Case File
efta-01282999DOJ Data Set 10OtherEFTA01282999
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01282999
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
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
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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
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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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