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efta-01283003DOJ Data Set 10Other

EFTA01283003

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DOJ Data Set 10
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efta-01283003
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset ' & Wealth Management a cc -KiT v-kc 1-3.``) q% or- 4 DBTCA Deposit Account Opening Application Private Wealth Premium! ". Elite Personal Accounts K Checking Acct. X O Elite Checking with Interest Acct. X APY O Elite Money Market Deposit Acct. I APY O Certificate of Deposit Acct. APY Term o DB AG NY Preferred Certificate of Deposit Acct. x APY Term Promo term (DMA deposit account required, along wan a 08 AG Preferred Terms and Conditions) Private Wealth Premium! ". Internet Banking Services DB Private Wealth Online Plus [Link to Existing Online Relationship (User/Co. ID Number) Client Relationship O Individual Account K Joint Tenants with Right of Survivorship O Joint Tenants in Common K In Trust For/Payable on Death/As Trustee for K Trust D Estate Private Wealth Premium TN Elit usiness Accounts CheckultOect, N _ 0 Elite Checking with Interest Acel. N 24 PY lite M rk Acct. APY O Certificate of Deposit Acct. N APY Term D DB AG NV Preferred Certificate of Deposit Acct. APY 1 ram Promo term (DEITCA deposit account required. along with a 08 AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking MCI. X Private Wealth Premium TM Banking Services Consumer Debfl Card # O Joint Applicant Debit Card 0 O Business Debit Card N a t iel Ch lisock Style fl T4( axectiC Givsigg, 0 Name Only I Name and Address K Duplicate Statement Addr CITY Slate Zip Code K Mailing address (if different) Name Addr City State Zip Code Elite Money Market Deposit Acct. If APY Target Amount Trigger Amount D Custody under NY UTMA O Foundation O Non-Profit Organization O Attorney Trust Escrow K Landlord Master Escrow o Corporation o Limited Liability Company O Partnership K Limited Liability Partnership CONFIDENTIAL 13.AWM4101 NAOSODUKU5602-000104611 013959 032613 SDNY_GM_00038625 CONFIDENTIAL - PURSUANT TO FED. R CRIM. P. 6(e) DB-SDNY-0001449 EFTA (()149234 EFTA01283003 Acco I Title anddoint Apo). z einio ti ink so ..7-vt Name of Account title (last name first name micklle inner) or Business _ Arty fra51- ticco...:61- , Joint Applicant (last name, first mine middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number A woko.e. Address Address /0Oi,V Not malleable City/Sutefand Zip Code City. Stale and Zip Code Hon Home Telephone Number Business Telephone Number Date of Birth Name of Employer Dare a Earth Nan* of Employer Address Not ap_plicable City, State and Zip Code Notice of Customer Identification Policy Address Coy. Stamina 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 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 identity you. We may also ask to see identilying 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. Fa new and existing clients we currently have a legal obligation to ask our customers questions regarding their identities, addresses, source of funds and, it necessary, legal representatives, authorized signatories, beneficial owners or cootrol 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 verily 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 lege/ding 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 cu willful misconduct of Deusche Bank Trust Company Americas (OBTCA). you agree to indemnify and hold harmless OBTCA for any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and unauthorized Verbal Instructions. You anderstand that DBTCA may, but shall not be required to, seek venlication 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. OBTCA is under no obligation to execute your Verbal Instfructions to transfer funds or securities to any aocount(s) without written instructions bearing your original signature. Joint Account Disclosure You have opened a loint account with OBTCA 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 throng the lifetime of all owners. DBTCA may honor °necks. Olefin or withdrawal requests from 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. OBTCA may honor checks. orders or withdrawal requests Irons the survivors) after the death of any owner(sl and may treat the account as the sole property of the survivors) after the death of any owner(s). Unless OBTCA 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 Nino( Cheeks, urders or withdrawal requests from any owner. After the receipt of the notice referred to in the previous sentence, DBTCA may require the written authorizationiof any or all joint owners for any further payments or deliveries. 2 13-AIN/A4D0i 013959032613 CONFIDENTIAL SDNY_GM_00038626 CONFIDENTIAL - PURSUANT TO FED. R CRIM. P. 6(e) DB-SDNY-0001450 EFTA_00 I 49235 EFTA01283004 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 Bonking Services Agreement wito 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 yew 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 reparling duties applicable to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accountts) and your business relationshp 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(ies), partner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/het/ 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 warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subject to change. Acceptance Y understand that this a7ficel Account Hoder's Signature s subject to afcepance by DBTCA. Joint Account Holder's Signature 177143 Date Date •"qi.:7 ck get. IC el YW . PNaFir ir il gataibr iCCM6W t Art egeY e ' -GFA1044. r Ai , a l, ' Cht 414,,,, ,-......:Z. ,... ...0a.v... '14.,„%2".WiPW "g§1374,75.2;lcaniVr. :kg .h -W. - ,•,....;'.. .aV.AIm.,;''AP.40, t• Kt4-.4 4.:o -sCii-c.I. .. fl•bertc.(4.*: 1,;, - tficies:..41: te' ir.111.te4.11,4.3,frakaill . )-y tjut t... yrfzer.sesv icIr e t i .rtO f rtgt •~ h. 1- n A: . C ea:A r l"" e "T. AP MO ", r)s, ° T o A.I.,),,I, -1.: iragte riyAt. 001 , t - 44" ,,,, . ..... iv -viefe.tv Names.W SW - N.Q. Ses.e, Pc.C..V:Pintr ,IrWC .../1/2PliPM:Slicisii17k4SM Ant gl Wine. .cp Ak:t4 • 44 r. .e•C• 7...4*.a.77W4Tn3 : .2 .9...1 .Title lea A V . Ada t r,' tc*,1., VZ I 447 r 4t V Qua ift ii) ;. .. . Fen, .tii fie Mr . _._ , 4 07 .tiltet" ver: ..,k ., S.,...A.S. A :f c ireAnria**A19.1,W-4. CIrril, *f 4r 1:1:` st ' re '• r- r. , .t. • s,,, n t. - ,k.,‘,/ At te int , ”..., ,, .... : ,at bee 4. .... f Ille t t r kr - " yr 4( S.. 3 .'4 .. , V . ' AT Na 1 74 4N 1 N r? 54 te ri•ragt. - 4.:, 4--- r r4 ' A , 4.4 7;•• "-•"214211.:04...• ir• ""t•X • a At: CONFIDENTIAL 13.AWMOI01 et 3959 (On' 3 SDNY_GM_00038627 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001451 EFTA_001 49236 EFTA01283005

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