EFTA00165725.pdf

Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth Premium Im Private Wealth Promiumim Private Weahh Piemiurr. Elite Personal Accounts Eli Business Accounts Banking Services O Checking Acct. O Consumer Debit Cant O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Deb : Card s Acct. 0 et. 4/ APY D IPY ❑ Business Debit Card O Elite Money Market Deposit Elite Money Market Deposit Acct. Si Acct. yinzel q 93 Oelluxe Clyrckpook t;tyle I, APY APY twrik freer/ 6. ...r m.flyte O Certificate of Deposit O Certificate of Deposit o Name Only Actt. X Acct. 9/Name and Addi: ss APY APY Term Term O Duplicate Statement Addr ❑ OB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. I Acct. State Zip C:de APY APY O Mailing address (if di:itore:NO Term Term Name Promo term Promo term Addr (DBTCA deposit account required, (DBTCA deposit account required. along with a DB AG Pretend Terms along with a DB AG Preferred Terms City and Conditions) and Conditions) State Zip C' Is Private Wealth Premium/1A O Cash Master Sweep Account Internet Banking Services Checking Acct. N O 96 Private Wealth Online PluS Elite Money Markel Deposit er Link to Existing Online Relationship Acct. N to 31) is -0 (User/Co. ID Number) APY Target Amount Trigger Amount Client Relationship ❑ Individual Account O Custody under NY UTMA O Corporation ❑ Joint Tenants with Right EI Foundation O Limited Liability Comp sy of Survivorship O Joint Tenants in Common O Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O United Liability Panne)::hip Death/As Trustee for O Trust O Landlord Master Escrow O Estate t3.:;.vm,Ingt NAOS0000015602-00 04611 ;9.037(13 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001467 EFTA_000 14941 EFTA00165725  Account Title and JointApplication Information tigtZ Name of Account Tate Joint Applicant Oast nameelni name. middle ? 'naafi “ or Business (last name. first name, middle - 6- Social Security homier or Taxpayer ID tiumbevif,r Social Security Number or Taxpayer ID Number 6 a> KED Addres? Address 0° %-°‘...-- 5Tincto c, U5 V/ _Notaonlicabbe City, State and Zip Code City. State and Zip Code _12.1,64___a_j30 "E Home Telephone Number ./.... Home Telephone Number 1 4/6a - 7/ le - %C. " (,42) Chil - l3Cth Business Telephone Number Business Telephone Number Date of Binh Nemec( Employer Name of Employer Address Address Not applicable City, State and Zip Code CM. State and 2c Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism and money laundering activates. Federal law requires all financial institutions to obtain, verify, and record information that identifies each person who establishes an account, in% imment or other business relationship with a financial institution. This means that we will ask for your name, address, and >that information that will allow us to identify you. We may also ask 10 see identifying documents such as a artifice: ie 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 It undering and Terrorist financing: these rules call for an active involvement of both asset management firms and they die ts. For new and existing clients we currently have a legal obligation to ask our customers questions regarding their rdi .• addresses, source of funds and, if necessary, legal representatives. authorized signatories, beneficial owners et :ontrol structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money It or dering requirements require that should any of the above personal or inslitutiOnal intOrMetiOn change, our clients wou be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these et ranges, 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(%) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being given by person or persons purported fe be you is your own. Absent the gross negligence or misconduct of Deusche Bank Trust Company Americas (OBTCA). you agree to indemnify and hold harmless DB TCA 101 any claims, losses, expenses, costs or attorneys fees resulting from DBTCA's acting upon such misunderstood ind unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. soak verificaticci of your verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sole discretion refuse to rmeuto your Verbal Instructions or any part thereof, without incurring any liability. OBTCA is under no obligation to exec .rte your Verbal Instructions to transfer funds or securities to any accountls) without written instructions bearing your ore nal signature. Joint Account Disclosure You have opened a pint account with DBTCA and acknowledge receipt of the following information: This deposl: and any additions to the account shall become the property of each owner as joint tenants, and OBTCA may release the i itire account to any owner during the lifetime pf all owners. DBTCA trey honor checks. orders or withdrawal request: from any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds •mld in the joint account to satisfy a judgment entered against, or other valid debt incurred by, any owner of the account. DBTCA may honor onecks, orders or withdrawal requests from the survivdr(s) after the death of any owners) and may tr :at the account as the sole property of the survivors) after the death of any Ownetla Unless DBTCA receives written no ee signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to an. owner for continuing to honor checks, orders or withdrawal requests from any owner. Atter the receipt of the notice iefi red to in the previous sentence, DBTCA may require the written authorization of any or all joint owners lot any further p.iyments or deliveries. 2 134.MA-0101 3.0326;3 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001468 EFTA_000 14942 EFTA00165726  ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditioi 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 i ito a separate Internet Banking Services Agreement with DBTCA before you Cao access the Internet Banking Sen Acknowledgement of Receipt of Privacy Notice By signing beldw, you acknowledge receipt of DB7CA'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 lex obligations and any other regulatory reporting duties applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your a :countls) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it a 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 ace' .W(5) and your business relationship with DBTCA Furthermore. you confirm that the necessary information (to the best A your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settlo beneficiaryfiesi. partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise ':n hinelhed 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 thi Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cr.r.nge 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 Conchtion t— Th Deposit Accounts are to change. Acceptan You u erstand that ibis apps, is subject to accep e by OBTCA. 9 Date /03 Joint Account orders Signature Date Wirw"WWITIR:AR &er " vMid er .„* .r.$‘ kji.— ^ V' ? i`6 ,c .:CY Atj:S(taircti r VPPrWATXISAPjaCAP5Vithe 'SW iMaptha nar''4 1: gy 'ie.:CAT, a Ynlegra, X Y"fcre "ri-ed"1-2 nor t"-ifil le 4.4- barrterat,rgi, P:r .- 8174,:sircNic‘r t*- 1- , .,,,3443tien E.!' irtaaiaii,a4MOH aggigia 011C-41091/6 4,11kingiir" " akS1-„x 4i60404kze Nt:4: fp .414/a-oiviazaw0/14 [time, 'or,, csIrre Z6 fria. rjr1 :1417;tiaigiar t pate • orcia.th ill.M.ge "icr;i4glaiith 13. itNM•0101 01 ;$1 (02t13 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001469 EFTA_000 14943 EFTA00165727