Case File
efta-01282876DOJ Data Set 10OtherEFTA01282876
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282876
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset
& Wealth Management
DBTCA
Deposit
Account
Opening
Application
Private Wealth Premium?"
Elite Personal Accounts
O Che
i ii
RI tElite Checking with Interest
i
Acct. If
APY
Elite
•v Market 0Poolit
A00.
APY
O Certificate of Deposit
Acct. Y
APY
Term
•
DB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
(DBTCA deposit account required.
along with e 00 AG Preferred Terms
and Conditions)
Pri ate Wealth Pretnium1ed
met Banking Services
08 Private Wealth Online Plus
O
Link to Existing Online Relationship
Private Wealth Premium TM
Elite Business Accounts
(3 Checking Acct. 8
O
Elite Checking with Interest
Acct. I/
APY
K Elite Money Market Deposit
Acct.
APY
K Certificate of Deposit
Acct. I
APY
Term
K 08 AG NY Preferred
Certificate of Deposit
Acct a
APY
Term
Promo term
(DBTCA deposit account required.
along with a 06 AG Preferred Term
and Conditions)
O
Cash Master Sweep Account
Checking Acct.
(User/Co. ID Number)
Client Relationship
o Individual Account
Joint Tenants with Right
'
of Survivorship
K Joint Tenants in Common
K In Trust For/Payable on
Death/As Trustee for
O Trust
ID Estate
Private Wealth Premium?"
Banking Services
laul Consumer Debit Card *
1St...Joint Applicant Debit C. ird
L.
Business Debit Card If
Eirkluxe Checkbook Sty(
auek
s -tandirri
Ewe
-
O
Name Only
X Name and Address
O
Duplicate Statement
Addr
City
State
Le Cod
K
Mailing address (if diffn rn)
Name
Addr
City
State
Zip Cod.
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
O Custody under NY L/TMA
K Foundation
K
Non.Profn Organization
O Attorney Trust Escrow
O Landlord Master Escrow
K Corporation
K limited Liability Comps' • r
K Partnership
O limited Liability Penner' hip
13-I WA-0101
NAOSOD00015974-00I 108600
otz • a 0326i3
CONFIDENTIAL
SDNY_GM_00038468
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001292
EFTA_00 I 49077
EFTA01282876
Account Tit
"
on
Name of Account
Gan ea
less
iar fiedeA7Z
Joint Ap
City.
HomeTelephone Number
/ etd
Cit,
NY 10065-
Business Telephone Number
Date of Birth
Date cif B rth
,STUDeN r
W ms d Em
Name of Employer
Address
Address
City, States
p
er
City. State and bp 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 fin -mist
institution to obtain, verily, and record information that identifies each person who establishes an account, Inver_ tient Or
other business relationship with a financial institution. This means that we wilt ask for your name, address, and ot
information that will allow us to identify you. We may also ask to see identifying documents such as a certificate c
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 tau Bering
and terrorist financing; these tures call for an active involvement of both asset management firms and their client For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their identfies,
addresses, source of funds and. if necessary, legal representatives, atrthotized signatories, beneficial owners or et 'vol
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money law :Icing
requirements require that should any of the above personal or institutional information change, our clients would :a
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these chat ices.
Telephone. Facsimile or Email Instructions
By signing below, you agree that from time tO time you may give instructions by telephone. facsimile or email rag Etding
the above captioned eccouni(s) (defined herein as 'Verbal Instructional. 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 w
misconduct of bench. Bank Trust Company Americas (DeTCA), you agree to indemnify and hold harmless OBT(
for
any claims, Inns. expenses, costs or attorneys' lees resulting from OBTCA's acting upon such misunderstood at tf
unauthorized Verbal Instructions. You understand that DBTCA may, but shall-not be required to, seek verification •if your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to ex ihrte
Your Verbal Instructions or ahy pert thereof. without incurring ehr liabilny. OBTCA is under oo obligation to axecu n your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearipg your origii ig
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit :ricl any
additions to the account shall become the property of eactr owner as joint tenants. and OBTCA may release the et lite
account to any owner during the lifetime of as owners. OBTCA may honor checks, orders or withdrawal requests • tom
any owner during the lifetime of ail owners. The Bank may be required by service of legal process to remit funds I tad in
the joint account to satisfy a judgment ontered against on other valid deot incurrect by. ehy owner of the account. DeTC,St
May honor checks, orders or withdrawal requests from the survivor(s) after the death of any owners) and may tre ei the
account as the sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives written noti:ii
signed by any Owner not to pay or deliver any joint depositor addition au atioroal, DBTCA shad nor be liable to any ,weer
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice tele, iod to
in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any further pa intents
or deliveries.
2
134 4M4101
013* :ft:0741S
SDNY_GM_00038469
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001293
EFTA_00149078
EFTA01282877
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditions o the
Cardholder Agreement contained in the Terms end Conditions cog Deposit Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand that you wilt be required to enter into.,
separate Internet Banking Services Agreement with DBTCA before you can access the Internet 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 et :tabkik
to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your sect .:nt{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 at :finable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your aecour 'Island
your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the best of lour
knowledge and capabilities! is made available no less then annually to the relevant beneficial owner(s), settlor(s)
baneficiary(ios), partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for mtirigher/
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 booed by them. Inaddition, you agree to notify us immediately of any material then; s to
the information provided by you on this Application.
You represent end warrant that all of the information provided by you on this Application is accurate.
The Terms and Condition for OepositAccounts are subject to change.
Acceptance
skutkacceptince by ()RICA.
For Bank SJaeeiewed by:
Name
17-c-
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Data
Data
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Data
(5
An-T .-
opted by Dela:
Aare' l
iv( D
title
a -1121
1i
to
e
NOC
Date
3
CONFIDENTIAL
13-...1040101
0133 13.02813
SDNY_GM_00038470
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001294
EFTA_00 I 49079
EFTA01282878
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