Text extracted via OCR from the original document. May contain errors from the scanning process.
Qeutsche Asset
& Wealth Management
--re- cit.
7,
DBTCA Deposit Account Opening Application
Private Wealth PromiumtM
Elite Personal Accounts
O Checking Acct. N
O
Elite Checking with Interest
Acct. N
APY
O
Elite Money Market Deposit
Acct. N
APY
O
Certificate of Deposit
Acct. N
APY
Term
O
DB AG NY Preferred
Certificate of Deposit
Acct. 49
APY
Term
Promo term
(DBTCA deposit account required,
along Wile a DB AG Preferred Terms
and Conditions)
Private Wealth PremiumTP4
Internet Banking Services
O
DES Private Wealth Online Plus
04:ink to Existing Online Relationship
10.30,
St
)
(User/Co. 0 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
Private Wealth Premium TM
Eli Business Accounts
Checking Acct. N
O Elite Checking with Interest
Acct. N
Elite Money Market Deposit
Acct. N
APY
K Certificate of Deposit
Acct. N
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct. tt
APY
Term
Promo term
(0BTCA deposit account required,
along with a DE) AG Preferred Terms
and Conditions)
O
Cash Master Sweep Account
Checking Acct. N
Private Wealth PremiumTPA
Banking Services
O
Consumer Debit Card N
O
Joint Applicant Debit Card N
O
Business Debit Card tt
fl
e-Icali4e Checkbook Spile
6 tmacfreix, Coy-164i,
O Name Only p cri
•3- 3?0-rn(
(Name and Address Tr\ Qt rGait
Co cce. C tetx,
O
Duplicate Statement
PARCH ME:. r
Addr
City
State
Zip Code
D 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 UTMA
O
Foundation
O Non-Profit Organization
O
Attorney Trust Escrow
O Landlord Master Escrow
O
Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
13-AWM0t0i
NAOSOD00015602-000104511
013959032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001445
EFTA_00014919
EFTA00165703
Accou
se Joint Application Information
Name of ccount
"4—
(ast na
I r
r
Soria i Security Num er or Taxpayer ID Number
COS° Leo mok Owot
k3,3
Address
t) 5 vi
JT
TA-enC
_Natant icabte
Cary, State and Zi
Tale hone
bet
Nome
Joint Applicant
Oast name, first name, middle initial)
Social Security Number or Taxpayer ID Number
Address
City, State and Zip Code
Nome Telephone Number
Business Telephone Number
Bushes: Telephone-Number
st
d a
pf Birth
Name of Employer
Date oa-rth
Name of Empioyer
Address
Address
Not applicable
City. State and Zip Code
City. State and Zip Eod•
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 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, sowce of funds and, it 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 (087CA). you agree to indemnity and hold harmless OBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You unoorstand that OBTCA may, but shall not be requited to. seek verification of your
verbal, facsimile or email insunctions by call back. In case of douht. DBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. OBTCA is under no obligation to execute your
Verbal Instructions to transfer funds 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 IINtime of all owners. DBTCA may honor checks, orders or withdrawal requests from
any owner during the lifetime of ail 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. DBTCA
may honor chocks, 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 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
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 requite the written authorization of any or all joint owners for any further payments
or deliveries.
2
13-AWhi-thei
013959.037613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001446
EFTA_000 14920
EFTA00165704
`Da
'-
fie
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 Setvices Agreement with DBTCA before you can access the Internet 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 your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable
to you in any relevant jurisdictions that may arise in C0nneCti0n with assets, income or transactions in your account(s)
and you; 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 accounts) 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), settlor(s).
beneficiary(ies), panner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for hinVhed
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 warrept that all of the information provioed by you on this Application is accurate.
The Terms and Conditions for Deposit Acc
are subject to change.
Accepts c
You u erstand that this
A corn Boider's Signature
Joint Account Holder's Signature
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013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001447
EFTA_000 14921
EFTA00165705
IN WITNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERS'
(FOR ALL OTHER USERS)
Account Name
Marne/Elle
Signature
Date
WM134667
23
010198430613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001448
EFTA_000 14922
EFTA00165706