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efta-01282924DOJ Data Set 10Other

EFTA01282924

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DOJ Data Set 10
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efta-01282924
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset ' & Wealth Management Ric MC, DBTCA Deposit Account Opening Application Private Wealth Premium!'" Elite Personal Accounts O Checking Acct. O Elite Checking with Interest Acct. APY O Elite Money Market Deposit Acct. /I APY O Certificate of Deposit Acct. I APY Term O D8 AG NY Preferred Certificate of Deposit Acct. is APY Term Promo term (DBTCA deposit account required, along with a 08 AG Preferred Terms and Conditions) Private Wealth PremiumTIA Internet Banking Services DB Private Wealth Online Plus IfLink to Existing Online Relationship (User/ Co. ID Number) Client Relationship O Individual Account D Joint Tenants with Right of Survivorship O Joint Tenants in Common 0 In Trust For/Payable on Death/As Trustee for O Trust D Estate Private Wealth PromiumTM EliteAusiness Accounts 0 Elite Checking with Interest Acct. N ,PY 5 Elite " Acct APY O Certificate of Deposit Acct. N APY Term K DB AG NV Preferred Certificate of Deposit Acct. I APY Term Promo term (DBTCA deposit account required. along with a DB AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking Acct. X Private Wealth Premium TM Banking Services 0 Consumer Debit Card X O Joint Applicant Debit Card N ID Business Debit Card N (g4el Ch book Style N 6 10,12,4k, 0 Name Only dName and Address O Duplicate Statement Addr City Stele Zip Code K Mailing address (it different) Name Addr City State Zip Code Ellie Money Market Deposit Acct. APY Target Amount Trigger Amount D Custody under NY UTMA o Foundation O Non-Profit Organisation O Attorney Trust Escrow Landlord Master Escrow K Corporation o Limited Liability Company O Partnership D Limited Liability Partnership CONFIDENTIAL 'S.:mm(3)43) NAOSOD00015602400104611 013959 032613 SDNY_GM_00038523 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001347 EFTA _00149132 EFTA01282924 Acco I Title andr.loint Apps tZlnlo _ fr trry 11-051- 4 C( Ch.f (nit 10 -w Name of Account Title Joint Applicant (last Business (last name, first name, middle initial) ay State and Zip Code Address Not apelleable H Business Telephone Number lel Security Number or Taxpayer ID Number Address City. Stale and Zip Code eme Telephone Number Business Telephone Number Date of Birth Name of Employer Dare a Earth Name of Employer Address Not ap_pticable Crty, State and Zip Code Notice of Customer Identification Policy Address City. State and Zip Code 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 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 light against money laundering and terrorist financing: these rules call for an active involvement of both asset management firms and their clients. lot new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and, it necessary, legal representatives, authorized signatories, beneficial owners or cootrol 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 charnels) 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 account(s) (defined herein as "Verbal Instructions"). 11 is understood that the risk of Verbal Instructions being given by person or perscne purported to be you is your own. Absent the -gross negligence cu willful misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless OBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from MCA's acting upon such misunderstood and unauthorized Verbal Instructions. You andotstand that DBTCA may, but shall not be required to, seek venfication of your verbal, facsimile or email insbuctions by call back. In case of doubt, DBTCA may in its sole discretion refuse to execute your Verbal Instructions or any pan thereof, without incurring any liability. OBTCA is under no obligation to execute your Verbal Insfructions to transfer funds or securities to any aocount(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a loins 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 throng the lifetime of all owners. DBTCA may honor onecks, OfilfilS 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 entered against, or other valid debt incurred by, any owner of the account. DBTCA may honor checks. orders or withdrawal requests from the survivors) after the death of any owner(sl and may treat the account as the sole property of the survivors) 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 Minor cheeks. urders or withdrawal requests from any owner. After the receipt of the notice referred to in the previous sentence, DBTCA may require the written authorizationaf any or all joint owners for any further payments or deliveries. 2 13-AWM0101 013959032613 CONFIDENTIAL SDNY_GM_00038524 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001348 EFTA_00149133 EFTA01282925 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 Bonkiree Services Agreement wito 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, income or transactions in yew 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 repro-ling duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountts) and your business relationshp 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), settlor(s), beneficiary(ies). Pennons), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/hetr 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 information 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 Y understand that this al l a75 Account Heeler's Stonatuto s subject to afceptance by DBTCA. Joint Account Holder's Spanature 177143 Date Date p a7 9731W-TAIN15.15Mflcscial,WP.0 -c.. i sr. ne . 71, ifrt kir Ban rtl ty Reviewedr s On iocr e triahlip <54';`•7 • ,• V4,0.4 ',a ,- .taa.v0-. .- .W.4444 a •eclls -• ile. IN rhei441 klen tri'ajn/atr WW 42O7acritY",ienittaWqS,WS , RI •k%'reilLirea. i;',/xies..frfeele; ll-l rr c..totsvc.: il 1:99tcanro se T,o‘ciit•-.11liefravB4,Will trevir• :ofig.px l-, sip illbrlw•rtcnit ?er. is .,17.p..,W. it. e nP. ta$ 1 iii it. w W•Ct V 0810 '''' ' 15, atl'i 4g li" 4 44 .••• lireletre '1).4- Ifx• tat my.r. -41.-z., I faY• - , t". eargic ..... , Ar.tet lame +z SW - 4..A. • Sr iltrtIrAlr Aft* ...fi'llIrX;SMAIMI"JM. 45W .g.41 Vr:41.t.: Ar 4tet>ir• Air f t -ec• 74..40--e4I-X‘AFW‘P : , avetat o Avglea ...,v-iw,,,,, t,„ 0:mt. - 0 , • v int- - .., .. svi in : . Feu, Aagi fie ,....t c ^,cit.c0b. fr' --- *.7 A .....ft ., ?..3...a... A g ‘- ntitifiK trargant r:E 4, 41 44 st - re ••• r r . .t... ,• se* • n ! t" 4:v..4y. Ae te in , : .....“%c .44, er, ,at bee 1.4.4, ... FCtili^ 11 ,14 fr tr - ,ti f t'#> 4N F 51" -a 71$ 41 ernr.y .l r t .4.' '` A # 63 ' IrS;•_24111 .- ' Ate CONFIDENTIAL 13.AW M -0 I 0 I 013959 03 ZS' 3 SDNY_GM_00038525 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001349 EFTA_00149134 EFTA01282926

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