Case File
efta-01283003DOJ Data Set 10OtherEFTA01283003
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01283003
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
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
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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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Phone
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