Text extracted via OCR from the original document. May contain errors from the scanning process.
.Deutsche Asset
•&Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiums"'
Elite Personal Accounts
O
Checking Acct. a
O
Elite Checking with Interest
Acct. N
Pnvate Wealth Premium TM
Elite Business Accounts
g
Checkino Acct. N
O
Elite Checking with Interest
Acct. N
APY
A
lite
'
PY
Acme
01 E
Acct.
O
Elite Money Market Deposit
APY
APY
O
Certificate of Deposit
Di Certificate of Deposit
Acct. 11
Acct. N
APY
APY
Term
Term
O
DB AG NY Preferred
Certificate of Deposit
O DB AG NY Preferred
Certificate of Deposit
Acct. N
Acct.
APY
APY
Term
Term
Promo term
(OBTCA deposit account required.
along with a DB AG Preferred Terms
and Conditions,
Private Wealth PromiumnA
Internet Banking Services
El/ DB Private Wealth Online Plus
iZr Link to Existing Online Relationship
ja$09 -2 S 1 -)
(User Co. ID Number)
Client Relationship
O Individual Account
O Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
Oi
ln Trust For/Payable on
Death/As Trustee tor
Trust
O Estate
Promo term
(001.CA deposit account required.
along with a DB AG Preferred terms
and Conclitions1
O
Cash Master Sweep Account
Checking Acct.
Private Wealth Premium T"
Banking Services
O Consumer Debit Card N
O
Joint Applicant Debit Card N
O
Business Debit Card N
d Dolly Chakba k Style N i
(yfr.
el
VIG
O
Name Only
g , Name and Address
O
Duplicate Statement
Addr
City
State
Zip Code
O
Mailing address (if different)
Name
Addr
City
State
Zip Code
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
O
Custody under NY UTNAA
El Foundation
O Non-Profit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
K Corporation
j Limited Liability Company
O Partnership
O Limited Liability Partnership
13 AWM43101
NAOSOD00015602-000104511
0)3159 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001350
EFTA_00014824
EFTA00165608
Name of Account %it
—4Ftety t
-rru5r
Atro
evzz_ov
Joint Applicant
ou t Title and Jprint Appication I ormation
east
r Business
(last name, first name, middle
Social Security Number or Taxpayer ID Number
/in
- Social Seourny Number or Taxpayer ID Number
Address
5- 7C- -(44s-ors.
- 29-tice-
Address
JsP
e
City, State anti Zip code
ty_NotaPfilleable
HWISLEISIO
Business Telephone Number
Business Telephone Number
City, State and Zip Coda
Home Telephone Number
Date of Birth
Date of Birth
Mimeo! Employer
Name of Employer
Address
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 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, 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 obligations to aid in the fight against money laundering
and terrorist financing; these rules call for an active involvement of both asset management firms 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 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 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 (DBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting thorn CarCks acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verification of your
verbal, facsimile or email instructions by call back In case of doubt. DBTCA may in its solo discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation tb execute your
Verbal Instructions to transfer funds or securities to any acCoungsl without written instructions bearing your origioal
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 shell become the properly of eaeh owner as joint tenants, and DBTCA may release the entire
account to any owner during the lifetime of all owners. DMA may honor checks, orders or withdrawal requests I rom
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit lunds 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 survivorls) after the death of any owner(s) end may treet the
account as the sole property 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 ndt 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.
2
13-AwmO101
013959.031413
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001351
EFTA_000 14825
EFTA00165609
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 wit be required to enter into a
separate Internet Banking Services Agreement with DBTCA before you can access the Intranet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of OBTCA's Privacy Notice included in the Application Package.
Non-US Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is yout 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 accounts)
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 arise 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), senlor(s).
benelioaryfies). partneas), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for himined
them in connection with your business relationship with DBTCA.
Please complete and attach separate W-8 or Wi9 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
You understand that this application is subject to acceptance by MCA
&L-fauJ/C
Acco
HoldersSignature
joint Account Holder's Signature
Date
9 /0>
8 b0/3
Date
Cbr -
7114 iiroa
leby
tr
. g.,;;;,
‘.
da,
FNanN illgetPtyhrettraW4Pn
i.itireatylacr
4,Tr?: trICZEP
tx3ISTAT, -2c
ZS
4 . /X
.
kra•
• •p*:•infrigetilec„to•ictet'clicr,•- t••
isire
• ...W.VAW
e4
4i1SCP."4.
VattlitT:4trivraavo-2.
i ifi./*
5
tat,.
46
.
.1ifT‘fW
13:raft
raalv.at).,is-act ,
.)
..-At.z.f.xxtentifsweerriceia'atleoliiir...N.tintSaL33'tftUrVaLttettgcT3IrLx,*
CASVP-1-n"
FANIFisn"Wtcrknat•ASPriiPIPWHalti
*LAPiZr3Tird3Wg4CII7;lant
r
• • • •4: •
•
.-ravrn.,
...1.4x4.a.;
•
• •
‘Trtfr 4iS
i SYMfirt
'
PlAcC
.t.
I '
(r:
tr:4:7Ct.
4:141.
ettW4m:
4it "
C s ;ra t
A.
w4 Itb-84,Tal
#
wu
.
e
Vz- M 9SAVVINt
4.72WeigtiaSWAretral
.firok,Ar
ain
ils—"C‘Ir37;•b
1 1)
V.SI.
"tk-
3:0c'VWS.r
sq l e
-••sh (5' •
eer"*,..
• PilDACW1.-
•
'<ref
E rn
Nitigtaitilialtalta
tiatS
3
my,*
1111:112MSIM
013459 onto 3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001352
EFTA_000 14826
EFTA00165610