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EFTA01282916.pdf
AI Summary
This document is a Deutsche Bank Trust Company Americas deposit account opening application form with standard banking terms and conditions. The document appears to be mostly a blank template form with some illegible handwritten portions and signature areas. [Rating: 4/10 - Standard bank account opening form with boilerplate legal language, though the handwritten portions are largely illegible making it difficult to identify specific account holders or details]
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financial_transactions
redacted_content
Extracted Entities
| Name | Type | Context |
|---|---|---|
| DBTCA | organization | Abbreviated reference to Deutsche Bank Trust Company Americas throughout the form |
| Deutsche Bank Trust Company Americas | organization | Financial institution providing deposit account services |
Full Text
Deutsche Asset
& 1/1/3aIth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiumml Private Wealth Premium TM Private Wealth Premium TM
Elite Personal Accounts Eli/Business Accounts Banking Services
O Checking Acct. X [Checking Acct. O Consumer Debit Card e
O Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card #
Acct. 8 Acct. ft
APY ZAPY O Business Debit Card M
q Elite Money Market Deposit Elite Money Market Deposit
Acct. a Acct. It q Delute Checkboofc Style # / f _
APY APY 0,:r( kind KS (',r_ /<
O Certificate of Deposit D Certificate of Deposit O Name Only Get" G-4 ?c e4))
Acct. Acct. I []Name and Address ?11 Cats,
APY APY Lobe:.
Term Term O Duplicate Statement col% *Patolsilctal-
Addr
O DB AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. • Acct. # State Zip Code
APY APY 0 Mailing address (if different,
Term Term Name
Promo term Promo term
Addr
(DBTCA deposit account required. (OBTCA deposit account required,
along wish a DB AG Preferred Terms along with a DB AG Preferred Terms City
and Conditions' and Conditions) State Zip Code
Private Wealth Premiums 13 Cash Master Sweep Account
Internet Banking Services Checking Acct.
of DE1 Private Wealth Online Plus Elite Money Market Deposit
(3/ L• • • elationship Acct. a
APY
Target Amount
Trigger Amount
Client Relationship
El Individual Account O Custody under NY UTMA O Corporation
q Joint Tenants with Right o Foundation O Limited liability Company
of Survivorship
O Joint Tenants in Common O Non-Profit Organization O Pannership
O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Pannership
Death/As Trustee for
O Trust O Landlord Master Escrow
ID Estate
SDNY_GM_00038515
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001339
EFTA_00 I 49 I 24
EFTA01282916
7
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Account Title an inn Application Information
tet Li
Nam of Account Tele I ti:— Joint Applicant
got ame. rum/name, middle initial) y Bqsiness Ilea name, first name, middle
Social Security umber or T payer ID N Der Social Soapily Number or Taxpayer ID Number
/102 k r 153
&CO 04--
Address to_ Lisvi post--
Address
T('
71 11 __NotagallCable
Ciry, State and Zss Code City, State and Zip Code
Horn Home Telephone Number
But' Business Telephone Number
b7e a/ Birth e aat of Binh
Name of Employer Name of Employer
Address Address
Not applicable
City. State end Zip Code City. State and lip Mie
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 identity you. We may also ask to see identifying documents such es a certificate of
formation or good standing (legal entities) ore 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 necessaly, legal representatives, authorized signatories, beneficial owners or conuol
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti4noney 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 account(S) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person er persons purported to be you is your own. Absent the gross oegkgeoce or willful
misconduct of Deusche Bank Trust Company Americas IC/87CA). you agree to indemnify and hold harmless DBTCA for
any claims. losses. expenses, costs or attorneys' fees resulting from DEITCA's acting upon such misunderstood and
unauthorized Verbal fristructinns. 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 accoum(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 of all owners. MICA may honor checks, orders or withorawal 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 checks, orders or withdrawal requests from the survivor(sIalter the death of any owner(s) and may treat 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 o accrual, DBTCA shall not be liable to any owner
for continuing to honor cheeks, orders er withdrawal requests from any owner. After the receipt of the notice ref erred to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
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013959.032513
SDNY_GM_000385t6
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001340
EFTA_0014 91 25
EFTA01282917
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 Bonkinci Services Agreeittont with DBTCA before you can aocess 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 resPontibility tO fulfill any teat obligations and aoy other regulatory reporting duties 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 DMA.
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 jurisdictions that may arise in connection with assets, income or transactions in your account(s) and
your business relationship with OBTCA. Funhermore. 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 ownerls). settloifs),
beneficiaryfies), 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 W8 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 Con for Deposit Accounts Act to change.
Acceptance
You understand that this
Oman Holdef s Signature Date
Joint Account Holder's Signature Date
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013959 037613
SDNY_GM_00038517
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001341
EFTA_00 I 49 I 26
EFTA01282918
IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERSI
11.4st LLL
Busmen N e
0
r7r E-1- "4e fr—IWL444
Namefinle
Signature Date
DEUTS E B K TRUST COFAPANY AMERICAS
By
A
PA CWCk. 0. Jriot,7
Print Narnernie
'3
Oet
(FOR ALL OTHER USERSI
Account Name
Name/rate
Seznattire Date
WIA134667
21 010198 000613
SDNY_GM_000385t 8
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001342
EFTA 00149127
EFTA01282919