EFTA Document EFTA01372257

ATM/Debit Service You agree that the retention or use of the ATWDebil card constitutes acceptance of the terms and auxin )ns of the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service If you have selected to meerve Internet Banking Services, you understand that you will be required to en!, into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S twice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packer .1. 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 dues applicable to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in yob r accounts) 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 '.es applicable to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your r xounds) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t ost of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se' llor(s), beneficiarybeSI. penner(s), etc. to enable himtherr them to fulfill any respective tax obligations that may at :e for himrhed 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 materir 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 applicat ' su PiOlgt? .:041!Itkrii I I beti entente by DBTCA. loinnAccedm-Hordeiti Signature =cod .-aennial,hsaah. Use nlyeRevieWectby: iu 'oirti stivAnIP fr• 4 v., Q. , crigk • et :Arc rt44,11C A sIttring4t- 92PW•W:7 2: 9'n a ruler t' ' .”ictgt4 Teck tiihrrstrgre. rt., in k& ""efreittit nitavivonyyr...71„.%-rw -actte. sups 9184 /3 Dew 9/ 1 h t2 (1atit. 'silt •ei nt 13-FNM-0101 013969.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0065912 SDNY_GM_00212096 EFTA01372257