EFTA01253072.pdf

• De0tsche Asset • & Wealth Management I\N StWftcr DBTCA Deposit Account Opening Application Private Wealth Premuumm Private Wealth Premium M Private Wealth Premium ^" Eli e Business Accounts Banking Services Elite Personal Accounts O Checking Acct. N d O Consumer Debit Card N O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card 0 Acct. Acct. APY APY • Business Debit Card I ❑ Ehte Money Market Deposit O/flite Mo Market De sit Acct. 8 Acct. "Tel e Chickbook . Style 8 APY APY &via /)...w fig -A €Alreicti O Certificate of Deposit O Certificate of Deposit Name Only Acct. It Met. 0 Q Name and Address APY APY Term Term ❑ Duplicate Statement Addr O DB AG NY Preferred ❑ DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. 0 Acct. State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (OBTCA deposit account required. (DIOCA deposit account required. along with a DRAG Preferred Terms along with a DB AG Preferred Terms City and Conditions' and Conditions) State Zip Code Private Wealth Premium O Cash Master Sweep Account Internet Banking Services Checking Acct. 8 g - DB Private Wealth Online Plus Elite Money Market Deposit to Existing Online Relationship Acct. 0 APY (User/co kJ Number) Target Amount Trigger Amount Client Relationship ▪ Individual Account ❑ Custody under NY UTMA ▪ Corporation EI 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 Limiled Liability Partnership Death/As Trustee for O Trust O Landlord Master Escrow O Estate 13.rumsoloi NAOSOD00015602-000104611 011959 032613 SDNY_GM_00038535 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001359 EFTA_00149144 EFTA01253072  Account Title and Joint4plication Inforrpation & ew yolk te__ Name of Aocount Tills Joint Appbcam Oast r Business (lest name, first name, middle initial) Social Social Secinay Number or Taxpayer ID Number Add dress A-7y limyZip Codezon2e_tiotactsicabs. City. tate* Guy. Stale and Zip Code Home Telephone Number siness telephone Numb/ Business Telephone Number Date of Binh Date of Birth Name of Employer Name of Employer Address Address Not applicable City. State and Zip Code City. State 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 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). 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 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 conuol 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 changers) 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 account(s) (defined herein as 'Verbal Instructions"). It is understood that the risk of Verbal Instructions beinn given by person or persons purported td be you is your own. Absent the cross oegligence or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnity and hold harmless DBTCA for any claims, losses. expenses, costs or attorneys' fees resulting from ()DMA's acting upon such misunderstood and unauthorizeo Verbal Instructinns. You understand that DBTCA 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 Instructions to transfer funds or securities to any aocourn(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 survivor(s) after the death of any owner(s) and may neat the account as the sole property of the survivor(s) 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, DBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to in th0 pfOinOuS sentence: DBTCA may require the written authorizationof any or all joint owners for any further payments or deliveries. 2 SDNY_GM_00038536 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001360 EFTA_00149145 EFTA01253073  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 II you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement 'nab DBTCA before you can access the Internet Seeking 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 that it is your responsibility to fulfill any tax obligations and any other regulatory reporting dimes 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 airy other regulatory reporting duties applicabki to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounts) and your business relationship with OBTCA. 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). beneficiarylies), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/hed 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 warmnt that all of the information provided by you on this Application is accurate. The Terms and Conditions 1w Deposit Accounts are subject to change. Acceptance You understand that this application is sic 'ea to acceptance by DBTCA. 97 03 Account Holder's Sronattne Date Joint Account Holder's Signature Date 5r2grtys.A,SZie:41,7.87,./WA FTW '.. • kei (gc sy littg,,trr2-X. Wen.IPTIPX5 Ni..4 "4" ,,,, pitiancrerv• avili75.Tkti7-. te---al.41? S: WIN eit:t l'ara it MirrWili* , iv? Lr.itio37 CV:. .74.v!i:Nt 'e rust'''s *OAS ...._sr , oitteS/44 '... ;$145 ifft . iekg/Wgi." '-ti Mce 7.• rre.A Aecept 1. . . li ;.• V :t af, Naine agr (44,4,17.0ivisrt,3,:nforts.- A,r ozels at tiOttY105f3WICATE07. .0, .-aw.4.--.: 4 vor ." AI mg ws?. Ewyci rOgittr ., at r• 1.,, --”e ?nY• ,):: ti-7 , A Le . et.,:l. .k3i...,„ ,,.. : f. ..P.,M.....5A ,.... .., . Me A ♦ err/ itt .7 ...-.4.r.:4rWAiew• 4e.: i tk./.../ a.r‘ r fl rin CV ri, ,t viinn:*".4.4e'v ' ' It.41 '1 .Slai: I .1. sit, fl2 , a ..... 31 „,... . agi t4 .: . ,. r. 3 13AW1.4-0101 013959032613 SDNY_GM_00038537 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001361 EFTA_00 I 49146 EFTA01253074