EFTA00165719.pdf

• Deutsche Asset • & Wealth Management i\14 vSrvatcci DBTCA Deposit Account Opening Application Private Wealth Premium!'" Private Wealth PremiumDI Private Wealth Premium Elite Personal Accounts Eli e Business Accounts Banking Services O Checking Acct. N d O Consumer Debit Card # O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card N Acct. I Acct. N APY APY El Business Debit Card N Elite Money Market Deposit MAcct. ite Mo Market De sit 1 O Acct. it Oet a Chpckbook Style I / APY APY /Do' en/Ckia Celfitt n't 0L O Certificate of Deposit O Certificate of Deposit GI Name Only Acct. N Acct. N a Name and Address APY APY Term Term O Duplicate Statement Addr O DB AG NY Preferred ID DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. I Acct. X State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Add( (DBTCA deposit account required, (DBTCA deposit account required. along with a DB AG Prefab" Terms along with a DB AG Preferred Terms City and Conditional and Conditions) State Zip Code Private Wealth Premium"" O Cash Master Sweep Account Internet Banking Services Checking Acct. N 13.- DB Private Wealth Online Plus Elite Money Market Deposit Gt. Link to Existing Online Relationship Acct. N loio S"v APY Target Amount (User/Co. ID Number) Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA O Corporation O Joint Tenants with Right O Foundation O Limited Liability Company of Survivorship O Joint Tenants in Common O Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for I O Trust O Landlord Master Escrow O Estate t3.AWI.4.0101 NAOSODD0015602-000104611 013959 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001461 EFTA_000 14935 EFTA00165719  Account Tile andlk Joint Inforipetion itrz gya 9T /_t Name of Title Joint Apphcam (last no r Business nest name, first name, middle innate Sociarcung eber or Taxpayer II/Numbs:a Social Sammy Number or Taxpayer ID Number ( fr iirsOCA S, ic Address " 1 u ic / 1' " Address iv to y Coy, Dv EPS—NoteonlIcable and'Zip Code Coy. State and Zip Code Home 1ete hone Number Home Telephone Number Business Telephone Number Dale or Birth Date of Binh Name of Employer Name of Employer Address Address Not applicable • City. State and Zip Code eirTirine and Zip Code 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 Met 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). 3rd EU 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 calf 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 arid 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. Telephone, Facsimile or Email Instructions By signing below, you agree that from time to time you may give instructions by telephone. facsimile or email regarding the above captioned accounts) (defined herein as "Verbal InStruCtiOnS"). It is understood that the risk of Verbal Instructions bairn given by parson or persons purported td be you is your own. Absent the gross oegligence or willful misconduct of Deusche Bank Trust Company Americas (O8TCA). you agree to indemnity and hold harmless DBTCA for any claims, losses. expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and unauthorizeo Verbal lnstructinns. You understand that MICA may. but shall not be required to. seek verification of your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to execute yOur Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to execute your Verbal Instryctions to transfer funds or securities to any aocoum(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime pf all owners. DBTCA may honor checks, orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds held in the joint account to satisfy a judgment entered against, or other valid debt incurred by. any owner of the account. DBTCA may honor chocks, orders or withdrawal requests from the survivors) after the death of any owner(s) and may treat the account as the sole property of the sun/mods) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner not to pay or deliver any joint deposit or addition or accrual, D8TCA shall not be liable to any owner for continuing to honor checks. orders or withdrawal requests from any owner. Atter the receipt of the notice referred to in the previous sentence. DBTCA may require the written authorizations"! any or all joint owners for any further payments or deliveries. 2 13.AyM.0tOt 013959.032513 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001462 EFTA_000 14936 EFTA00165720  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions ol the Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts. Internet Banking Service you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement nub DBTCA before you can access the Internet Stroking 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 Individuals: Confirmation of Tax and Compliance Responsibilities. You confirm Mat it is your responcibifiry to fulfill any tax obligations and any other regulatory reporting dblies applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountls) 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 airy other regulatory reporting deities applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounrys) 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). beneficiaryties), pannerys), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for hirritherf 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 lor Deposit Accounts are subject to change. Acceptance You understand that this application is su 'eel to acceptance by DBTCA, 9 /1 /3 Account Holder's Signature Date Joint Account Holders Signature Date t .SC:.:5 r r:IP ' ar *1 r,iftftittaLdtr...Wir;r tat4rgirtTi.W 4 t. ...w.2.", • .... .... f`. ".. At i044e74er. Waal :.. ...,. .;.O as...s....s.d&S a. S ihPrp7-.x. P10,,Wirk34"SinPV.4‘94P.2iMig? blithtyz Met" L:4.,. 14... (...!... t. V.. • f.'s**. n. .frej 'CI I-Pr7:1ra . .7.,ArgtV. X .V.?"7tiWtraektt-CMVS;AX(SW ; . r .. • t: "ctreittals, r . "'"PraW;- . .1. Valiii... 1 .... kr,e). 7.5,..r...T7Z. ' i, Law : 4St. ' • AS * ii ' • L CSOPt . 0 dt' k. otikuts ., - W igV./M73e.',.ila,.'' "tecclial 1,18910.rr rfigetIg y .. - .. '1 ,,,:Q S. . , . .A. , 4....-.Y."-Pr^frS",r; liSrittrairtin.:Sra C3 -M i-i.,;. ../4,0-, • ("A ' ... . . 0 .t 2- * I .nr05...‘". s '.. b.,. ta 4. • ,wats",.... taYIEUPTCA. • • tr Sr. H 1 lir 7P4k r.,..cimfet,:rte4 • gki..Wits-. 4,-4 4‘31 ts, ...... .• ie •-.Z4s, )14431*. Atar.voste r. ;, re - +44.•.4 far' , • tgpv sc,0:-L. i il ililgiflp.; :0' 4 .4 OPir : g I • • •. :. ir,•-a• ^nliglt ;Val WIr447t *Thw Aar ws.e.1/4 13.AV/M-0101 013959.032613 ----- CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001463 EFTA_00014937 EFTA00165721