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•
Deutsche Asset
• & Wealth Management
i\14
vSrvatcci
DBTCA Deposit Account Opening Application
Private Wealth Premium!'"
Elite Personal Accounts
O
Checking Acct. N
O
Elite Checking with Interest
Acct. I
APY
O
Elite Money Market Deposit
Acct. it
APY
O
Certificate of Deposit
Acct. N
APY
Term
O
DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(DBTCA deposit account required,
along with a DB AG Prefab" Terms
and Conditional
Private Wealth Premium""
Internet Banking Services
13.- DB Private Wealth Online Plus
Gt. Link to Existing Online Relationship
loio S"v
(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
Private Wealth PremiumDI
d
e
Eli
Business Accounts
O
Elite Checking with Interest
Acct. N
APY
M
ite Mo
Market De sit
Acct.
APY
O Certificate of Deposit
Acct. N
APY
Term
ID DB AG NY Preferred
Certificate of Deposit
Acct. X
APY
Term
Promo term
(DBTCA deposit account required.
along with a DB AG Preferred Terms
and Conditions)
O
Cash Master Sweep Account
Checking Acct. N
Private Wealth Premium
Banking Services
O Consumer Debit Card #
O
Joint Applicant Debit Card N
El Business Debit Card N
1 Oet a Chpc kbook Style I
/
/Do' en/Ckia Celfitt n't 0L
GI Name Only
a Name and Address
O Duplicate Statement
Addr
City
State
Zip Code
O
Mailing address (if different)
Name
Add(
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
I
t3.AWI.4.0101
NAOSODD0015602-000104611
013959 032613
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001461
EFTA_000 14935
EFTA00165719
Account Tile and Joi
lk nt
Inforipetion
Name of
itrz
gya
9T
Title
/_t
Joint Apphcam
(last no
r Business
nest name, first name, middle innate
Sociarcung eber or Taxpayer II/Numbs:a
(
fr iirsOCA
S,
Social Sammy Number or Taxpayer ID Number
Address "
1 uic
/ 1'
"
Address
ic
to
y Dv EPS—NoteonlIcable
Coy,
iv y
and' Zip Code
Coy. State and Zip Code
Home 1 ete hone Number
Home Telephone Number
Business Telephone Number
Dale or Birth
Date of Binh
Name of Employer
Name of Employer
Address
Address
Not applicable
• City. State and Zip Code
eirTirine 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 Met 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 calf 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 arid 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 accounts) (defined herein as "Verbal InStruCtiOnS"). It is understood that the risk of Verbal
Instructions bairn given by parson or persons purported td be you is your own. Absent the gross oegligence or willful
misconduct of Deusche Bank Trust Company Americas (O8TCA). you agree to indemnity and hold harmless DBTCA for
any claims, losses. expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and
unauthorizeo Verbal lnstructinns. You understand that MICA 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 Instryctions to transfer funds or securities to any aocoum(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 pf 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. DBTCA
may honor chocks, orders or withdrawal requests from the survivors) after the death of any owner(s) and may treat the
account as the sole property of the sun/mods) 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, D8TCA shall not be liable to any owner
for continuing to honor checks. orders or withdrawal requests from any owner. Atter the receipt of the notice referred to
in the previous sentence. DBTCA may require the written authorizations"! any or all joint owners for any further payments
or deliveries.
2
13.AyM.0tOt
013959.032513
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001462
EFTA_000 14936
EFTA00165720
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions ol the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
you have selected to receive Internet Banking Services, you understand that you will be required to enter into a
separate Internet Banking Services Agreement nub DBTCA before you can access the Internet Stroking 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 Mat it is your responcibifiry to fulfill any tax obligations and any other regulatory reporting dblies applicable
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountls)
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 airy other regulatory reporting deities applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounrys) 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).
beneficiaryties), pannerys), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for hirritherf
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 lor Deposit Accounts are subject to change.
Acceptance
You understand that this application is su 'eel to acceptance by DBTCA,
Account Holder's Signature
Joint Account Holders Signature
9 /1
/3
Date
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013959.032613
I
-----
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001463
EFTA_000 14937
EFTA00165721