Deutsche Bank deposit account application for an insurance trust, Sept. 2013

Deutsche Asset & Wealth Management¶

$$\angle NSO.TVO$$¶

NAO 7000899¶

DBTCA Deposit Account Opening Application¶

Private Wealth Premium™¶

Elite Personal Accounts¶

☐ Checking Acct. #¶

□ Elite Checking with Interest¶

Acct. #___¶

APY___¶

□ Elite Money Market Deposit¶

Acct. # ___¶

APY ___¶

□ Certificate of Deposit¶

Acct. #___¶

APY___¶

Term___¶

DB AG NY Preferred Certificate of Deposit¶

Acct. # ___¶

APY ___¶

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¶

1030 850¶

(User/Co. ID Number)¶

Private Wealth Premium™¶

Elite Business Accounts¶

Checking Acct. #¶

42953694¶

□ Elite Checking with Interest¶

Acct. # ___¶

APY ___¶

Elite Money Market Deposit¶

Acct. # 44129885¶

APY ___¶

□ Certificate of Deposit¶

Acct. # ___¶

APY ___¶

Term ___¶

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 ___¶

Private Wealth Premium™¶

Banking Services¶

☐ Consumer Debit Card #¶

Joint Applicant Debit Card #¶

Business Debit Card #¶

Deluxe Checkbook Style #¶

Quickbooks Compatible¶

☐ Name Only¶

☑ Name and Address¶

Duplicate Statement¶

Addr ___¶

City ___¶

State ___ Zip Code ___¶

□ Mailing address (if different)¶

Name ___¶

Addr ___¶

City ___¶

State ___ Zip Code ___¶

Client Relationship¶

Individual Account¶

Custody under NY UTMA¶

Joint Tenants with Right of Survivorship¶

□ Corporation¶

Foundation¶

[ ] Limited Liability Company¶

Joint Tenants in Common¶

Non-Profit Organization¶

□ Partnership¶

☐ Attorney Trust Escrow¶

Limited Liability Partnership¶

□ Estate¶

□ Landlord Master Escrow¶

13-AWM-0101¶

NAOSOD00015602-000104611¶

013959.032613¶

CONFIDENTIAL – PURSUANT TO FED. R. CRIM. P. 6(e)¶

DB-SDNY-0001452 EFTA_00014926¶

EFTA00165710¶

Account Title and Joint Application Information
The Loom Tithe E Epstein Insurance	Trust #3 DTD 11/01/2007
Name of Account Title(last name, first name, middle initial) or Business26-6387242	Joint Applicant(last name, first name, middle initial)
Social Security Number or Taxpayer ID Number510 MARK ASSOCIATES Fmc-4144-575 Livington AveNew York NYNot applicable	Social Security Number or Taxpayer ID Number
City, State and Zip Code	Address
Home Telephone Number	City, State and Zip Code
Business Telephone Number	Home Telephone Number
	Business Telephone Number
Date of Birth	Date of Birth
Name of Employer	Name of Employer
AddressNot applicable	Address
City, State and Zip Code	City, State and Zip Code

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 identify you. We may also ask to see identifying documents such as a certificate of formation 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 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 necessary, legal representatives, authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laudering 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 or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deutsche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless DBTCA for any claims, losses, expenses, costs or attorneys’ fees resulting from DBTCA’s acting upon such misunderstood and unauthorized Verbal Instructions. 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 tb execute your Verbal Instructions to transfer funde or securities to any account(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 eaeh owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal 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(s) after the death of any owner(s) end 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 or accrual, DBTCA shall ndt be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further payments or deliveries.¶

2¶

13-AWM-0101 013959.032613¶

CONFIDENTIAL – PURSUANT TO FED. R. CRIM. P. 6(e)¶

DB-SDNY-0001453 EFTA_00014927¶

EFTA00165711¶

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¶

If you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement with DBTCA before you can access the Intnfnet 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 responsibility to fulfill any tax obligations and any 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 DBTCA.¶

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 DBTCA. Furthermore, 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 owner(s), settlor(s), beneficiary(ies), partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/her/ 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 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 Conditions for Deposit Accounts are subject to change.¶

Acceptance¶

You understood that this application is subject to acceptance by DBTCA.¶

Account Holder’s Signature¶

Date	9/18/13
	9/18/2013

13-AWM-0101 013959.032613¶

3¶

CONFIDENTIAL – PURSUANT TO FED. R. CRIM. P. 6(e)¶

DB-SDNY-0001454 EFTA_00014928¶

EFTA00165712¶