EFTA01400321
-ATT
Deutsche Asset
& V\/ealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium"
Elit"usiness Accounts
Checking Acct. #
Private Wealth Premium"
Banking Services
❑ Consumer Debit Card #
Private Wealth Premium"
Elite Personal Accounts
❑ Checking Acct. #
❑ Elite Checking with Interest
Acct. #
❑ Joint Applicant Debit Card #
❑ Elite Checking with Interest
Acct. #
APY
APY
(3^ Elite Money Market Deposit
Acct. #
❑ Business Debit Card #
❑ Elite Money Market Deposit
Acct. #
style#
Cr>*^
jXLUfi
APY
APY
❑ Name Only
Name and Address
❑ Duplicate Statement
Addr
❑ Certificate of Deposit
Acct. #
APY
Term
❑ Certificate of Deposit
Acct. #
APY
Term
❑ DB AG NY Preferred
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Certificate of Deposit
Acct. #
APY
Term
Promo term
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
Private Wealth Premium"
Internet Banking Services
DB Private Wealth Online Plus
Link to Existing Online Relationship
yo3
(User/Co. ID Number)
[/
❑ DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Term
Promo term
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
❑ Cash Master Sweep Account
Checking Acct. #
Elite Money Market Deposit
Acct. #
APY
' Target Amount
Trigger Amount
City
Zip Code
❑ Mailing address (if different)
Name
Addr
State
City
State
Zip Code
Client Relationship
Q Individual Account
Q Joint Tenants with Right
of Survivorship
Q Corporation
[7] Limited Liability Company
❑ Custody under NY UTMA
❑ Foundation
❑ Partnership
❑ Non-Profit Organization
❑ Attorney Trust Escrow
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o Joint Tenants in Common
o In Trust For/Payable on
Death/As Trustee for
o Trust
o Estate
0 Limited Liability Partnership
o Landlord Master Escrow
13-AWM-0101
W-9
Request for Taxpayer
Identification Number and Certification
Give Form to the
requester. Do not
send to the IRS.
Forni
(R<<v. December 2011)
Depwltnem of the Treasury
Internal Revenue Service
ass namordisregarded enlitv name. If dUFer"t from above / ^ ^
Name
c\i
Check appropriate box for federal tax dasslfication:
1-1 Individiial/sole proprietor D C Corporation Q 8 Corporation Q Partnershp
[D Tnjst/estate
1-i
o Exempt payee
r—I Limited liability company. Enter the tax classification <C=C
corporation, S=S corporation, P=partnership)
/)iTy a"CK.7LJ.C.
Address (number, street, and apt. or suite no.) T ^ ^
City, state, and ZIP code t/ ^
List account nuntfcerfs) hori (optional)
c/c
Other (see nslnjctions)
Requester's name and adrkess (optionaD
I
I"V\"
Taxpayer Identification Number (TIN)
Part I
Social aeourity nranber
Enter your TIN in the appropriate box. The TiN provided must match the name
given on the 'Name* iine
to avoid backup withholding. For individuais, this is your aociai security
number (SSN). However, for a
resident aiien, aoie proprietor, or disr"arded entity, see the Part i
inslructione on page 3. For other
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entities, it is your employer identification number (EIN). If you do not
have a number, see How to got a
TIN on page 3.
Note. If the account is in more than one name, see the chart on page 4 for
guidelines on whose
number to enter.
Employer idacrtification nunbar
H71 -IoKIoI 'iIS'Mf
Certification
Part II
Under penalties of perjury, I certify that:
1. Thenumber shown on this fomn is my correct taxpayer identifioation number
(or I am waiting for a number to be issued to me), and
2. I am not subject to backup withholding because: (a) I am exempt from
backup withholding, or (b) I have not been notified by the Internal Revenue
Service (IRS) that I am subject to backup withholding as a result of a
failure to report all interest or dividends, or (c) the IRS has notified me
that I am
no longer subject to backup withholding, and
3. I am a U.S. citizen or other U.S. person (defined below).
Cerlifiealion insiniclions. You must cross out item 2 above rf you have been
notified by the IRS that you are currently subject to backup withholding
because you have failed to report all interest and dividends on your tax
return. For real estate transactions, item 2 does not apply. For mortgage
interest paid, acquisition or abandonment of secured property, cancellation
of debt, contributions to an individual retirement arrangement (IRA), and
generally, payments other than interest and dividends, you are not required
to sign the certification, but you must provide your correct TIN. See the
instructions on page 4.
• \;i D V. V Of
Sign
Here
Signature of
U.S. person .
Date.
U-1
Note, if a requester gives you a form other than Form W-9 to request
your TIN, you must use the requester's form if it is substantially similar
to this Form W-9.
Definition of a U.S. person. For federal tax purposes, you are
considered a U.S. person If you are:
• An individual who Is a U.S. citizen or U.S. resident alien,
• A partnership, corporation, company, or association created or
organized in the United States or under the laws of the United States,
• An estate (other than a foreign estate), or
• A domestic trust (as defined in Regulations section 301.7701-7).
Special rules for partnerships. Partnerships that conduct a trade or
business in the United States are generally required to pay a withholding
tax on any foreign partners' share of income from such business.
Further, in certain cases where a Fomn W-9 has not been received, a
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partnership is required to presume that a partner is a foreign person,
and pay the withholding tax. Therefore, if you are a U.S. person that is a
partner in a partnership conducting a trade or business in the UnKed
States, provide Form W-9 to the partnership to establish your U.S.
status and avoid withholding on your share of partnership income.
General Instructions
Section references are to the Internal Revenue Code unless otherwise
noted.
Purpose of Form
A person who is required to file an information return with the IRS must
obtain your correct taxpayer Identification number (TIN) to report, for
example, income paid to you. real estate transactions, mortgage interest
you paid, acquisition or abandonment of secured property, cancellation
of debt, or contributions you made to an IRA.
Use Form W-9 only if you are a U.S. person (including a resident
alien), to provide your correct TIN to the person requesting it (the
requester) and, when applicable, to:
1. Certify that the TIN you are giving is correct (or you are waiting for a
number to be issued),
2. Certify that you are not subject to backup withholding, or
3. Claim exemption from backup withholding if you are a U.S. exempt
payee. If applicable, you are also certifying that as a U.S. person, your
allocable share of any partnership Income from a U.S. trade or business
is not subject to the withholding tax on foreign partners' share of
effectively connected income.
Form W-9 (Rev. 12-2011)
Cat No. 10231X
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