Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset
•
& Wealth Management
DBTCA Deposit Account Opening Application
Pnvate Wealth Premiumn"
Elite Personal Accounts
O
Checking Acct.
O
Elite Checking with Interest
Acct
APY
CI Elite Money Market Deposit
Acct. I
APY
O
Certificate of Deposit
Acct. N
APY
Term
O
DB AG NY Profaned
Certificate of Deposit
Acct.
APY
Term
Promo term
(0BTCA deposit account required.
along with a D8 AG Preferred Terms
and Conditions)
Private Wealth Premium"'
Internet Banking Services
K 08 Private Wealth Online Plus
12( Link to Existing Online Relationship
I 030 i'l5 1)
(User/Co. ID Number)
Client Relationship
K Individual Account
0 Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
O Trust
0
Estate
Private Wealth Premium ' m
Eli3p-Business Accounts
S
Checking Acct.
0
Elite Checking with Interest
Acct. N
E
PY
lite Mone Market De
sit
Acct. N
APY
O Certificate of Deposit
Acct. N
APY
Term
DB AG NY Preferred
Certificate of Deposit
Acct. 4
APY
Term
Promo term
(OBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
O
Cash Master Swoop Account
Checking Acct. N
Private Wealth Premiumik.
Banking Services
O
Consumer Debit Card
O
Joint Applicant Debit Card N
O
Business Debit Card
04el
CheFIstiosik Style N
u
67//e fr
4 roelfeehbge
In Name Only
5/
Name and Address
O
Duplicate Statement
Addr
City
State
Zip Code_
O Mailing address (if different)
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
O
Custody under NY UTMA
0
Foundation
O
Non-Profit Organization
O
Attorney Trust Escrow
O
landlord Master Escrow
Name
Addr
City
State
Zip Code
CI Corporation
O Limited Liability Company
O Partnership
CI Limited Liability Partnership
13-AWM-0101
NAOS0000015602-000104611
013959 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SONY-0001356
EFTA_00014830
EFTA00165614
Account Title and Joint Application Information
H g 8 k
AS-52SeLet.‘ki Pt<
•
Name of Account Title
/
Joint Applicant
(last nor
•
'
' ' "
r Business
Social Sewn
er or axpayer
Number
(last name, first name, middle initial)
Social Security Number or Taxpayer ID Number
Address
Si(
& It/ ow APO)
• the
._
,-02
"'" V
'= Rd
Address
_E O
icit t:LC__Notanalltable
City Suite
Zip Code
City, State and Zip Code
Ho
Business Telephone Number
Business Telephone Number
Dale 7f)T Birth
Date of Birth
Name of 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
intormation that will allow us to identity 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 verily these changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from lime 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 or persons purported to be you is your own. Absent the grass negligence or willful
misconduct of Deuscho Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that OBTCA 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 sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring:any liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer tunes or securities to any account'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 of 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 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. OBTCA
may honor checks, orders or withdrawal requests from the survivor's) attar the death of any owner's) and may treat the
account as the sole properly of the survivor(s) after the death of any owner(s). Unless DBTCA receives written notice
signed by any owner oot to pay or deliver any joint deposit or addition er accrual, OBTCA shall not be liable to any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the recaiot of the notice referred to
in the previous sentence, 'MICA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
13-AWM-0)01
013959.032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001357
EFTA_00014831
EFTA00165615
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 ewer into a
separate Internet flanking 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 DBTCA'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(s)
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), settler(s).
beneficiary(ies), pertner(s), etc. to enable him/hed them to fulfill any respective tax obligations that may arise for hirralter/
them in connection with your business relationship with DBTCA.
Please complete and attach separate W-8 or W-9 documeotation 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 Uncle
and that t
application is subject to acceptance by DBTCA.
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13-AWPA-0101
013959 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SONY-0001358
EFTA_000 14832
EFTA00165616