Case File
efta-01282936DOJ Data Set 10OtherEFTA01282936
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282936
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'"'
Elite Personal Accounts
O
Checking Acct.lf
K
Elite Checking with Interest
Acct.
APY
O
Elite Money Market Deposit
Acct. IS
APY
K
Certificate of Deposit
Acct. fl
APY
Term
O
OB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
fORTCA deposit account required.
along with a DB AG Profaned Terms
and Conditions)
Private Wealth Premiums"
Internet Banking Services
2
, ,,PB
Prelate
Wealth
Online
Plus
Link to Existing Online Relationship
Private Wealth Premiumim
Eli Business Accounts
O
rte heckmg with Interest
ct. I
PY
ID Certificate of Deposit
Acct. I
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct. 11
APY
Term
Promo term
(OBTCA deposit account required.
@long with a DB AG Preferred Terms
and Conditions)
O Cash Master Sweep Account
Checking Acct.
Client Relationship
i3 Individual Account
O Joint Tenants with Right
of Survivorship
O
Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
O Trust
O Estate
Private Wealth Nemiurr. .m
Banking Services
0 Consumer Debit Cant I
0
Joint Applicant Deb : Card
O Business Debit Card 1
Cr ieName and Addr E 35
0
Duplicate Statement
Addr
City
State
Zip C :de _
O Mailing address (if &Went)
Name
Addr
City
Stale
Zip CI Je
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
ci Custody under NY UTMA
O Foundation
O Non-Profit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
3 Corporation
O limited Liability Comp: is/
O Partnership
O Limited Liability Partriejz:hip
13. l'Nh4-0101
NAOSOD00015602-00 '104411
eisi is caul)
CONFIDENTIAL_
SDNY_GM_00038541
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001365
EFTA_00 I 49150
EFTA01282936
Account Title and Joint Application Information
MQL1
Name of Account Title
Joint Applicant
Pest
sines:
Pau name. tint flame. middle initial)
Social Se5urity Number or Taxpayer ID menber
te> Kep
IAA4A
Social Security Number or Taxpayer ID Number
eddies!
ootoN---
Address
STJ
olaonikabk
City, State and Zi Code
State and Zip Code
Buci
Business Telephone Number
Dale of then
Name of Employer
Date of fitirr
Name of Employer
Address
Dry, Stem and Zip Code
Not applicable
Notice of Customer Identification Policy
Address
ny. State and Zip Code
Important Information
To help the government fight the funding of terrorism and money laundering activities, Federal law requites all financial
institutions to obtain. verify, and record information that identifies each person who establishes an account. imestment or
other business relationship with a financial institution. This means that we will ask for your name. address, and >ther
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 8 passport or other photo identification (individuals).
3rd Ell Notice
Governmental rules have also broadened the scope of the Bank's obligations to aid in the light against money I! undering
and terrorist financing; these rules call for an active involvement of both asset management firms and their elle • is. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their id( .'titles,
addresses. source of funds and, if necessary. legal representatives, authorized signatories, beneficial owners ei :tonne'
structures and to collect requisite documentation to substantiate the information. Also. enhanced anti-money fi ordering
requirements require that should any of the above personal or institutional information change. Our clients wou be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these of :ingot
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or email r, iaarding
the above captioned account(s) (defined herein as "Verbal Instructions-I. It is understood that the risk of Verbal
Instructions beinjj given by person or persons purported fe be you is your own. Absent the gross negligence or illlul
misconduct of Deusche Bank Trust Company Americas (OBTCA). you agree to indemnify and hold harmless DB 'CA for
any claims, losses. expenses, costs or anorneys lees resulting from DBTCA's acting upon such misunderstood t nd
unauthorized Verbal Instructions You understand that OBTCA may. but shall not be required to. seek verification of your
verbal, facsimile or email instructions by call back. In case of doubt, OBTCA may in its sole discretion refuse toe :trinity
your Verbal ihStruttlOnS or any part thereof, without incurring any liability. DBTCA is under no obligation to exec .ite your
Verbal Instructions to transfer f unds or securities to any account(s) without written instructions bearing your orX nal
signature.
Joint Account Disclosure
You have opened a joint account with DUCA and acknowledge receipt of the following information: This deposl: and any
additions to the account shall become the property of each owner as joint tenants. and DBTCA may release the r tire
account to any owner during the lifetime Of ell owners. DBTCA troy honor checks. orders or withdrawal request: from
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds field in
the joint account to satisfy a judgment entered against, or other valid debt incurred by. any owner of the account. OBTCA
may honor °necks, eiders nr withdrawal requests from the survivdr(s) a her the death of any owner(s) and may tr, tat the
account as the sole property of the survivors) after the death of any owner(s). Unless DBTCA receives written no qe
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to an. owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice nett Ted to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners lot any further p.iymenie
or deliveries.
2
CONFIDENTIAL__
134 .Nic-0ldi
).032t3l3
SDNY_GM_00038542
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001366
EFTA_00149151
EFTA01282937
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and concitioi ; 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 i Ito a
separate Intetoet Banking Services Agreement with DBTCA before you Cao access the Internet 8aoking Sec%
Acknowledgement of Receipt of Privacy Notice
By signing beldw, 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 responsibihry to fulfill any lax 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 a icountls)
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 ace...mils) and
your busineSS relationship with DBTCA. Furthermore, you confirm that the necessary information Ito the best af your
knowledge and capabilities) is made available no lass than annually to the relevant beneficial owneds). seta°. is),
beneficlary(ies), penner(s). etc. to enable himMed them to fulfill any respective tax obligations that may arise IN hint/het/
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 thi
Application and agree to be bound by them. In addition, you agree to notity us immediately of any material ch. nge to
the information provided by you on this Application.
You represent and warrant that all of the information provided by you on.thls Application is accurate.
The Terms and Conditions
Deposit Accounts are
to change.
Acceptance
You urtderstend that this app'
nt Holder's Signature
Joint Account older's Signature
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CONFIDENTIAL
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IWNI-0101
011
032(13
SDNY_GM_00038543
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001367
EFTA 0014915?
EFTA01282938
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