Deutsche Bank
Wealth Management
Structured Products Agreement and Approval Form
Please Complete All Sections
recount Number Aceciam Nan?
Account Type
IncnMudl .1nInt € Titist Partner ship Limititx: Liability Corr pang Corporation
Other (specify):
NOTE: IRA and ERISA accounts are prohibited from purchasing Structured Products.
Account and Owner Information: Provide requested information tor each beneficial account owner ("Client"). If more than one
owner exists, the Structured Products Agreement and Approval Supplementary Form to this Agreement may be required.
Entitle Name.. or Nit. Mkhilet last Name of Indlvemal or Trustee or Eeoutor
Address
COUllUy Phone Number of Dependents
MA'AM SUNS Blubdate IttlIrDOgYVYY Employer Business Phone
Business Address
Tyve of Eta:wits, Portion Years Held
Narnefs) of perso0) other than account owner(S) euthenist' to place orders for the 0000tint
Client(s) Financial Information
Approximate Aggregate Sources of Income Approximate Net Worth Approximate Liquid Net
Annual Income of Account (Approximate) Worth Excluding Principal
Owner(s) from All Sources Residence
Less than $50.000 Salary/Bonus Less than $50,000 Less than $50,000
850,000 - $99,999 Interest/Dividends $50,000 - 599,999 $50,000 $99,999
$100,000 - $249,999 $100,000 - $249,999 $100,000 - $249,999
$250,000 - $499,999 Other (specify): $250,000 - $499,999 $250,000 - $499,999
$500,000 - $999,999 $500,000 - $999,999 $500,000 - $999,999
51,000.000 - $2,499,999 $1,000,000 - $2,499,999 $1,000,000 - $2,499,999 =I= LL
$2,500,000 — $4,999,999 $2,500,000 - $4.999,999 $2,500,000 - $4,999,999
=
$5,000,000 and over $5,000,000 and over $5,000,000 and over Imo
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CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e) DB-SDNY-0091107
CONFIDENTIAL SDNY GM_00237291
EFTA01387895