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Ltutsche Asset
• & Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth PremiumP4
Elite Personal Accounts
O
Checking Acct.
O
Elite Checking with Interest
Acct. N
APY
O
Elite Money Market Deposit
Acct.
APY
O
Certificate of Deposit
Acct. It
APY
Term
K
DB AG NY Preferred
Certificate of Deposit
Acct. N
APY
Term
Promo term
f0BTCA deposit account required,
along wen a DB AG Preferred Terms
and Conditions]
Private Wealth Premiums"
Internet Banking Services
~iDB Private Wealth Online Plus
Link to Existing Online Relationship
)0.3(-)
(User Col iD Number)
Client Relationship
o Individual Account
O Joint Tenants with Right
of Survivorship
El Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
O Trust
ID Estate
Private Wealth Premiumim
Elite Business Accounts
•
Checking Acct.
O
Elite Checking with Interest
Acct. N
APY
0
Elite Money Market Deposit
Acct.
APY
K Certificate of Deposit
Acct. 0
APY
Term
O
DB AG NY Preferred
Certificate of Deposit
Acct. N
APY
Term
Promo term
(DBTCA deposit account required,
along with a D8 AG Profaned Terms
and Conditions(
O
Cash Master Sweep Account
Checking Acct. N
Private Wealth Premi
Banking Services
O
Consumer Debitard
O
Joint Applicant (.obit Card a
O
Business Debit C:rd
O
Deluxe Checkbot
Style I/
O
Name Only
K
Name and A :kfress
O
Duplicate Statem .nt
Addr
City
State
Zip Code
O
Mailing address ( 1 different)
Name
Add,
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
K
Custody under NY UTMA
O
Foundation
K
Non-Protit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
City
State
Zi Code
O Corporation
O Limited Liability C::mparty
O Partnership
O Limited Liability P. irtnership
13AWM4)101
NAOSO00001S6 S0400105135
013914032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
16/490-btlig505
EFTA_000 19375
EFTA00169122
Account Trite and Joint Application Information
Butterfly Trust
Name of Account Title
last name first name, middle mitten or Business
Joint Applicant
(last name, first name, middle initial)
Social Security Number or Taxpayer ID Number
Social Security Number or Taxpayer ID Number
6100 Red Hook_guarlar 83
Address
Address
_St. Thomas
City. State and Zip Code
Ho
klaYlipisials.00802
City. State and Zip Code
•
Home Telephone Number
Business Telephone Number
Business Telephone Number
Owe of Binh
Date of Birth
Name of Employer
Name of Employer
Address
Address
Not aoplIcable
City. State and Zip Code
City. State and by Cede
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism and money laundering activities, Federal law require; all finsncial
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 cart ':cate of
formation or good standing (legal entities) or a passport or other photo identification (individuals).
3rd EU Notice
Governmental roles have also broadened the scope of the Bank's obligations to aid in the light against mo ley laundering
and terrorist financing: these rules call for an active involvement of both asset management firms and thee client). For
new and existing clients we currently have a legal obligation to ask our customers questions regarding the r identities,
addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owne -i or control
structures and to collect requisite documentation to substantiate the information. Also. enhanced anti•mor riy laundering
requirements require that should any of the above personal or institutional information change. our clients .vould be
obliged to immediately notify us of the changels) and provide us with relevant documentation to verify the.: changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to limo you may give instructions by telephone, facsimile or en I ail regarding
the above captioned account(s) (defined herein as "Verbal Instructions") It is understood that the risk of VI :bal
Instructions being given by person or persons purported to be you is your own. Absent the gross negligent n or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmlesi.DOTCA for
any claims. losses, expeosos. costs or attorneys' fees resulting from OBTCA's acting upon such misundeJS•tod arid
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verifi :atinn 01 your
verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion relus i to execute
your Verbal Insrrucdnns or any part thereof, without I xurring any liabiity. OBTCA is under ne ebegation to execute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yon • original
signature.
Joint Account Disclosure
You have opened a pint account with DBTCA and acknowledge receipt of the following information: This c 'posit and any
additions to the account shell become the prooeny 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 ref nests Imm
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit kinds held in
the joint aecount to satisfy a judgment onteied against. nr other valid debt Incurred by, any owner of the ac vunt. DBTCA
may honor checks, orders or withdrawal requests from the survivors) after the death of any owner(s) and r -ay treat the
account as the sole property of the survivorisl after the death of any owner(s). Unless DBTCA receives writs sn notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. DBTCA shaN not be liable •-ci any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:a referred to
in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any fur -ler payments
or deliveries.
2
11PWW010;
013959.032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
tiCiltS90-0)88506
EFTA_000 19376
EFTA00169123
ATM/Debit Service
You agree that the retention cc use of the ATM/Debit Card constitutes acceptance of the terms and condil ms of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
It you have selected to reserve Internet Banking Services, you understand that you will be required to soh into a
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S trvite.
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DINCA's Privacy Notice included in the Application Packajii.
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 du :es applicable
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in ym r account(s)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du 113s applicable
to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your i :count(s) and
your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t ust of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owneqs), se' SorlS),
beneficiaryties), partneqs), etc. to enable him/her/ them to fulfill any respective tax obligations that may al re for him/her/
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 tc this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any materii I 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 apoficat.
-is su
apiaries by DBTCA
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13-AWIA.0101
01393$ 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
Laa6O-M507
EFTA_000 19377
EFTA00169124
IN WfTNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this int trurnant to be
executed on the date fisted below.
[FOR BUSINESS USERS'
Butterfly Trust
Muness...etfte
Dairen Indykel Trustee
k t( 29
61•Uladi
Skti,
'Name/Dee
•
DEUTSC
•
[FOR ALL OTHER USERS)
Richard KahnfTnrstrai.
Account Name
Name/11Oe
Signature
Date
9991134667
21
010198 000613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DS 60-8000508
EFTA_000 19378
EFTA00169125