Case File
efta-01282987DOJ Data Set 10OtherEFTA01282987
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282987
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
LautSChe Asset
& Wealth Management
or, t-t.c._
DBTCA Deposit Account Opening Application
Private Wealth PremiumTM
Elite Personal Accounts
O
Checking Acct. N
O
Elite Checking with Interest
Acct. I
APY
K
Elite Money Market Deposit
Acct. I
APY
O Certificate of Deposit
Acct. /
APY
Term
K
DB AG NY Preferred
Certificate of Deposit
Acct. 0
APY
Term
Promo term
(DBTCA deposit account required.
along with a DB AG Preferred Terms
and Conditions)
Private Wealth PromiumTM
Internet Banking Services
048
Private Wealth Online Plus
0 7 Li
tionship
(U
Client Relationship
K Individual Account
O Joint Tenants with Right
of Survivorship
Joint Tenants in Common
O In Trust For/Payable on
Death/As Trustee for
K Trust
O
Estate
Private Wealth Premium TM
Elite _Business Accounts
Checking Acct. N
O Elite Checking with Interest
Acct. I
PY
Orite Money Market Deposit
Acct. if
APY
O Certificate of Deposit
Acct. N
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct.I
APY
Term
Promo term
(DBTCA deposit account required.
along with e DB AG Preferred Terms
and Conditions)
O Cash Master Sweep Account
Checking Acct.
Private Wealth Premium T"
Banking Services
O Consumer Debit Card 0
O
Joint Applicant Debit Card N
O Business Debit Card I/
ErDelerh Cctettk7ok S le N
ll
OYYName Only
d Narne and
O Duplicate State
Addr
City
State
Zip Code
ID Mailing address (if different)
Name
Addr
City
Stato
Zip Code
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
O Custody under NY UTMA
O Foundation
O
Non-Profit Organization
O
Attorney Trust Escrow
Landlord Master Escrow
El Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SONY-0001425
EFTA_00I 49210
EFTA01282987
Accou
Tide and Joi i Application Information
IA, LL C
Name of
nt Title
Joint Applicant
(last
Bast name, first name, middle initial)
Sock
Addis
Address
5r
City,
City, State and Zip Code
Social Security Number or Taxpayer ID Number
Nora
Bust
Nome Telephone Number
Business Telephone Number
Date of Birth
15iTi pf both
Nemec( Employer
Address
City, State and Zip' ode
Name of Employer
Not applicable
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 identities 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 corniced) 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 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 er control
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 change(s) 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 accounts) (defined herein as "Verbal Instructions"). It is understood that the risk of Verbal
Instructions being given by person er persons purported to be yoo 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 OBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. Too understand that 138TCA may. but shall not be recluired to, seek verification of your
verbal, facsimile or email instructions by call beck. In ease of doubt, DBTCA may in its solo discretion refuse to execute
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accourn(s) 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 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 ciawithoraval requests bom
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 survivals) alter the dean, of any Owner(s) end may treat the
account as the sole property of the survivals) after the death of any owner(s). Unless DBTCA 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 autborization of any or all joint owners for any further payments
or deliveries.
2
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001426
EFTA 0014921I
EFTA01282988
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance ol 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 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 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 DBTCA. Furthermore, you confirm that the necessary information (to the best of your
knowledge and capabilities) is made available no lass than annually to the relevant beneficial owner(s). stations).
berieliciarylies), panner(s). etc. to enable him/her/ 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 IN-8 or W9 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 emulate.
*
The Terms and C.ondit
for Deposit Accounts are s
Accept nce
You ndermand that this
cunt Holder's Signature
Joint Account Holders Signature
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SDNY_Gt.4_00038603
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CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED R CRIM. P. 6(e)
DB-SDNY-0001427
EFTA_00149212
EFTA01282989
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
USlateSS Name
dirt'
Nam
It
Irk
bar
gnatrare
DEUTSCHE BANK "MUST COMPANY AMERICAS
2////3
Date
ap
Print NamarTntet
(3
Data
(FOR ALL OTHER USERSI
F
Account Name
Namentle
Signature
Data
2i
SDNY_GM_00038604
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001428
EFTA_00 I 49213
EFTA01282990
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