EFTA Document EFTA01392785

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 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 DBICA'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), settlor(s), beneficiary(ies), panner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/hed 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 Acco • are subject to change. Accepts ce You u erstand that this ount Holder's Signature Joint Account Hoider's Signature Date Date M eanArrintw,4.4k-sratt, . , ITE,fr arre tt F”orifir 1.*9..SYMSW..eflai ctaskiSv toggeWe le.L4t tAr.: ..-1 ir.e4 Wtal;1t4:t.. 1/4 g OA 4dik!S CA . - • 2....,: a. - - . -: ..ii-ec a '.. 9e114.f - - - Warne; jr:C.,_ ''' nflAter?„"64`WW44ipTenfir tinger, ,WMari CC agli;t1(74xXliatiNt. tint* riy“.70 ,...at rt e' vapat:so-exisivike - `..-14;*;:weirty.'•-rweintrezwaimtr . %AleV- W ait, .P..,Ti oill7S-SiSZ irii,e 0 47MILV P'TX71''i-n r l'At; •• •%, §misndel-,.-ft i et -.4, thitest% 4 . t r rorit.4 , , - ' ' an s. a tt.14 ..7. kgt . . IA. .3%.1KWC14,4:44:The a L # ea telke It. *911. frin:fcti"dn'54:4-.40,'..407.5;:rPain;:rm:/.4-floS140:Aittaiii,ftiit:aAttz;A:Ns-ti-Ac VAX -4NA lAfg... 4..trifSgMterASiWk9C,M4`.4: ntnri#'6%.Vilii.liglfailAiWiS•kan t itati-, tr "INIVOAWgreer*...St e:.•,.. P r 7 yrilei:1; c-: nris Ityr4%;1/4-4;?sizfriw.eatiYvi-kicArr iO4-.4..i. it;7rsc0 ,..-‘, mist '-ii: W .-,•c:c.,:. tit . ain n,“...-/S. r l'erW,49A- '.0.5' Accepied: ,- 4, It 4- ..., • ...„,4-iv. rNarneif,:.- re aaile,v V, ; 11401." .! (.... ', NOW'. - . •ArnIgaftateterfinititaliVk. I -rnielic leVt 74.* 46." . * "0- `541 It • .1 n • -'- wsiwn-;-4.t. .0 4C-4. • *.i.f.'. getzt*Plifi eSfAt4O54;cas ti . , iNOC, 1, • • •V - Te ...-a iffiggSa tIZ"VV. 13.AWM.0 101 oneSS.031613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0098053 SDNY_GM_00244237 EFTA01392785