Case File
efta-01282882DOJ Data Set 10OtherEFTA01282882
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282882
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 MA
Elite Personal Accounts
O
i ll
Elite Checking with Interest
Acct. a
((
APY
Elite M
arket De
it
Acct. a
APY
O Certificate of Deposit
Acct. lil
APY
Term
K 08 AG NY Preferred
Certificate of Deposit
Acct. •
APY
Term
Promo term
(DBTCA deposit account squired.
along with • GB AG Preferred Terms
end Conditions)
Private Wealth Premiums""
et Banking Services
08 Private Wealth Online Plus
O Link to Existing Online Relationship
Private Wealth Premiumni
Elite Business Accounts
O
Checking Acct. 11
O
Elite Checking with Interest
Acct.
APY
K Elite Money Market Deposit
Acct. I
APY
O Certificate of Deposit
Acct. 4/
APY
Term
K
OB AG NY Preferred
Certificate of Deposit
Acct
APY
Term
Promo term
IDEITCA deposit SOCOUrlt squired.
along with a DEI AG Preferred TIM.
and Conditions)
K
Cash Master Sweep Account
Checking Acct.
(User/Co. ID Number)
Client Relationship
•
Individual Account
Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
o In Trust For/Payable on
Death/As Trustee for
•
Trust
O Estate
Private Wealth Premium ^"
Banking SeMces
Consumer Debit Card
15(Joint Applicant Debit C lid e
D Business Debit Card a
Deluxe Checkbook Styl
sick b tun dirct B oe-
O Name Only
X
Name and Addrest
O
Duplicate Statement
Addr
City
State
Lp Cod'
O
Mailing address (if differ • in)
Name
Addr
City
State
Zip Corti
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
K Custody under NY UTMA
o
Foundation
o Non-Profit Organization
K Attorney Trust Escrow
O
Landlord Master Escrow
O Corporation
O Limited Liability Comps' -;
O Partnership
O Limited Liability Partneri lip
tar • MM-0101
NAOSOD00015974-001 '101600
OIX '003264
CONFIDENTIAL
SDNY_GM_00038477
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001301
EFTA_00 I 49086
EFTA01282882
Account Th
Von
Rime
Oast Ill
Fla
Telepho
ne
,eirea fhelaZ
Joint
Home Telephone Number
ZniAT-2zeidir
Nes LLC
Nameof Em rei
ros
col
vista t
Address
NY N1 /0021
City. State and Zlp Cods
Business Tele ons
imber
ac
/WI
Cite of rth
Name of Employer snipe"( r
Notice of Customer Identification Policy
Address
City, State and tip Code
Important Information
To help the government tight the funding of terrorism and money laundering activities, Federal law requires all fin.: icial
institutions to obtain, verify, and record information that identifies each person who establishes an account, ',owes (rent or
other business relationship with a financial institution. This means that we will ask for your name, address, and otl
information that will allow us to identify you. We may also ask to see identifying documents such as a certificate
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 •iferintI
and terrorist financing; these rules call for an active involvement of both asset management firms and their client For
now and existing clients we currently have a legal obligation to ask our customers questions regarding their ident lies.
addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners ore' rirot
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money law hiring
requirements require that should any of the above personal or institutional information change, our clients would :o
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these char psis.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email reg :ding
the above captioned *wounds) 'defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being giveo by person or persons purported to be you is your own. Absent the gross negligence or w
misconduct of Deusche Bank Trust Company Americas (DBTCA, you agree to Indemnify and hold harmless OBT(.'t for
any claims, losses. expenses, costs or attorneys' fees resulting teem OBTCA's acting upon such misunderstood ar
unauthorized Verbal Instructions. You understand that DBTCA may, but shell 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 mite
your Verbal Instructions or ahy port thereof, without incurring any liability. DBTCA is under so obligation to sxecu ii your
Verbal Instructions to transfer funds or securities to any account(*) without written instructions bearipg your origii izi
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit ire' any
additions to the account shell become the property of sea owner as joict tenants, arc O87CA may release tie er lite
account to any owner during the lifetime of all owners. 087CA may honor checks, orders or withdrawal requests tom
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds f iild In
the joint account to satisfy a judgment entered against, Or other valid deal incorreo' by. ahy owner of the account. DBTCA.
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any myriads) end may tre it the
account es the sole property of the survivor(s) after the death of any owner(s). Unless O8TCA receives written non:*
signed by any owner nos to pay or deliver any joint deposit or addition or stoma', DBTCA shalt not be liable to tiny :wner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice ref &nod to
in the previous sentence, DBTCA may require the written authorization of any or all joint owners for any further pa imam:
or deliveries.
2
13•A •N.0101
maw n.072513
CONFIDENTIAL
SDNY_GM_00038478
CONFIDENTIAL - PURSUANT TO FED IR_ CRIM. P. 6(e)
DB-SDNY-0001302
EF1'A_00149087
EFTA01282883
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 of Deposit Accounts.
Internet Banking Service
If you have selected to receive Internet Banking Services, you understand that you will be required to enter int..,
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 OBTCA's Privacy Notice included in the Application Package.
Non-US IDdividuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that It Is your responsibility to fulfill any tax obligations and any other regulatory reporting duties ar Amble
to you in any relevant jurisdictions that may arise in connection with assets, income or uansactions in your sect ...nqs)
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 ac Arabia
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accour Ils) and
your business relationship with DBTCA. Furthermore. you confirm that the necessary information lto the best of ,our
knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerts), settler(s)
benefitiarYlieS, Partneri,a etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for itim/hra/
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
8y 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 chant e to
the information provided by you on this Application.
You represent and warrant that ell of the information provided by you on this Application is accurate.
The Terms and Conditions for DepositAccounts are aubject to change.
Acceptance
You
cceplanco by DBTCA.
ft/2%7/Ra/ 3
Aicourn
Date
3c0-170-At
is Signature
For Bath yse t
Reviewed by:
Name
Ostia /1/2)120/-3
MIS
NIA
I ti
10
/l
-
Aepted bljr DBTCA:
r
Nana
,AD
Title
re
(2- (12 Ill
NOC
e
on
3
11; te/h4.01t)I
01x13.072313
CONFIDENTIAL
SDNY_GM_00038479
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001303
EFTA_00 I 49088
EFTA01282884
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