Case File
efta-01282979DOJ Data Set 10OtherEFTA01282979
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282979
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
NYtO
DBTCA Deposit Account Opening Application
Private Wealth PremiumTM
Elite Personal Accounts
K
Checking Acct. I
Private
Elite
0
K
0
Wealth Premium ' m
Business Accounts
Checking Acct.
Private
Banking
K
0
K
K
Wealth Premium DA
Services
Consumer Debit Card I
K
Elite Checking with Interest
Acct. I/
Elite Checking with Interest
Acct.H
Joint Applicant Debit Card
APY
K
Elite Money Market Deposit
Acct.
APY
Business Debit Card I
Elite Money Market Deposit
Acct
Deluxe Checkbook Style I
APY
APY
K
Certificate of Deposit
K Certificate of Deposit
K
Name Only
Acct. N
Acct. If
K
Name and Address
APY
APY
Term
Term
K
Duplicate Statement
Addr
K
DB AG NY Preferred
K
DB AG NY Preferred
City
Certificate of Deposit
Certificate of Deposit
Acct. 4
Acct. if
State
Zip Code
APY
APY
K
Mailing address (if different)
Term
Term
Name
Promo term
Promo term
Addr
(DBTCA deposit account required,
along With a UB AG Preferred Terms
IDEITCA deposit account required.
along with a DB AG Preferred Terms
City
State
Zip Code
and Conditional
end Conditions)
Pri-vatg,Wealth PremiumiM
K
Cash Master Sweep Account
Inten(et Banking Services
d OB Private Wealth Online Plus
Checking Acct. if
Elite Money Market Deposit
K
Link to Existing Online Relationship
Acct. N
APY
(User/Co. ID Number)
Target Amount
Trigger Amount
Client Relationship
K Individual Account
K
Custody under NY UTMA
K Corporation
K Joint Tenants with Right
of Survivorship
K
Foundation
K Limited Liability Company
K
Joint Tenants in Common
K
Non-Profit Organization
K Partnership
K In Trust For/Payable on
Attorney Trust Escrow
K Limited Liability Partnership
Death/As Trustee tor
❑Q Trust
K
Landlord Master Escrow
K
Estate
CONFIDENTIAL
SDNY_GIY1_00038593
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001417
EFTA_00 149202
EFTA01282979
Account Title and Joint Application Information
The Haze Trust
Name of Account Tale
Joint Applicant
(last name, first name, middle mewl) or Business
bast name, fait name. middle initial)
Social Security Number or Taxpayer ID Number
Social Security Number or Taxpayer ID Number
Address
_Skill
City, State end Zip Code
U.S. Virgin !sill 00802
Address
City. State and Tip Code
Home Telephone Number
1
phone Number
C 0 Birth
Home Telephone Number
Business Telephone Number
Data of Birth
Nome of Employer
Name of Employer
Address
Address
Not applicable
City, Slate and Zip Code
City. State and Zip Code
Notice of Customer Identification Policy
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 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 light against money laundering
and 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 anti.monoy 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 changefs) 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 heroin es '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 for
any Claims. losses, expenses, costs or attorneys' fees resulting from DUCA% acting upon such misunderstood and
unauthorized Verbal Instructions. Yeu uodnrstand that DBTCA may. but shall not be required to, seek verification of your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. D8TCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accounts) without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This deposit and any
additions to the account snail become the property of each owner as joint Inman's. and OflfCA may release the entire
account to ahy owner during the lifetime of all owners. DBTCA may honor cheeks, orders or withdrawal requests from
any owner during the lifetime of all owners The Bank may be requited 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 chocks, orders or withdrawal requests from the survivor(s) 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 owners) Unless OBTCA receives written notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual. DUCA 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 relerted to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
SDNY_Gkl_00038594
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. GRIM. P. 6(e)
DB-SDNY-0001418
EFTA_00 I 49203
EFTA01282980
1/0)
ATM/Debit Service
You agree that the retention or use of the ATMIDebit 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 inn 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 conbrrn 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(S1 and
your business relationship with DBTCA. Furthermore. you confirm that the necessary information Ito the best of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), senloqs),
benefiCiary(ies). panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for lam/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 for Deposit Accounts attached to this
Application and agree to be bound by them. In addition, you agree to notify u immediately of any material change to
the information provided by you on this Application.
You represent and warren • het allot the inlor
Ito provided by you on this Application is accurate.
The Terms and Conditions f r DgposA.AecCesubje to change.
Acceptance
You understand that this ap ['cation is subject to aceePt3nce by OBTCA.
'A;CCPSIOtAgidraLiSitiOT.Iir€
Joint Account Holder's Signature
Cain
kW:AP
her
)ty.
• Tree
te
ala
)1.
a
3
CONFIDENTIAL
144
SDNY_GM_00038595
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001419
EFTA_00 I 49204
EFTA01282981
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
The Haze Trust
li
name/
JeffryEpstein
Name/Tale
E BANK TRUST COMPANY AMERICAS
005
pieta.
Prim Name/ftl
Date
tv‘rt i,c6ok
t rtes."
IFOR AU. OTHER USERSI
Account Name
Name/Rue
Signature
Date
WM134567
21
010196050613
SDNY_GM_00038596
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001420
EFTA_00 I 49205
EFTA01282982
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Phone
6050613SWIFT/BIC
AMERICASForum Discussions
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