EFTA Document EFTA01392798

Joint • um Holders Signature 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 tn receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement with 08TCA before you can access the Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DMA'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 DB7CA. 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), settior(s), beneficiary(ies), penner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise 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 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 for Deposit Accounts are subject to change. Acceptance You and nd that t a ication is subject to acceptance by DBTCA. Wien, Date 9/V/3 Date en t.' 'ilk ox r~F !. la..to lOWOCL ne 1"'....*4C .4 26.. _,. !,9 • - — t -1`a. " c- 'eat; xy &•.-11% - .4.-n- 9' :•- •141 ;"it•:• e .. i ' • . . rtatr :14 1 I . ' Vatrrira - 1--im - : -?-% zIPZZA .2 • 4 1-14t W :a, Oaterlig•A aa-4 eni' ,NIPtkeeCkor-a;f:' le4Cceptsid by BMA; r ". 0. si e. ?as vt... "N • i k . .. • wit,:-. ..e44 idorezrew4, - ri i: tn e r.*: tasty:tact..., , v Ippyg.A. 4%., „ arlaTI:Va'a ---7 -t--" -- s4 0.. i.-psor - - iv-vv- Ps";bot - it.,. -, bete: tie -1' 4 ^ si-W 4 - i 4 - ‘ 'TV ri' 71k A: r t s, .1 4 . • ea r , . .7a.. 'a zittftiqsct,.4-„ , ‘,... ., ..c AW: ‘4 — — - ,42,,:rreit , 4 24. . l'S ,., r. , , rialta \Ai% 4Ig fig ...eavelier • - .,. n Noci Tv: 1 73 .L02..c.sa:„.. ...t ,r• LattO ".1 a INCIR.:1,,, ,• , 4.0 tic ex,. 4t- .4C9ftriLa.lam 3 13.AWM-0101 013959.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0098066 SDNY_GM_00244250 EFTA01392798