belitsche Asset

belitsche Asset & Wealth Management u. ti DBTCA Deposit Account Opening Application Private Wealth Premiumi'm Elite Personal Accounts O Checking Acct. X O Elite Checking with Interest Acct. # APY O Me Money Market Deposit Acct. # APY O Certificate of Deposit Acct. 8 APY Term O OB AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (DBTCA deposit account required. along with a Oft AG Preferred Terms and Conditions] Private Wealth PremiumT" Internet Banking Services DB Private Wealth Online Plus Ei Link to Existing Online Relationship 103 oc55- 0 (User/Co. ID Number) Client Relationship O Individual Account O Joint Tenants with Right of Survivorship O Joint Tenants !n Common O In Trust For/Payable on Death/As Trustee for O Trust O Estate Private Wealth Premium 7.4 Elit usiness Axounts O Elite Checking with Interest Acct. N ,frPy e i Elite M Acct. # APY O Certificate of Deposit Acct. APY Term K DB AG NY Preferred Certificate of Deposit Acct. N APY Term Promo term (DBTCA deposit account required. alone with a DR AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking Acct. X Private Wealth Premiumm Banking Services O Consumer Debit Card 0 O Joint Applicant Debit Card # Business Debit Card # re<eluxe Checkbook Style N // ktrogC O Name Only Name and Address O Duplicate Statement Add: Crty State Zip Code Elite Money Market Deposit Acct. # APY Target Amount Trigger Amount K Custody under NY UTMA O Foundation O O Non-Profit Organization Attorney Trust Escrow Landlord Master Escrow Meiling address (it different) Name Addr City State Zip Code O Corporation CI Limited Liability Company O Partnership O Limited Liability Partnership i3.Awmou:n NAOSODu0015602-000104611 013959 032613 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001347 EFTA_00014821 EFTA00165605 Acco I Title anddoint Appl' tiQQnn Int° tre - frr ry ii-ott 4 C!C CV itt Name of Account Title (ten ni nTri f Joint Applicant lint na ' r Business (last name, first name, middle initial' Social Security mbar or axpayer D Number Social Security Number or Taxpayer ID Number Sic ( TC/ltd-Ols/ A Thnitie - Oa Address ti Address in, /iv loott.-- Not applicable City-Awe-4nd Zip Code City, State and Zip Code Home Telephone Number Business e ep one um r Business Telephone Number Data of Birth Name of EmPtcrYer Address Oa re or Binh Name of Employer Address Not applicable City. State 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 altfinancial 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 wo will ask for your name, address. and 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 EU Notice Governmental rules have also broadened the scope of the Bank's obligatlons to aid in the fight against money laundering and terrorist financing: these rules call for an active involvement of both asset management firms and thew 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 cootrol 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 charges) and provide us with relevant documentation to verify 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 accounts) (defined herein as "Verbal Instructions,. It is understood that the risk of Verbal Instructions being given by person in pencne purported to be you is your own. Absent. the gross negligence or willful misconduct of Deusche Bank joist Company Americas (0BTCA), you agree to indemnify and hold harmless OBTCA for any claims, losses, expenses, costs or anorneys' fees resulting from OBTCtis acting upon such misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may, but shall not be required to, seek venfication of your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA 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 your Verbal Instructions to transfer funds or securities to any socount(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a taint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account shag become the property of each owner as joint tenants. and DBTCA may release the entire account to any owner Cluritg the lifetime of all owners. OBTCA may honor onecks. orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may be 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. D8TCA may honor checks, orders or withdrawal requests from the survivor(s) seer the death of any owner(s) and may treat the account as the sole properly of the survivors) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner not to pay or deliver any Joint deposit or addition or accrual, DBTCA shall not be liable to any owner lot continwng to hdeor cheeks, urders or withdrawal requests fiom any owner. After the receipt of the notice referred to in the previous sentence, DBTCA may require the written autharirationtof any or all pint owners for any further payments or deliveries. 2 taAWM.0101 013959032613 CONFIDENTIAL — PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001348 EFTA_000 14822 EFTA00165606 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 wire DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm that ins 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(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibiNry to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with DBTCA Funhturnorc, 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(N, settlor(s), beraficiary(ies). partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/hed 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 provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subject to change. Acceptance understand that this arta .5 subsea toe ceptance by DBTCA. Cil f eb3 Account tioder's Signature Date Joint Account Holder's Signature M are For Ban q‘l liftiShearecktri- •Niattgartearael 4( lit47%echr4/2,S literiP.1:hlt ESAPif2.41Ww- ..4/..444:;5**i3Otztahr. : 12,,gptrZI.e,.1prerfr-re> ?tY'e n:fingit 74)",4n :V? a AirgenK 151' l OSetY Nite•tl: OinferiCa I 1 Cia Dare LWm .y_4s P-rtie:4ixda fete '"Vrialzf23Witfla1, risit • 2 dill: .4r. .. ' -.,„ €(...tiNekt.4W.V.Nnek MCW.C.eggir -34.-artiffer titiegie. iCIISZONWW:fitirAaCSwx ik.5.,4"VO/44.5: w. 4.igr xecias ;"4"/ .3"4"1-4•11, . sairfeirlgar . r a Ngdza f3/4.6fg . e.alatire; tuna fv. 4 tea 1§ 19 4 4 1 F4 1€ : -P raqitc*Flt ri eS) "." . 4 J.. 'WV:teni • ...17.4v Wea-.ti,eafeir`W )" `"57:4-• taitliff105i*WitA StrcrfrS.Wa tist 2sa 13.AWM43101 013969.002413 CONFIDENTIAL — PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001349 EFTA_000 14823 EFTA00165607