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efta-01282987DOJ Data Set 10Other

EFTA01282987

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DOJ Data Set 10
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efta-01282987
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EFTA Disclosure
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 rk..m7a7 e,pankt, se. rhc .),:t Jet 0704 -•' . ',19.?P•orat em SDNY_Gt.4_00038603 9/ 463 Date Date trincirot iS -i Strgit 3 tpasesvie. tba„sity•xyaccS-44}w-nte4tito-0 27.... eMiS 4t1/ , -I T, Av.-4 • ; ,rte Ay efPa; A 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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