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efta-01282936DOJ Data Set 10Other

EFTA01282936

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DOJ Data Set 10
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efta-01282936
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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 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 r687....tr.T.:1...-....^1- : a .., flir. _ _ ;.,._7• c... , 01 ... i -syngswitt; ir riSO:4 rt'cr EPP Gate 4 .40eXe creenter ey•Parql.teattjaNtekt'ACYlahttleatti. 44, y:ti- ititVIr eek t'!"ass arnel 'i .rdzi'Lr•-sur%tg'"kr^v44-1 9t iltritatrifeaq: , .):,31*Ei*F4ICAtiztit% .; 1‘h r e / "..V . a41.127tIltk • lor KAY . ititiMk" .,41Cti*Ve-Pigg 4l,tr. icy t%;"41€4,- 'i-4141 '--1 3),3eaa... tlemellii A le'.7 4;54:t3MIOSIST s. &Gni - / 1' bliteS= al in t 4 <4; k* !jilt 3 CONFIDENTIAL e %".• let; sr 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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