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Dflutsche Asset
& Wealth Management
(l e, LLC
DBTCA Deposit Account Opening Application
Private Wealth Premiumn"
Elite Personal Accounts
O Checking Acct. II
O Elite Checking with Interest
Acct. II
APY
O
Elite Money Market Deposit
Acct.
APY
O
Certificate of Deposit
Acct. #
APY
Term
CI DB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
10131CA deposit account required.
along with a 08 AG Preened Terms
and GOndiuonS)
Private Wealth Premiumrm
Internet Banking Services
DB Private Wealth Online Plus
Eletnk to Existing Online Relationship
(ite2Cc?Ice;SNtrmber)
Client Relationship
O Individual Account
O Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
O In Tryst For/Payable on
Death/As Trustee for
O Trust
O Estate
Private Wealth Premium im
Eli Business Accounts
Checking Acct.
O
Elite Checking with Interest
Acct. #
Elite Money Market Deposit
Acct. #
APY
O Certificate of Deposit
Acct. It
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct. ft
APY
Term
Promo term
IDBICA deposit account required,
along with a DB AG Preferred Terms
and Conditions!
O
Cash Master Sweep Account
Checking Acct. #
Private Wealth Premium rte
Banking Services
O
Consumer Debit Card I
O
Joint Applicant Debit Card #
O
Business Debit Card 11
rit
I
Ch
ler/
ta ct
ri
b
k ?LIZ 444,,
O
Name Only pLi7cr3 .3-3Qurt11
[Name and Address
-rr'
t ; cs"tc
Coca'. Gaeffe1/41
O
Duplicate Statement
rAficii ?lc imr
Add;
City
State
Zip Code
O
Mailing address (if different!
Name
Addr
City
State
Zip Code
Elite Money Market Deposit
Acct. It
APY
Target Amount
Trigger Amount
O Custody under NY UTMA
O
Foundation
K Non-Prolit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
O
Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
13.AWM4101
NAOSOD00015602-000104611
023959032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001343
EFTA_00014817
EFTA00165601
AceOu
an Joint Application Information
l
Name of
(last na
teount T
Social Security Nu
r or Taxpayer ID Number
&/40 Iii2 Mak
ta.mnige, $3
Address
t)5V,
040L.-•
Address
57— Titell(C..—NoLapiallcable
1
City, State and Zia Code -
City. State and Zip Coda
Noma Telephone
Nome Telephone Number
Business Telephone Number
Business Telephone Number
Joint Applicant
Best name, first name. middle initial)
Social Security Number or Taxpayer ID Numbe
Date of Birth
Date
hTo irth
Name of Employer
Name of Employer
Address
Address
Not eppllcable
City. Stan and Zip Code
City. State and 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. end other
information 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 Ell Notice
Governmental rules have also 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 IIITS 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 funds 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 change(s) and provide us with relevant documentation to verily 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 account(s) (defined herein as 'Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (OBTCA), you agree to indemnity and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You uneerStand that OBTCA may, but shall not be required to. seek verification of your
verbal, facsimile or email insunctions by call back. In case of doubt, OBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to execute you;
Verbal Instructions to transfer funds or securities to any-eccount(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 ol each owner as joint tenants, and DBTCA may release the entire
account to any owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal requests from
any owner during the lifetime of all owners The Bank may bp 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 checks, orders or withdrawal requests from the survivor(s) alter the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any owneris). Unless DBTCA receives written notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. OBTCA shall not be liable to any owner
for continuing to honor checks. 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.
13-AWta
013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001344
EFTA_00014818
EFTA00165602
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
If you have selected to receive Internet Banking Services, you understand that you will be required to enter into a
separate Internet Banking Services Agreement with D8TCA 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 it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account($
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 any other regulatory reporting duties applicable
to it in any relevant jurisdictions that may apse in connection with assets. income or transactions in your account(s) and
your business relationship with DBTCA. Furthermore, 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 owner(s). senloqs),
beneliciary(ieS). Partner(sh etc. to enable him/her/ them to fulfill 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 addition, 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 information on:Niced by you on this Application is accurate.
The Terms and Conditions for Deposit Acco
are subject to change.
Joint Account Holdercrignature
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13AWM-0101
013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001345
EFTA_00014819
EFTA00165603
IN WITNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
Sig ture
Prim NamerMe
I 01 0- I
Date
(FOR ALL OTHER USERS]
Vaica
sic,
rnq AA. rA
Account Name
Nameffitle
Signature
Oate
wr.4134667
21
M01380806*
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001346
EFTA_000 14820
EFTA00165604