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 Premium"(
Elite Personal Accounts
O Checking Acct. 0
O Elite Checking with Interest
Acct. 0
APY
O
Elite Money Market Deposit
Acct. 0
APY
O
Certificate of Deposit
Actt. X
APY
Term
O OB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
(DBTCA deposit account required,
along wens DB AG Pretend Terms
and Conditions)
Private Wealth Premium""
O
Internet Banking Services
O 96 Private Wealth Online PluS
er Link to Existing Online Relationship
Private Wealth Premium"'
Eli
Business Accounts
D Elite Checking with Interest
ct.
PY
Elite Mone Market De
sit
Acct. If
APY
O Certificate of Deposit
Acct. 0
APY
Term
to 31) is-0
(User/Co. ID Number)
Client Relationship
O Individual Account
O Joint Tenants with Right
of Survivorship
O
Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
O Trust
O Estate
DB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
(DBTCA deposit account required.
along with a DB AG Pieterred Terms
and Conditions)
Cash Master Sweep Account
Checking Acct. N
Elite Money Markel Deposit
Acct. N
Private Wealth Piemiurr.'"
Banking Services
O
Consumer Debit Caul a
O
Joint Applicant Deb : Card s
O
Business Debit Card
Deluxe Clyrckpook i;tyle I ,
twrik LSO RP
O Name Only
Dr/ Name and Add:: as
O
Duplicate Statement
Addr
City
State
Zip C:de
O
Mauling address (if dillwent)
Name
Addr
City
State
Zip C' :le
APY
Target Amount
Trigger Amount
O
Custody under NY UTMA
D Foundation
O
Non-Profit Organization
D Attorney Trust Escrow
O Landlord Master Escrow
O Corporation
O Limited Liability Comp .iy
O Partnership
O Limited Liability PartniXi:hip
NAOS000001S602-00 N 04411
013 19.037(13
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001365
EFTA_000 14839
EFTA00165623
Account Title and Joint Application Information
Name of Account Title
Bast nor
r Business
Social Sep
Nunlber or Taxpayer ID fiumber rifr
6lex, gep
Addres?
5717ACti iiS
Oo
, USW
_NOtelNallcabhe
City, State and tie Code
Joint Applicant
(lest name. first name, middle initial)
Social Security Number or Taxpayer ID Number
Address
Home Tele • hone Number
• me Telephone Number
attain
Business Telephone Number
Date of Binh
Nre-OrEir"ih—
Name of Vivien/
Name of Employer
Address
Not applicable
City, State and Zip Code
Notice of Customer Identification Policy
Address
coy. State and 20 Code
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, int iatment or
other business relationship with a financial institution. This means that we will ask for your name, address, and >that
information that will allow us to identify you. We may also ask 10 see identifying documents such as a cartifice:1, 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 It undering
and Terrorist financing: these rules call for an active involvement of both asset management firms and they clie • is. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their Mt .•
addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owners et :ontrol
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money b ordering
requirements require that should any of the above personal or institutional information change, our clients wou el be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these et ranges,
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(%) ((termed herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person or persons purported fo be you is your own. Absent the gross negligence or n•iftful
misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmless DB •CA 10,
any claims, losses, expenses, costs or attorneys fees resulting from DBTCA's acting upon such misunderstood ind
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verificatiNi of your
verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion refuse toemcuto
your Verbal Ihstructions or any part thereof, without incurring any liability. OBTCA is under no obligation to exec .rte your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your ore nal
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 properly of each owner as joint tenants, and OBTCA may release the i etre
account to any owner during the lifetime pf all owners. DBTCA irmy honor checks. orders or withdrawal request: from
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds •mld in
the joint account to satisty a judgment entered against, or other valid debt incurred by, any owner of the account. DBTCA
may honor onecks, orders or withdrawal requests from the survivdr(s) after the death of any owners) and may teat the
account as the sole property of the survivors) after the death of any owner(s). Unless DBTCA receives written no ce
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to an. ownor
for continuing to honor checks, orders or withdrawal requests from any owner. Atter the receipt of the notice rah red to
in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further p.iyments
or deliveries.
2
134.MA-0101
3.0326;3
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001366
EFTA_00014840
EFTA00165624
Joint Account
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditioi 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 i ito a
separate Internet Banking Services Agreement with DBTCA before you Cao access the Internet Banking Sen
Acknowledgement of Receipt of Privacy Notice
By signing beldw, you acknowledge receipt of DB7CA'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 lex 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 a :countls)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that it a 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 ace' .W(5) and
your business relationship with DBTCA Furthermore. you confirm that the necessary information (to the best A your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settlo
beneficiaryfiesi. partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise 'whine/had
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 thi
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cr.r.nge 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 Conchtion
t— Th Deposit Accounts are
to change.
Acceptan
You u erstand that ibis apps,
is subject to accep
e by OBTCA.
orders Signature
9
Date
/03
Date
er
"
vMid
$‘
kji.—
^ V'
?
i`6
,c.:CY
Wir
iWtI 7Orarl"
2.
%.7” -
- kn. 4'S ,
Atj:S(taircti
r
VPPrWATIXISAPjaCAP5Vithe
'SW
iMaptha
nar''4
1:
gy
'ie.:CAT, a
Ynlegra,
X
Y"fcre
"ri-ed"1-2
nor
t"-ifil
le
4.4-
barrterat,rgi,
P:r -.8174,:sircNic‘r
t*- 1-
, .,,,3443 ti en E.!'
irtaaiaii,a4MOH aggigia
011C-41091/6 4,11kingiir" "
akS1-„x 4i60404kze
[time, .41/4a-oiviazaw 'or,
:1417; tiaigiar
t pate
fp
0/14,
ill.M.ge "icr;i4glaiith
Nt:4:
csIrre Z6
fria. rjr1
•
orcia.th
13. itNM•0101
01
;$1 (02t13
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001367
EFTA_00014841
EFTA00165625