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efta-01282920DOJ Data Set 10Other

EFTA01282920

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DOJ Data Set 10
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efta-01282920
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
D.ewtsche Asset & Wealth Management L Lc DBTCA Deposit Account Opening Application Peyote Wealth PremiumTM Elite Personal Accounts O Checking Acct. N O Elite Checking with Interest Acct. /I APY K Elite Money Market Deposit Ada. N APT O Certificate of Deposit Acct. APY Term O DB AG NY Preferred Certificate of Deposit Acct. APY Term Promo term (OBTCA deposit account required, alone with a DB AG Preferred Terms and Conditions) Private Wealth Premium TM Internet Banking Services e DB Private Wealth Online Plus 04 -ink to Existing Online Relationship Client Relationship O Individual Account O Joint Tenants with Right of Survivorship Private Wealth Premium Tra Eli Business Accounts Checking Acct. N O Elite Checking with Interest Acct. SI Bi PY Ellite Money Market Deposit Acct. I APY K Certificate of Deposit Acct. N APT Term K DB AG NY Preferred Certificate of Deposit Acct. ft APY Term Promo term IDBICA deposit account required, alone with a DB AG Prettified Terms and Conditional O Cash Master Sweep Account Checking Acct. Si O Joint Tenants in Common K In Trust For/Payable on Death/As Trustee for O Trust O Estate Private Wealth Premium TPA Banking Services O Consumer Debit Card O Joint Applicant Debit Card O Business Debit Card II dejeluse Checkbook Surle / 61/iat/Cced, Cao cle,1 /4 O Name Only perlci3 -S -3?orto re iName and Address tr ' ?k esidt Co colt-. CI ten/ K Duplicate Statement -pig got mcmr Addr City State Zip Code O Mailing address (if different) Name Addr City State Zip Code Elite Money Market Deposit Acct. If APY Target Amount Trigger Amount o Custody under NV UTMA O Foundation K Non-Profit Organization O Attorney Trust Escrow O Landlord Master Escrow WV? S 3- S.- lig q 77O O Corporation O Limited Liability Company O Partnership O Limited Liability Partnership CONFIDENTIAL 13.AWM.0101 NAOS0000015602-000104611 013959 092613 SDNY_GM_00038519 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001343 EFTA_00 I 49 I 28 EFTA01282920 Accou . arg Joint Application Information Z .6. Name 01 cant Trite (last na ' Social Security er ortaxpayer um r 6/ 40 tea h itg e- a1/4.,Ankr, $3 Address t)54 ocg-ot, ___5 1 71t-oncs/ Notapplicame City. State and Zip Joint Applicant (last name, first name. middle initial) Social Security Number or Taxpayer ID Number Address pate of Birth Name of Employes City, State and Zip Code Nome Telephone Number Business Telephone Number Date of Binh Name of Employer Address Address Not applicable City, State and Zip Code City. State and Zip Code Notice of Customer Identification Policy 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: these miles call for an active involvement of both asset management firms and their clients. Pot new and existing clients we currently have a legal obligation to ask our customers questions :Beading their identities. addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owners en control structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements tequire that should any of the above personal or institutional information change, our clients would be obliged to immediately notify us of the changels) 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 or persons purported to be you is your own. Absent the gross negligence or willful misconduct of Deusche Bank Trust Company Americas (OBTCA), you agree to indemnity and hold harmless D8TCA for any claims, losses, expenses, costs or attorneys fees resulting from DBTCA's acting upon such misunderstood and unauthorized Verbal Instnictions. You uneerstand that OBTCA may, but shall not be requited to. seek vetificalion of your verbal. facsimile or email instmcnons by call back. In case of doubt, OBTCA 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 anyeccount(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a joint acccum 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 withdrawal requests from any owner during the lifetime of all owners The Bank may bp 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 or withdrawal requests from the survivals) after the death 01 any owners) and may treat the account as the sole property of the survivals) after the death of any owner(s). Unless OBTCA 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 CONFIDENTIAL 11AWM.0101 013959.032613 SDNY_GM_00038520 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001344 EFTA_00149129 EFTA01282921 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 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 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 OBTCA. Furthermore. you confirm that the necessary information Bo the best of your knowledge and capabilities) is made available no loss than annually to the relevant beneficial owneits), settlor(s). beneficiarY(ieS). Panne:is). etc. to enable him/herf them to fulfill any respective tax obligations that may arise for him/her/ 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 tor 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 information provided by you on this Application. You represent and warmpt that all of the information provieed-by you on this Application is accurate. The Terms and Conditions for Deposit Acco are subject to change. Accepts ce You u instead that this A Qum/Wide a Signature Joint Account Holder's Signature Wan Rtt Plitylet"ed• - -tragallra 1 ft" .MVP.••• r...it, itttnT /gtiFf" tzri -.,.. a • sr anlaarain ,.. it .. At: AI,: voli 1/4.,.. MiliP s.; ., ,•,/..p.. .L494,.7 tim. .. )er,a,;gittigtAz „.-- frast it t.YFAK.:11,14.1 2., 4...shans.wa „,„ waltaii gger ' I'Vw,":4? -4 N r • CA:‘ ' " , .i Sit Orf... yafaili vibs Ai bge Date ,,:-rgo.mwygli*tyreA. ...goimardoswey:f. WV"? 14101,4agiarlrieza'y •is, • 4 • :Ala. .11 4 1. tilit toPei. • tntri-Ast.A•s-..astiss2j.„25. 9s, ', ...,741,s7.4kv,-Pw*?;•tn• • t:: nv Y ti 3 CONFIDENTIAL i3.AWM-0101 013%9.037513 SDNY_GM_00038521 CONFIDENTIAL - PURSUANT TO FED R CRIM. P. 6(e) DB-SDNY-0001345 EFFA_00149130 EFTA01282922 IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this instrument to be executed on the date listed below. IFOR BUSINESS USERS' DEUTS HE BANK TRUST COMPANY AMERICAS it/ BY 'VILA nA,r1 ek_ Wulf Narnange toi t3 Dote' (FOR ALL OTHER USERS] Account Name Narnanitle Signature Date Wr413467 21 010198 060613 SDNY_GM_00038522 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001346 EFTA_00I49I31 EFTA01282923

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