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efta-01282999DOJ Data Set 10Other

EFTA01282999

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Unknown
Source
DOJ Data Set 10
Reference
efta-01282999
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4
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
D,eytsche Asset & Wealth Management cc_ DBTCA Deposit Account Opening Application Private Wealth PremiumTM Elite Personal Accounts O Checking Acct. I Private Wealth Premium TtA Eli Business Accounts Checking Acct. N Private Wealth PremiumiM Banking Services O Consumer Debit Card N ci Elite Checking with Interest ID Elite Checking with Interest O Joint Applicant Debit Card I Acct. SI Acct. 0 APY K Business Debit Card N O Dila Money Market Deposit Elite Money Market Deposit Acct. N Acct. i:Mime Checkbook Sniff I 1/4 6i.nat'arati. APY APY O Certificate of Deposit O Certificate of Deposit 0 Name only •3-3?c-tyS( Acct. Acct. N (Name and Address Ir. ' Cat csk APY APY Co coit. Gz.ce-q Term Term O Duplicate Statement Thie.crimcf4r O DB AG NY Preferred O DB AG NY Preferred Addr Certificate of Deposit Certificate of Deposit City Acct. I Acct .N State Zip Code APY APY D Mailing address (if different) Term Term Name Promo term Promo term Addr (DBTCA deposit account required. ID8TCA deposit account required. along wens DB AG Preferred Terms along with a 08 AG Preferred Terms City Zip Code and Conditional and Conditional State Private Wealth PremiumtM ID Cash Master Sweep Account Internet Banking Services Checking Acct. N DB Private Wealth Online Plus nk to Existing Online Relationship Elite Money Market Deposit Acct. N O.3O,< APY (User/Co. ID-Number) Target Amount Trigger Amount Client Relationship D 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 O Custody under NY UTMA O Foundation O Non-Profit Organization O Attorney Trust Escrow O Landlord Master Escrow O Corporation ID Limited Liability Company D Partnership O Limited Liability Partnership CONFIDENTIAL 13 AWM.Oloi NAOSOD000156024:100104611 013959.032613 SDNY_GM_00038621 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SONY-0001445 EFTA_00 149230 EFTA01282999 111- Nitriteof CCO4JIM tree- Joint Applicant (lest ea Oast name, first name, middle initial) Accou and Joint Application Information it Socit Security Num er o: Taxpayer ID Number Social Security Number or Taxpayer ID Number /40 Leo (/wk 0`)"44... Address u5 0 noncs City. State and Zip Home Telephone Business Telephone Number Date of Binh Address Name of Employer Address Not applicable City, State and Zip Code Nome Telephone Number Busmen Telephone Number Date of Binh Name of Employer Address City, State and Zip Code City. State end Zip Code Notice of Customer Identification Policy Important Information To help the government fight the funding of terrorism end money laundering activities. Federal law requires all financial institutions to obtain, verily, 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 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 or 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 lime to time you may give instructions by telephone, facsimile or email regarding the above captioned account(s) (defined herein as "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 (l3BTCA), 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 Instrticsions You unoerstand that DBTCA may, but shall not be required to. seek verification of your verbal, facsimile or email insunctions 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. DBTCA is under no obligation to execute your Verbal Instructions to transfer funds or securities to any eccount(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. DMA may honor checks. Orders or withdrawal requests from any owner during the lifetime of all owners. The Bank may by 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 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 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 authorization of any or all joint owners for airy further payments or deliveries. 2 13.AWM-0101 013959.032613 SDNY_GM_00038622 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001446 EFTA_00 I 4923 I EFTA01283000 rit k ic S =v-r t mint !- lito,' Tri ;e tWr4 1E#. I'''. its- 1-sags .r• Die >rza £r ' Ft — et,1 ta. ;LPa V ekt ATM/Debit Service You agree that the retention or use of the ATM/Debit 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 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 less than annually to the relevant beneficial owner(s), settlor(s), beneficiary(iesh partner(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 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 us immediately of any material change to the information provided by you on this Application. You represent and weasel that all of the information provioed-by you on this Application is accurate. The Terms and Conditions for Deposit Acco are subject to change. Accepts ce You u tunnel that this A urn Holder's Signature Joint ACCOunt Holder's Signature Del. Date 772,TCP.77-arl an 1/4 P ,4 kit Bin O 7 Iiit g a ir re,ed•by: a.*, 4:4a,44 . 4 =I.'. • W ac. lenttiin; •`'; 14.404e1;PFPIrr, .**4,flti,tuir etipdy,:r4.14g+ Sit.14.t4N:3titig ql.to,'n.*%..r.V.04.1tg.C7W-N.WzbR.t5W.4".44:40V dry ..t Ati.-424. .43± pt 47%8,4, ri•o• lade, • %.t.i.t.2%;tA. SYN121. • Ati Sufi A ' ‘!:•1 42f)74, V: g? IACCQPIOFE, ,...0 0 ,41:§IttAI pkrnej .T0 49:t r:\ xewn. Att. %%It 4.-zpix ets: 3,,ta kto 14:4 - 74:s. `k• " x. ,r1 s 14,0A- EMMULHASSIS ; is:Attaig, tatii kNOC ♦• WtrrkVrtS4104 j4 • • Wgiira -V. .W04, 2fft. • VA YAW 3 CONFIDENTIAL .veff *Pcz ""0". 13≤ti,..tre iF Grar ei g i2V4talv 51:$ f MOW 7 * W elt ry ar 11.AWIA0101 013959.032613 SDNY_GM_00038623 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001447 EFTA_00 I 49232 EFTA01283001 DEUTSCHE BANK TRUST COMPANY AMERICAS 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 USERS] 6-e GL c,„ By reig AAA et Prom Nameffille Hal@ Date I I (FOR ALL OTHER USERS] st,),Ario Account Name NameThtle Siertature Date wm134667 21 ounatteete13 CONFIDENTIAL SDNY_GM_00038624 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001448 EFTA_00 149233 EFTA01283002

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