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efta-efta01409081DOJ Data Set 10CorrespondenceEFTA Document EFTA01409081
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01409081
EFTA01409082
EFTA01409083
EFTA01409084
Deutsche Bank
Wealth Management
Business Deposit Account Opening Application
The .20.17_Caterpillar_Trus.t.
,0_1/0.3/2017_
Account Tide
Date of Incorporation
The 2017. Caterpillar Trust
Taxpayer 10 Number (TIN)
Entity/Company Name
St Thomas
00802, _
.6.100.Red.Hook_OuaiteiLB3^
Mailing Address
City
State
Zip
Business Telephone Number
Business Fax Number
Other Number
Legal Address (if different from mailing address)
City
State
Zip
Client Relationship
K Corporation
l' Foundation
C Limited Liability Company (LLC)
K Partnership
K Limited Liability Partnership (LLP)
K Attorney Escrow Account
K Landlord Master Escrow
Trust
Non-Profit Organization
' Estates
Private Wealth Premium`"
DBTCA Accounts
Deutsche Bank AG NY Branch Accounts
S"; Checking Account
G Checking with Interest
Ti Money Market Deposit
K DBTCA Certificate of Deposit
K Deutsche Bank AG NY Preferred Banking Account
K Deutsche Bank AG NY Preferred Certificate of Deposit
APY
Term
EFTA01409085
Promo term
(DBTCA deposit account required, along with a DB AG Preferred Terms
and Conditions)
APY
Term
K Cash Master Sweep Account
Target Amount
Trigger Amount
Banking Services
C i Deluxe Checkbook
K Debit Cards—Business Debit Card
K Name Only U Name and Address
Duplicate Statement
Style
Code
Color
Name
Internet Banking Services
Address
K DB Private Wealth Online Plus
K Link to existing online relationship:
City
State
Zip Code
WM16724 5 015624.092017
Page i of 3
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 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).
Information Sharing
You authorize Deutsche Bank to share information about you and your Account
as set forth in our Privacy Policy, including
any disclosures that (1) Deutsche Bank believes are required by applicable
law and regulations that apply to Deutsche Bank
or others, including disclosure of information about you and your Account to
any government agency or self-regulatory
body on request, (2) is necessary or appropriate in connection with Deutsche
Bank's provision of services under this
Agreement, or (3) is requested by a financial institution, financial
intermediary, or other third party in order to assist such
person with compliance with law applicable to such person in connection with
services provided to you or on your behalf.
EFTA01409086
3rd EL) 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, source of funds and, if 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 verify these changes.
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 DBTCA's Privacy Notice included
in the Application Package.
Non-U.S. 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),
paitner(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
EFTA01409087
WM167245 015624.092017
Page 2 of 3
Acceptance
You understand that this application is subject to acceptance by DBTCA.
Authorized Signer
Authorized Signer
Si
P<int Name
&-
Print Name
Date
Date
For Bank Use Only
Reviewed by:
Signature
Name
Title
Date
Accepted by DBTCA:
Signature
Name
Title
Date
Account numbers:
DDA
NOW
MMDA
CD/DBAG
WM167245 015624.092017
W-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Form
(Rev. December 2014)
Department of the Treasury
Internal Revenue Service
1 Name (as shown on your income tax return). Name is required on this line;
do not leave this line blank.
The 2017 Caterpillar Trust
2 Business name/disregarded entity name, if different from above
CM
<u
0)
Q.
3 Check appropriate box for federal tax classification; check only one of
the following seven boxes;
I I Individual/sole proprietor or [Zl C Corporation C] S Corporation Q
EFTA01409088
Partnership
single-member LLC
[ I Limited liability company. Enter the tax classification (C=C
corporation, S=S corporation, P=partnership)
Note. For a single-member LLC that is disregarded, do not check LLC: check
the appropriate box in the line above for
the tax classification of the single-member owner.
[ I Other (see instructions) .
