person Information:
Name
I.
Phone number
Date of birth
P
Malang address
L
Email address
Client may update any information relating to the Trusted Contact Person, or revoke the authorization contained in this
Section V, at any time by notifying DBSI in writing. For the purposes of this Section V, "nonpublic personal information"
includes, but is not limited to: financial account information and balances, information regarding the purchase of a security,
and any other personally identifiable financial information: (i) provided by Client to DBSI or Pershing; (fi) resulting from any
transaction in my account or any service performed on behalf of Client by DBSI or Pershing; or (iii) otherwise obtained from
Client by DBSI or Pershing.
Client initials:
By signing below client acknowledges that: (1) client has received, read and agrees to the terms and conditions of this Account
Agreement, including the appendix which contains important information; and (2) the information contained in this Account
Agreement is accurate.
The Internal Revenue Service does not require client's consent to any provision of this document other than the certification
required to avoid backup withholding, and, if applicable, the certification required to establish client's status as a non-U.S.
person and obtain a reduced rate of withholding.
Important Information for ERISA employee benefit plan clients: U.S. Department of Labor regulations require DBSI to disclose
to a responsible plan fiduciary certain information in connection with the services that DBSI provides to a plan, to assist the
fiduciary in evaluating the reasonableness of DBSI's services and related compensation. The disclosure is available online,
at httirlideutschewealth.com/americas/entannualdisclosurestatementhtml. By signing below, you acknowledge that you
are a fiduciary responsible for the procurement of DBSI's services to the plan, you have read the disclosure and you understand
the disclosure.
Individual or joint account (If this is a joint account. all account owners must sign):
Confirmation of tax and compliance responsibilities
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties
applicable to Client in any relevant jurisdictions that may arise in connection with assets, income or transactions in Client's
account(s) and business relationship with 0BSI.
Check a box below only if clients do not want joint tenants with rights of survivorship or tenants by the entireties. Clients
specify instead:
Tenants in common; or
1 Community Property (for married couples in certain states; each spouse retains 50% interest in the community property
upon death of the first spouse),
WM189778 015684.050218
Pao° 8 of 16
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0078234
CONFIDENTIAL
SDNY_GM_00224418
EFTA01380093
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Domain
httirlideutschewealth.comForum Discussions
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