Case File
efta-01282904DOJ Data Set 10OtherEFTA01282904
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282904
Pages
4
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"M
Elite Personal Accounts
O Checking Acct. N
O Elite Checking with Interest
Acct.
APY
O
Elite Money Market Deposit
Acct. I
APY
O Certificate of Deposit
Acct. I
APY
Term
DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(DBTCA deposit account required.
along with a DR AG Preferred Terms
and Conditions)
Privets Wealth Premlutnim
Intryiet Banking Services
DB.Private Wealth Online Plus
Link to Existing Online Relationship
03 0 X.50
(USer/Co. it, hurnber)
Piave
Wealth Premiunilm
Elit Business Accounts
Privy
"
o Elite Checking with Interest
Acct.*
B l Ete Mo
Acct. I
APY
0
Certificate of Deposit
Acct. I
APY
Tarn
ci DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
4DBICA deposit account reputed,
along with a DB AG Preferred Terme
and Conditions)
O
Cash Master Sweep Account
Checking Acct.
Client Relationship
O Individual Account
O Joint Tenants with RWht
of Survivorship
O
JoInt Tenants In Common
O In Trust For/Payable on
Death/As Trustee for
o
Trust
O Estate
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
Private Wealth Premium"
Banking Services
O Consumer Debit Card N
O
Joint Applicant Debit Card 4
O
Business Debit Card a
DeluseChockbeolt Style N
0
Name Onb DM 03 - 3 -3 Piar-i‘)
0 , Name end Address
- n ."'P5'ff-1 rt
Csualt.'. BLDG
O Duplicate Statement
Heeziwyecox
Addr
City
State
Zip Code
O Mailing address Of different)
Name
Adds
City
State
Zip Code
Custody under NY UTMA
Foundation
Non-Profit Organization
Attorney Trust Escrow
Landlord Master Escrow
O Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
CONFIDENTIAL
13.AWM-0101
NAOSOD00015602-000104611
013155 612113
SDNY_GM_00038503
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001327
EFTA_00I49I12
EFTA01282904
ACC:I/trio and Join?libalicli2:trmation
Name of
ttle
Acci tieprubs1 • _Le
list? name. lint
Joint Applicant
(last name, first name. fuddle initial)
Social
rill,
o.T
IDstrint
25;
Social Security Humber or Taxpayer ID Number
4 (CO
erleflet% {1.5
asual
d fcat
abla
Mein
Achkopr.
§titiir7d ty Cods
f •—•
• bly. State and Zip Code
(int
galz...a.s.?-
Heine Hipbone Number
Home Telephone Number
• ,..39
2C.ftS1'K of
v)
Business • marrhomealumber
'
Business Telephone Number
bete of Birth
Nemo of Employer
Address
-
•
Etna ;Mtn
Name of Employer
Not aulicabla
CitY. State andOpUde
ZTI
i a "I 07 cd
. " """
Address
Notice of Customer Identification Policy
Important Information
To help the government fight the funding of terrorism end money laundering activities, Federal law requires all financial
institutions to obtain, verity, and record information that identifies each person who establishes en account, investment or
other business relationship with a financial institution. This means that wo will ask for your name, address, and other
information that will allow us to identity 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
end 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 antimnoney 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 change(s) and provide us with relevant documentation io 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 Deusche Bank Trust Company Americas (DBTCA). you agree to Indemnify and hold harmless DBTCA fo
any claims, losses, expenses, coats or attorneys fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not bo required to, seek verification of your
verbal, facs•mile or email instructions by call beck. 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 to execute your
Verbal Instructions to transfer funds or securities to any account(el without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened e joint account with DBTCA and acknowledge receipt of the following information: This deposit and any
additions to the account shall become the property of earn 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 he nil:Wired by Wvloe 01 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 survIvorfs) after the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any owoer(s). Unless DBTCA roceivea minim ootice
signed by any owner not to pay or deliver any joint deposIt of addition or eCaual, DBTCA shall not be liable to any owner
for Continuing to honor checks, metros or withdrawal requests from any owner After the receipt of the notina ref end to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
ilAvxmouli
013969032e13
SDNY_GM_00038504
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED_ R CRIM. P. 6(e)
DB-SDNY-0001328
EFTA_00149113
EFTA01282905
ATM/Debit Service
You agree that the retention or use of the ATIWDebit card constitutes acceptance of the terms and cond,nons of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
It you have selected to receive Internet Banking Services, you understand that you will be requited to onto: 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 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, ineome or transactions In your accounts)
and yow business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibikty to fulfill any tax obligations and any other regulatory reporting dunes 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 end capabilities( is made available no loss than annually to the relevant beneficial owner(s). sertbr(s),
beneficiary(es), partner's). etc to enable himthed them to fulfill any respective tax obligations that may arise for hirrilheti
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 info/motion 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 und0 fiend that this ago
Account Holder's Signature
subject to acceptance
OSTCA
• / /3
•
tal
Jon Account Holder's Signature
Date
tsAWM4101
‘i.otc1474Nzt4;9::%.
CONFIDENTIAL
013959.032613
SDNY_GPA_00038505
CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e)
DB-SDNY-0001329
EF1'A_00149114
EFTA01282906
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 USERSI
Alf/ _PC:
Narita/tile
Signajim
DEUTFHE BANK MUST COMPANY AMERICAS
BY
;.\
iienft.nr,./c.kriCt
.e1
191/41
Pun: elornekNo
Date
(FOR ALL OTHER USERSI
Amount Name
Namarrie
Signature
Date
WM134667
21
010198MS:613
SDNY_GM_00038506
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001330
EFTA_00I49I15
EFTA01282907
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