4 Exemptions (codes apply only to
certain entities, not individuals; see
instructions on page 3);
Exempt payee code (if any)
Exemption from FATCA reporting
code (if any)
(Applies la accounts malnlelne^ oulstee the U.S.)
f/1 Trust/estate
1.1
o E
.si
a
5 Address (number, street, and apt. or suite no.)
6100 Red Hook Quarter B3,
Requester's name and address (optional)
0
V)
6 City, state, and ZIP code
CD
CO
St Thomas 0 ,08002
7 List account number(s) here (optional)
Parti
Taxpayer Identification Number (TIN)
Enter your TIN in the appropriate box. The TIN provided must match the name
given on line 1 to avoid
backup withholding. For individuals, this is generally your social security
number (SSN). However, for a
resident alien, sole proprietor, or disregarded entity, see the Part 1
instructions on page 3. For other
entities, it is your employer identification number (EIN). If you do not
have a number, see How to get a
TIN on page 3.
Social security number
III::ll
or
EFTA01409089
Employer Identification number
Note. If the account is in more than one name, see the instructions for line
1 and the chart on page 4 for
guidelines on whose number to enter.
Part II
Certification
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification
number (or 1 am waiting for a number to be issued to me); and
2. I am not subject to backup withholding because: (a) I am exempt from
backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that 1 am subject to backup withholding as a result of a
failure to report all interest or dividends, or (c) the IRS has notified me
that I am
no longer subject to backup withholding: and
3. I am a U.S. citizen or other U.S. person (defined below); and
4. The FATCA code(s) entered on this form (if any) indicating that I am
exempt from FATCA reporting is correct.
Certification instructions. You must oross out item 2 above if you have been
notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax
return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation
of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required
to sign the certification, but you must provide your correct TIN. See the
instructions on page 3
Sign
Here
Signature of
U.S. person ^
g)
Date *-
General Instructions
• Form 1098 (home mortgage interest), 1098-E (student loan interest), 1098-T
(tuition)
• Form 1099-C (canceled debt)
• Form 1099-A (acquisition or abandonment of secured property)
Use Form W-9 only if you are a U.S. person (including a resident alien), to
provide your correct TIN.
If you do not return Form W-9 to the requester with a TIN, you might be
subject
to backup withholding. See What is backup withholding? on page 2.
By signing the filled-out form, you:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number
to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt payee. If
applicable, you are also certifying that as a U.S. person, your allocable
EFTA01409090
share of
any partnership income from a U.S. trade or business is not subject to the
withholding tax on foreign partners' share of effectively connected income,
and
4. Certify that FATCA code(s) entered on this form (if any) indicating that
you are
exempt from the FATCA reporting, is correct. See What is FATCA reporting? on
page 2 for further information.
Section references are to the Internal Revenue Code unless otherwise noted.
Future developments. Information about developments affecting Form W-9 (such
as legislation enacted after we release it) is at www.irs.gov/fw9.
Purpose of Form
An individual or entity (Form W-9 requester) who is required to file an
information
return with the IRS must obtain your correct taxpayer identification number
(TIN)
which may be your social security number (SSN), individual taxpayer
identification
number (ITIN), adoption taxpayer identification number (ATIN), or employer
identification number (EIN), to report on an information return the amount
paid to
you, or other amount reportable on an information return. Examples of
information
returns include, but are not limited to, the following;
• Form 1099-INT (interest earned or paid)
• Form 1099-DIV (dividends, including those from stocks or mutual funds)
• Form 1099-MISC (various types of income, prizes, awards, or gross proceeds)
• Form 1099-B (stock or mutual fund sales and certain other transactions by
brokers)
• Form 1099-S (proceeds from real estate transactions)
• Form 1099-K (merchant card and third party network transactions)
Form W"9 (Rev. 12-2014)
Cat. No. 10231X
Deutsche Bank
Wealth Management
Signature Card
Deutsche Bank Trust Company Americas
The 2017 Caterpillar Trust
Account Holder Title
Q Individual
Account Number
Q Limited Liability
Corporation
iZj Other;
K ITF/POD/ATF* IJ Corporate
Number of Signatures
Required: .7
K Joint, with Rights K Joint, Tenants K Partnership
of Survivorship
in Common
EFTA01409091
Daphne Wallace
Print Name
Print Name
Signature
Signature
Print Name
Signature
Signature
Print Name
Date
Approved
Power of Attorney
Specimen Signature
* For ITF/POD/ATF See Supplemental Terms and Conditions
Date of Power of Attorney
WM178934 006678.062817
EFTA01409092
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