Duplicate Statement '

Joint Applicant

Trigger Amount City

Taxpayer ID Number

Taxpayer ID Number Address Address Not

ATM

the Terms and Conditions

Iasi

Elite Checking with Interest Acct

Deusche Bank Trust Company Americas

AG NY Preferred Certificate of Deposit Acct

the Application Package

ATM/Debit Service

Privacy Notice

Non-US Organizations: Confirmation of Tax and Compliance Responsibilities

CONDITIONS

Home Telephone Number Home Telephone Number Business Telephone Number Business Telephone Number Date of Binh Date of Birth Name of Employer Name of Employer Address Address Not

Instrument

Non-US

W-8

Social Security Number

DBTCA

User/Co.

Addr

Address

Confirmation of Tax and Compliance Responsibilities