Case File
efta-01282879DOJ Data Set 10OtherEFTA01282879
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282879
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
Checking Acct. I
O
Elite C
•
•
Acct.
APY
O
Elite Mono Market Do os
Acct.
APY
O
Certificate of Deposit
Acct. I
APY
Term
O
DB AG NY Preferred
Certificate of Deposit
Met. N
APY
Term
Promo term
108TCA deposit account required,
along with a DO AG Prelersed 'Terms
and Conditions)
Private Wealth Premium^.
Internet Banking Services
O O9 Private Wealth Online Plus
O link to Existing Online Relationship
Private Wealth Premiumni
Elite Business Accounts
O
Checking Met. N
K Elite Checking with Interest
Acct.
APY
O Elite Money Market Deposit
Acct.
APY
O Certificate of Deposit
Acct.
APY
Term
ip DR AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(DBTCA deposit account required.
along wnn a LIB AG Preferred Terms
and Conditions)
O Cash Master Sweep Account
Checking Acct. N
(User/Co. ID Number)
Client Relationship
O Individual Account
O Joint Tenants with Right
of Survivorship
O Joint Tenants In Common
10 In Trust For/Payable on
Death/As Trustee for
O hint
O Estate
Pinion, Wealth Premium Tht
Banking Services
D Consumer Debit Card II
0
Joint Applicant Debit Card N
O Business Debit Card N
O Deluxe Checkbook Style I
O
Name Only
O
Name and Address
O Duplicate Statement
Addr
City
State
Zip Code
O
Mailing address (if different)
Name
Mdr
City
State
Zip Code
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
O
Custody under NY UTMA
O
Foundation
K
Non-Profit Organization
O
Attorney Trust Escrow
O Landlord Master Escrow
O Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
CONFIDENTIAL
13.AWM4101
NAOSOD00014499-000102434
013959 0325t3
SDNY_GM_00038471
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001295
EFTA_00ll 49080
EFTA01282879
Account Title and Joint Application Information
Jeffrey Epstein
Name of Account Thu.
Joint Applicant
Past name, first name. middle Initial) or Business
Past name, first name, middle initial)
Social Security Number or Taxpayer ID Numb,/
It199Jted llosikOtr 83
Address
sfilm Thome
0.5. Virgin telei_00802
City. State and Zip Code
Social Seamy Number or Taxpayer ID Number
Address
City. State end Zip Code
Home Telephone Number
Business Telephone Number
Oats at Bath
Date of Bind
Soithens.ggigil‘EC--
Name of Employer
6100 Red Hook Quarter B3
Address
St Thomas
City, Suite and Zip Code
U.S. Virgin Islam 00.02
Notice of Customer Identification Policy
Name of Employer
Address
CITY. Stare and by Code
Important Information
To help the government light 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: those 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.
add/asses, source of funds end, if necessary, legal representatives, authorized signatories, beneficial owners or control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering
requirements require that should any of the above personator institutional information change. out clients would be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verily 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 accounts) (defined herein as 'Verbal Instructions-I. 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 negigence or willful
misconduct of 00USChe Bank Trust Company ArnenC85 (OBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs dr 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 veriticatinn of your
verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sore disoretion refuse to execute
your Verbal Instructions or any part thereof, without insuring any liability. DBTCA is under no obligetion to execute your
Verbal Instructions to transfer funds or securities to aoy 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 shell become the property of oath 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 untered against, of °ther valid dent incurred by, ahy owner bf the account. DBTCA
may honor checks, orders of withdrawal requests from the survivals) after the death of any owns:Island 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 not 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
flAWM-0101
013959 037613
CONFIDENTIAL
SDNY_GM_00038472
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001296
EFTA_00149081
EFTA01282880
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 Co reserve Internet Banking Services. yoo understand that you will be regoired to eater Into a
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing of low, you acknowledge receipt of OBTCA'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 obligatNns 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 accountIsi 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), settor(s),
benaticiaryties), normals). etc to enable himihed them to fulfill any respective tali obligations that may arise for lunithed
them in connection with your business relationship with DBTCA.
Please complete and attacb 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 thorn. In addition, you agred to notify us immediately of any material change to
the information provided by you on this Application.
You represent and warrant that alt of the information provided by you on this Application is accurate
The Terms and
ndkions for Deposit Accra
are subject to change.
Accep~tance
You nderstend that t
Joint Account Holder's &ennui*
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CONFIDENTIAL
13-AWN.0101
013959i:02613
SDNY_GM_00038473
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001297
EFTA_00149082
EFTA01282881
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