EFTA01282896.pdf

Deutsche Asset
, • . & Wealth Management
DBTCA Deposit Account Opening Application
TM
Private Wealth Premiurnw Private Wealth Premium Im Private Wealth Premium
Elite Personal Accounts Elite Business Accounts Banking Services
d
q Checking Acct. Checking Acct. I O Consumer Debit Card e
q Elite Checking with Interest D Elite Checking with Interest O Joint Applicant Debit Card I
Acct Acct. I
APY IAPY O Business Debit Card
q Elite Money Market Deposit Elite Money Market Deposit
Acct. Acct. Detwe Chgckbook Style", fa..
APY APY vote,w o.,43 6.-tAitw
q Certificate of Deposit O Certificate of Deposit D Name Only ril —) 03 - 3 -Sparc/
Acct. Acct. I Name end Address -12- :e a wit,
APY APY
Term Term O Duplicate Statement COOL'.
Add, C4ZoN Hcezit4caor..c
D8 AG NY Preferred DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. Acct State Zip Code
APY APY o Mailing address Of different)
Term Term
Name
Promo term Promo term
Addr
(DBTCA deposit account required. (DBTCA deposit account required.
along wnh a 08 AG Preferred Terms along with a DB AG Preferred Terms City
and Conditions) and Conditions) State Zip Code
Privato Wealth Premiumn4 o Cash Master Sweep Account
Internet Banking Services Checking Acct.
o DB Private Wealth Online Plus Elite Money Market Deposit
q Link to Existing Online Relationship Acct. e
APY
(User/Co. ID Number) Target Amount
Trigger Amount
Client Relationship
q Individual Account O Custody under NY UTMA q Corporation
O Joint Tenants with Right D Foundation O Limited Liability Company
of Survivorship
q Joint Tenants in Common 0 Non•Profit Organization O Partnership
O
In Trust For/Payable on O Attorney Trust Escrow C) Limited Liability Partnership
Death/As Trustee for
q Trust O Landlord Master Escrow
D Estate
13.AWM41111
NAOSOD00015602-000104611
013959 032613
SDNY_GM_00038495
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001319
EFTA_00 I 49 I 04
EFTA01282896

Accou_nt jeitl i vand Join Application Information
NNaammee of A ount Title Joint Applicant
Oast ^% :— st name, first name, middle initial)
Social I Stormy Number or Taxpayer ID Number
v44 153
ei
Address •Y Address
0
11 7Aong 40IarontIcalate
City, State and Zp ada City, State and Zip Code
Nome Telephone Number
Business Telephone Number
brite ilbirth Date of Birth
Name of Employe; Name of Employer
Address Address
Not applicable
City. State and Zip Code City. State and Zip Code
Notice of Customer Identification Policy
Important Infra:nation
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 control
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 thange(s) and provide us with relevant documentation to verity these changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from rime 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 being given by person or persons purported to be you is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Dust Company Americas (DBTCA). you agree to indemnity and hold harmless OBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instroctions. You understand that DBTCA may. but shag not be required to, seek verilication 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. MICA is under no obligation to execute your
Verbal Instructions to transfer hinds or securities to any account(s) without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the lollop/mg 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 of all owners. DBTCA may hdnor checks, orders or withdrawal requests from
any owner during the lifetime of all owners. The Bank may he required by sorvice cd legal process to rerhit funds held in
the joint account to satisty a judgment entered against, or other valid debt incurred by, any owner of the account. OBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the
account as the soie prnperty of the sun/Nods' after the dee th of any owner(s). Unless DBTCA receives wrineo splice
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 hom any owner. Alter the receipt of the notice referred to
in the previous sentence. DBICAtnay require the written authorization of any or all joint owners for any further payments
or deliveries.
2 IlAWM,0101
013959.032613
SDNY_GM_00038496
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001320
EFTA_00 I 49105
EFTA01282897

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
If you have selected to receive Internet Banking Services, you understand that you will be required to enter into a
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 Individuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable
to you m any relevant jurisdictions that may arise in connection with assets. Income or transactions in your account(s)
and your business relationship with 0BTCA.
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 applicable
to it in any relevant iunsdictions that may arise in connection with assets, income or transactions in your account(s) 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),
beneficiaryfies), panner(s), etc, to enable him/her/ them to Willi any respective tax obligations that may arise for him/her/
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 provi ed-byioir on this Application is accurate'
The Terms anc7dif r Deposit Ac are subject to change,
Acceptance
You u 8<istand that th ce by ()BTU,
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I Holder's Signature DDaattee
Joint Account Holder's Signature Date
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013959 037613
SDNY_GM_00038497
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001321
EFTA_00149106
EFTA01282898

IN WITNESS VVHEREOF, the undersigned. by and through as authorized officer, has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERS]
10 vvP 11,c,
leitleSS 8
7
Signing's Date
DEUTaBiNK TRUST COMPANY AMERICAS
1
Print Namerl
Io i 1.) (1)
Dal
(FOR ALL OTHER USERS]
Account Name
Name/rine
Signature Date
Wishi3e667
21 010198.080613
SDNY_GM_00038498
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001322
EFTA_00149107
EFTA01282899