EFTA01283018.pdf

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& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premiumlm Private Wealth PremiumDA Private Wealth Premiums'
Elite Personal Accounts Eli Business Accounts Banking Services
O Checking Acct. I Checking Acct. N ID Consumer Debit Care
412953 45`6
o Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit :ard
Acct. I Acct.
APY O1/PY O Business Debit Card
O Elite Money Market Deposit Elite Money Market Deposit
Acct. Acct. Of VV./2:47q ci Deluxb_Cieheity c S
APY APY
O Certificate of Deposit ij Certificate of Deposit O Name Only
Acct. Acct. 4 a Name and Addre !.5
APT APY
Term Term O Duplicate Statement
Addr
q D8 AG NY Preferred O DB AG NY Preferred
Certificate of Deposit Certificate of Deposit City
Acct. 4 Acct. Stale Zip Cr .:a_
APY APY O Mailing address (if dd. 'went)
Term Term
Name
Promo term Promo term
Addr
(DBTCA deposit account recruited. (DBTCA deposit account required.
along with a 0B AG Preferred Terms along with a GB AG Pretend Terms City
end Conditions) and Conditional State Zip Cc rte
TM
Private Wealth Promium O Cash Master Sweep Account
Internet Banking Services Checking Acct. N
O D8 Private Wealth Online Plus Elite Money Market Deposit
OteLink to Existing Online Relationship ACCt. #
/0.50,3 SO APY
(User/Co. ID Number) Target Amount
Trigger Amount
Client Relationship
q Individual Account O Custody under NY UTMA O Corporation
O Joint Tenants with Right q Foundation O Limited Liability Comp ny
of Survivorship
ci
O Joint Tenants in Common O Non-Profit Organization Partnership
O In Trust For/Peyable on O Attorney Trust Escrow O Limited Liability Pannt 'ship
Death/As Trustee for
O Trust O Landlord Master Escrow
CI Estate
1: AWM.Ol01
NAOSOD00015602-0 M104411
01 ',SS 03313
SDNY_GM_00038640
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001464
EFTA_00 149249
EFTA01283018

Account Ittle and Joint Application Information
Name of Account Tele JointApplicant
(last name, rst name, ipiddleinitiall orO Bsuiness0 Bast name, first name, middle initial;
R - (4 I :
334Y
Sokcilaol Soec uRriDEiNDum foe,pryerAD Number ,.., Social Security Number or Taxpayer ID Number
btkpitvier /33
• /
Ad4rre ss T h i stv,41/4, u5y, 0 ° ie n "... Address
Not aonficable
City, S te and Zip Code City. Slate and Zip Code
Nome Telephone Number
Business Telephone Number
brrjairth Data of Birth
Name of Empioyer Name of Employer
Address Address
Not applicable
City, State and bp Code City. State and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government light the funding of terrorism and money laundering activities. Federal law requires a financial
institutions to obtain, verify, and record information that identifies each person who establishes an account. ii vestment or
other business relationship with a financial institution. This means that we will ask for your name, address, an: other
information that will allow us to identity you. We may also ask to see identifying documents such as a certific rte of
lormation 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 mono) laundering
and terrorist financing; these rules call for an active involvement of both asset management firms and their cl lints. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their ii
addresses, source of funds and, if necessary, legal representatives, authorized signatories. beneficial owners i.• control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money !!,undo ring
requirements require that should any of the above personal or institutional information change, our clients wo .ld be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these t lenges.
Telephone, Facsimile or Email Instructions
ay signing below, you agree that from time to time you may give instructions by telephone, facsimile or email I °gelding
the above captioned account(s) (defined herein as "Verbal Instructions"). It is understood that the risk of Verb'
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence o • willful
misconduct of Oeusche Bank Trust Company Americas (DBICA), you agree to indemnify and hold harmless D.lICA for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstom and
unauthorized Verbal Instructions. You understand that OBTCA may, but shall not be required to. seek verificatri in of your
verbal, facsimile or email instructions by cell heck In case of doubt, DBTCA may units sole discretion refuse to Dracut°
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to axe lute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your or final
signature
Joint Account Disclosure
•
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This dapo ;‘1 and any
additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the Wire
account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal reques ; from
any owner during the lifetime of al owners. The Bank may be required by service of legal process to remit food.: held In
the joint account to satisfy a ludgment entered against, or other valid debt incurred by, any owner of the accour DBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may t eat the
account as the sole prooeny of the survivor(s) after the dee th of any owner's). Unless OBTCA receives written n ::ice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to a 'y owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice re erred
in the previeus sentence. DBTCA may require the written authorization of any or all joint owners for any further :iaymentS
or deliveries.
2 t, nWhi-titoi
01: '59.032613
SDNY_GM_00038641
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001465
EFTA_00149250
EFTA01283019

ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditlo is 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 i• to a
separate Internet Banking Services Agreement with DBTCA before you car access the Internet Banking Sen
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 dutie ; applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in your t icoum(S)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilitieli.
You confirm that it Is your responsibility to fulfill any tax obligations and any other regulatory reporting flutist applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your acc : drh(s) and
your business relationship with DBTCA. Furthermore. you confirm that the necessary information (to the bes: of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settlo
ben& iciaryhest. partner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise br hiralher/
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 th
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cl mge 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 for posit Accounts are sublet to.changli:
Acceptance ?he,
../
LYzou ir nderstend that this appli
. ount Holder's Signature Date
Joint Account Holder's Signature Data
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OW59.032,13
SDNY_GM_00038642
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001466
EFTA_00 I 4925 I
EFTA01283020