Case File
efta-01282900DOJ Data Set 10OtherEFTA01282900
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282900
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Cleutsche Asset
& Wealth Management
? c.r; tin
DBTCA Deposit Account Opening Application
Private Wealth Premiumm
Elite Personal Accounts
O
Checking Acet. I
Private Wealth Premium TM
Elite usiness Accounts
Checking Acct.
Private Wealth Premium"
Banking Services
O Consumer Debit Card #
O
Elite Checking with Interest
O Elite Checking with Interest
O
Joint Applicant Debit Card N
Acct.
Acct.*
APY
fPY
O Business Debit Card #
O
Elite Money Market Deposit
g r Elite Money Market Deposit
Acct.*
Acct. N
Erpelbl icCiekt}iik Stizinlefi fx
APY
APY
O
Certificate of Deposit
0
Certificate of Deposit
O
Nam* OnlYDLI (Oh -3:triSi
Acct .N
Acct. N
fej Name and Address
Th
pfLiratc.
APY
APY
O Duplicate Statement BASE PAW-LIN:4qt
Term
Term
Addr
K
DB AG NY Preferred
O DB AG NY Preferred
Certificate of Deposit
Certificate of Deposit
City
Zip Code
Acct. il
Acct. I
State
APY
APY
address (if different)
O
Mailing
Term
Term
Name
Promo term
Promo term
Addr
(DBTCA deposit account rewired.
along with a DB AG Preferred Terms
(DBTCA deposit account required.
along with a OB AG Preferred Terms
City
Zip Code
and Conditions)
and Conditions)
State
Private Wealth Premium TM
K Cash Master Sweep Account
Internet Banking Services
Checking Acct. N
O
DB Private Wealth Online Plus
Elite Money Market Deposit
V Link to Existing Online Relationship
Acct. II
APY
Target Amount
(User/Co. ID Number)
Trigger Amount
Client Relationship
K Individual Account
O Joint Tenants with Right
of Survivorship
K
Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
K Trust
O Estate
O Custody under NY LITMA
O
Foundation
O
Non-Profit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
O Corporation
0
Limited Liability Company
K Partnership
O Limited Liability Partnership
CONFIDENTIAL
13-AWM-0101
NAOSOD00015602-000104811
013,459.032613
SDNY_GM_00038499
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001323
EFfik_00149108
EFTA01282900
Joint Applicant
(lieu name. first name, middle initial)
Social Security Number or Taxpayer ID Number
Address
Accou
Title and Joi t Application Information
IV.
C
Name of
m Title
hest nem
Social
6A9
„tot_
5r 2-42•I LAI4
City, S
City, State and Zip Code
Home Telephone Number
Business Telephone Number r
Business Telephone Number
bate of Born
Name of Employer
b712 o! inn
Name of Employer
AddreSs
Not applicable
City. State end Zip Code
Address
City. State end Tip 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 wiN ask for your name. address, and other
information that wili allow us to identity you. We may also ask to see identifying documents such as a certificatb 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 er control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering
requirements require that should any of the above personal or institutional information change, our clients would be
obliged to immediately notify us of the changes) 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 er persons purported to be yon is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (DBTCAI. you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DI3TCA's acting upon such misunderstood and
unauthorized Verbal Instructions. Yon understand that MICA 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 exeeute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accoum(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 each 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 withorassal requests born
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 nr withdrawal reth.ests from the survivor(s) alter the deem of any owner(s) and may treat the
account as the sole property of the survivals) after me 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 continuiog to honor checks. orders or withdrawal requests from any owner. After the receipt of the notice referred to
in the previous sentence, OBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
i3-AW/A.010i
013959 032613
SDNY_GM_00038500
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001324
EFTA_OOI 49109
EFTA01282901
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 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 responcibility io 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 Ito the best of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial ownerls), settior(s),
beneficiary(ies), panner(s), etc. to enable hirrdhed them to fulfill any respective tax obligations that may arise for him/hed
them in connection with your business relationship with DBTCA,
Please complete and attach separate W8 or W-9 documentation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Atcounts 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 acctitate.
The Terms and
for Deposit Accounts are su•
Accept ace
You ndersieed that this
ph
Joint Account Holder's Signature
ante by OBTCA.
9403
Date
Date
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CONFIDENTIAL
013959.032613
SDNY_GM_00038501
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001325
EFTA_00I49I lo
EFTA01282902
IN WITNESS WHEREOF, the undersigned, by and through its authorized officer. has caused this instrument to be
executed on the date listed below.
(FOR BUSINESS USERS'
POI
Air
Business Plait
Nam
rr
ei
p
' 4
L-1.6
gnaltlfe
DEUTSCHE BANK MUST COMPANY AMERICAS
BY
I
Print Nameanfe
914 3
Date
nit.A..nuffir
jot II ( 13
Date
(FOR ALL OTHER USERS'
AccOura Name
Name/Title
Signature
Date
WM134667
21
010198.080513
SDNY_GM_00038502
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001326
EFTA_00I49I I I
EFTA01282903
Technical Artifacts (2)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
AMERICASSWIFT/BIC
DEUTSCHERelated Documents (6)
DOJ Data Set 10OtherUnknown
EFTA02053996
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DOJ Data Set 11OtherUnknown
EFTA02662396
1p
DOJ Data Set 9OtherUnknown
From: "Jeffrey E." <[email protected]>
1p
DOJ Data Set 9OtherUnknown
From: Joi Ito
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DOJ Data Set 9OtherUnknown
From: "Jeffrey E." <[email protected]>
2p
DOJ Data Set 9OtherUnknown
From: "jeffrey E." <[email protected]>
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