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sd-10-EFTA01392640Dept. of JusticeOther

EFTA Document EFTA01392640

ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: the Cardholder Agreement contained in the Terms end 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 irate,' separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of

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Dept. of Justice
Reference
sd-10-EFTA01392640
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ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: the Cardholder Agreement contained in the Terms end 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 irate,' separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of

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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o: the Cardholder Agreement contained in the Terms end 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 irate,' 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-US lodividuals: Confirmation of Tax and Compliance Responsibilities. You confirm that it Is your responsibility to fulfill any tax obligations and any other regulatory reporting duties at :table to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accc .nt(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 as:lc:able to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accoutlls) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the best of ,our knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s) beneficiary(ies), partner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for 'tint/hod them in connection with your business relationship with 08TCA. 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 notity us immediately of any material char.; a to the Information provided by you on this Application. You represent end warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for DepositAccounts are subject to change. Acceptance You understand- t thisopplicatian is subjeC cceptanco by DBTCA. Aacounj. Data Data /12)12013 3 1}; uy1W1r11 017:1.3.O32813 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0097900 CONFIDENTIAL SDNY_GM_00244084 EFTA01392640

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