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efta-01400321DOJ Data Set 10Other

EFTA01400321

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DOJ Data Set 10
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efta-01400321
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01400321 -ATT Deutsche Asset & V\/ealth Management DBTCA Deposit Account Opening Application Private Wealth Premium" Elit"usiness Accounts Checking Acct. # Private Wealth Premium" Banking Services K Consumer Debit Card # Private Wealth Premium" Elite Personal Accounts K Checking Acct. # K Elite Checking with Interest Acct. # K Joint Applicant Debit Card # K Elite Checking with Interest Acct. # APY APY (3^ Elite Money Market Deposit Acct. # K Business Debit Card # K Elite Money Market Deposit Acct. # style# Cr>*^ jXLUfi APY APY K Name Only Name and Address K Duplicate Statement Addr K Certificate of Deposit Acct. # APY Term K Certificate of Deposit Acct. # APY Term K DB AG NY Preferred EFTA01400322 Certificate of Deposit Acct. # APY Term Promo term (DBTCA deposit account required, along with a DB AG Preferred Terms and Conditions) Private Wealth Premium" Internet Banking Services DB Private Wealth Online Plus Link to Existing Online Relationship yo3 (User/Co. ID Number) [/ K DB AG NY Preferred Certificate of Deposit Acct. # APY Term Promo term (DBTCA deposit account required, along with a DB AG Preferred Terms and Conditions) K Cash Master Sweep Account Checking Acct. # Elite Money Market Deposit Acct. # APY ' Target Amount Trigger Amount City Zip Code K Mailing address (if different) Name Addr State City State Zip Code Client Relationship Q Individual Account Q Joint Tenants with Right of Survivorship Q Corporation [7] Limited Liability Company K Custody under NY UTMA K Foundation K Partnership K Non-Profit Organization K Attorney Trust Escrow EFTA01400323 o Joint Tenants in Common o In Trust For/Payable on Death/As Trustee for o Trust o Estate 0 Limited Liability Partnership o Landlord Master Escrow 13-AWM-0101 W-9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. Forni (R<<v. December 2011) Depwltnem of the Treasury Internal Revenue Service ass namordisregarded enlitv name. If dUFer"t from above / ^ ^ Name c\i Check appropriate box for federal tax dasslfication: 1-1 Individiial/sole proprietor D C Corporation Q 8 Corporation Q Partnershp [D Tnjst/estate 1-i o Exempt payee r—I Limited liability company. Enter the tax classification <C=C corporation, S=S corporation, P=partnership) /)iTy a"CK.7LJ.C. Address (number, street, and apt. or suite no.) T ^ ^ City, state, and ZIP code t/ ^ List account nuntfcerfs) hori (optional) c/c Other (see nslnjctions) Requester's name and adrkess (optionaD I I"V\" Taxpayer Identification Number (TIN) Part I Social aeourity nranber Enter your TIN in the appropriate box. The TiN provided must match the name given on the 'Name* iine to avoid backup withholding. For individuais, this is your aociai security number (SSN). However, for a resident aiien, aoie proprietor, or disr"arded entity, see the Part i inslructione on page 3. For other EFTA01400324 entities, it is your employer identification number (EIN). If you do not have a number, see How to got a TIN on page 3. Note. If the account is in more than one name, see the chart on page 4 for guidelines on whose number to enter. Employer idacrtification nunbar H71 -IoKIoI'iIS'Mf Certification Part II Under penalties of perjury, I certify that: 1. Thenumber shown on this fomn is my correct taxpayer identifioation number (or I am waiting for a number to be issued to me), and 2. I am not subject to backup withholding because: (a) I am exempt from backup withholding, or (b) I have not been notified by the Internal Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or (c) the IRS has notified me that I am no longer subject to backup withholding, and 3. I am a U.S. citizen or other U.S. person (defined below). Cerlifiealion insiniclions. You must cross out item 2 above rf you have been notified by the IRS that you are currently subject to backup withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply. For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt, contributions to an individual retirement arrangement (IRA), and generally, payments other than interest and dividends, you are not required to sign the certification, but you must provide your correct TIN. See the instructions on page 4. • \;i D V. V Of Sign Here Signature of U.S. person . Date. U-1 Note, if a requester gives you a form other than Form W-9 to request your TIN, you must use the requester's form if it is substantially similar to this Form W-9. Definition of a U.S. person. For federal tax purposes, you are considered a U.S. person If you are: • An individual who Is a U.S. citizen or U.S. resident alien, • A partnership, corporation, company, or association created or organized in the United States or under the laws of the United States, • An estate (other than a foreign estate), or • A domestic trust (as defined in Regulations section 301.7701-7). Special rules for partnerships. Partnerships that conduct a trade or business in the United States are generally required to pay a withholding tax on any foreign partners' share of income from such business. Further, in certain cases where a Fomn W-9 has not been received, a EFTA01400325 partnership is required to presume that a partner is a foreign person, and pay the withholding tax. Therefore, if you are a U.S. person that is a partner in a partnership conducting a trade or business in the UnKed States, provide Form W-9 to the partnership to establish your U.S. status and avoid withholding on your share of partnership income. General Instructions Section references are to the Internal Revenue Code unless otherwise noted. Purpose of Form A person who is required to file an information return with the IRS must obtain your correct taxpayer Identification number (TIN) to report, for example, income paid to you. real estate transactions, mortgage interest you paid, acquisition or abandonment of secured property, cancellation of debt, or contributions you made to an IRA. Use Form W-9 only if you are a U.S. person (including a resident alien), to provide your correct TIN to the person requesting it (the requester) and, when applicable, to: 1. Certify that the TIN you are giving is correct (or you are waiting for a number to be issued), 2. Certify that you are not subject to backup withholding, or 3. Claim exemption from backup withholding if you are a U.S. exempt payee. If applicable, you are also certifying that as a U.S. person, your allocable share of any partnership Income from a U.S. trade or business is not subject to the withholding tax on foreign partners' share of effectively connected income. Form W-9 (Rev. 12-2011) Cat No. 10231X EFTA01400326

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