Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset
& Wealth Management
Li
DBTCA Deposit Account Opening Application
Private Wealth PremiumTm
Elite Personal Accounts
O
/
ii
Elite
Elite Checking with Interest
Acct. #
APY
Elite More Market De
bit
Acct. It
APY
O
Certificate of Deposit
Acct. 8
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
IOBTCA deposit account required,
along with a 00 AG Preferred Tenns
and Conditions)
It
er
Pri ate Wealth Premiums''
I emet Banking Services
DB Private Wealth Online Plus
O
Link to Existing Online Relationship
Private Wealth Premiums"
Elite Business Accounts
O
Checking Acct.a
O Elite Checking with Interest
Acct.
APY
K Elite Money Market Deposit
Acct. I
APY
K Certificate of Deposit
Acct. I
APY
Term
ri DB AG NY Preferred
Certificate of Deposit
Acct 8
APY
Term
Promo term
IDSTCA deposit .toount required,
along with a 013 AG Prelwnrd Terms
and Conditions)
O
Cash Master Sweep Account
Checking Acct. I
Elite Money Market Deposit
Acct. I
(User/Co. ID Number)
Client Relationship
O Individual Account
Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
O Trust
El Estate
APY
Target Amount
Trigger Amount
Private Wealth PremiumTh.
Banking Services
HI Consumer Debit Card 0
Joint Applicant Debit C ire( a
O Business Debit Card a
FIDeluxe Checkbook Styli a
S -tan clicALS I
e-
O Name Only
X Name and Address
O
Duplicate Statement
Addr
City
State
Lp Cock
O Mailing address (If differ: nt)
Name
Addr
City
State
Zip Cod.
O Custody under NY UTMA
O Foundation
K
Non-Profit Organization
O Attorney Trust Escrow
O
Landlord Master Escrow
O Corporation
K Limited Liability Compai
O Partnership
O Limited Liability Pannell hip
Is/ "vmetni
NAOSOD00016974-00I I0860!)
0131 :9.03281r3
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001292
EFTA_000 14766
EFTA00165558
Acco
•
'
n
Nemec
tint
JoIntra pr
Ap
Soon! Seca' Number
T
es ID N mbar
Ad
City
a
IhelaL
Horne elephone Number
Home Telephone Number
Stain
Date .
NeS
♦
Nome of Employer
Kinnear Empty), cod
.
2 4,51i a
Address
Address
Nl /0021
City, Stine end up Cdde
Criy. Stare end by Code
sruDeli r
Notice of Customer Identification Policy
Important Information
To help the govionment tight the funding of terrorism and money laundering activities, Federal law requires all fin.licial
institutions to obtain, verify, and record information that identifies each person who establishes an account, inves.inent ca
other business relationship with a financial institution. This means that we will ask (or your name, address, and od nor
information that will allow us to identity you. We may also ask to see identifying documents such as a certificate( •
formation or good standing liege' entities) or a passport or other photo identification (individuals/.
3rd EU Notice
Governmental lutes have also broadened the scope of the Bank's obligations to aid in the fight against money tau derino
and terrorist financing: these rules can for an active involvement of both asset management firms and their client
For
new and existing cheats we currently have a legal obligation to ask our customers questions regarding their Went ries.
addresses, source of funds and, if necessary. legal representatives, authorized signatories, beneficial owners or a •itrol
structures and to tolled requisite documentation to substantiate the information. Also, enhanced antimoney law feting
requirements require that should any of the above personal or institutional information change. our clients would :a
obliged to immediately notify us of the ctiange(s) and provide us with relevant documentation to verily these char •jes.
Telephone. Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email reg ' ,ding
the above captioned ac eounrts) (defined herein as 'Verbal Instructions"). ft is understood that the risk of Vestal
Instructions being giveo by person or persons purported to be you is your own. Absent the gross negligence or w l'ful
misconduct of Deusche Bank Trust Company Americas (D8TCA), you agree to indemnify and hold harmless DBT( ,4 for
any claims, losses. expenses, costs or attorneys' fees resulting horn DMA's acting upon such misunderstood at it
unauthorized Verbal Instructions. You understand that DBTCA may, but Magnet be required to, seek verification, if your
vein!, facsimile or email instructions by call back. In case of doubt DBTCA may in its sole discretion refuse to est ruts
your Verbal Instructions or ahy pert thereof, without incurring shy liability. DBTCA is under ao obligation to exacts ii your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearipg your °riga
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit :ad any
additions to the account shall become the property of each owner as plot tenants. and DBTCA may release tie Sr lire
account to any owner during the lifetime of ali owners. (MICA may honor checks. orders or withdrawal requests' nem
any owner during the lifetime of all owners. The flank may be required by service of legal process to remit funds t iild in
the joint account to satiety a judgment entered against o' other valid deot incorrea by, ahy owner of the account.
may honor checks, orders or withdrawal requests from the survivortsl after the death of any owners) and may tre it the
account as the sole property of the survivors) otter the death of any ownerts). Unless DBTCA receives written noti
signed by any owner not re pay or deliver any joint deposit or addition or accrual, DBTCA shalt not be liable to any wilier
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice refenod to
in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further pa .inentt.
or deliveries.
2
53..• ..110501
013sr :lanai 1
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001293
EFTA_000 14767
EFTA00165559
For Ban
se r Reviewed by:
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: the
Cardholder Agreement contained In the Terms and Conditions of Deposit Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand that you will be required to enter into:I
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBICA's Privacy Notice included in the Application Package.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that ft is your responsibility to fulfill any tax obligations and any other regulatory reporting duties as iilicable
to you in any relevant jurisdictions that may arise In connection with assets, income or transactions in your aces .:nt(s)
and your business relationship with DBTC.A.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that It is your responsibility to fulfill any tax obligation and any other regulatory reporting duties as :labia
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your nowt Is) and
your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the best of lour
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s)
beneficiary(ies), partneral, etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for 'Cam/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 addition, yOU agree to notify us immediately of any material than; a 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
BTCA.
///-7oiloi 3
Data
ow /bp 0/3
Name
Tide
pate
It( I 0 I (5
Accepted*Dela:
\ / I
P"/
Nanit
N./
Title
3---c-
I
r.kNOC
3
iYeaelel
013t I d.oa2dla
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001294
EFTA_000 14768
EFTA00165560