Case File
efta-01283006DOJ Data Set 10OtherEFTA01283006
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01283006
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
DBTCA Deposit Account Opening Application
Private Wealth PremiumiAl
Elite Personal Accounts
K
Checking Acct. a
D Elite Checking with Interest
Acct. N
APY
O Elite Money Markel Deposit
Acct. I/
APY
O
Certificate of Deposit
Acct.
APY
Term
O
De AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(O14CAdeposit account nequired•
along with. OB AG Preferred Terms
and Conditional
Private Wealth Premiumtm
Internet Banking Services
I2/ DB Private Wealth Online Plus
I:Zie Link to Existing Online Relationship
1030 11 CO
(User/Co. ID Number)
Client Relationship
ip Individual Account
ci Joint Tenants with Right
of Survivorship
0 Joint Tenants in Common
j
0 In Trust For/Payable on
Death/As Trustee tot
Trust
0
Estate
Private Wealth Premium TM
Elite Business Accounts
O
Joint Applicant Debit Card if
0
Elite Checking with Interest
Acct.
APY
Of Elite MM..
Acct. I
APY
ij Certificate of Deposit
Acct. I
APY
Term
0 DB AG NY Preferred
Certificate of Deposit
Acct. If
APY
Term
Promo term
(DBTCA deposit account required.
along with a GB AG Preferred lerms
and Conditions)
0 Cash Master Sweep Account
Checking Acct. ff
Elite Money Market Deposit
Acct. N
APY
Target Amount
Trigger Amount
Private Wealth Premium°.
Banking Services
O
Consumer Debit Card SI
O
Business Debit Card N
d Deltice Gil/Zook
StyleN
Whf/-
fif
O
Name Only
•
Name and Address
ID Duplicate Statement
Addr
City
State
Zip Code
O Mailing address (it different)
Name
Addr
City
State
Zip Code
CI Custody under NY UTMA
D Foundation
ci Non-Profit Organization
K
Attorney Trust Escrow
0
Landlord Master Escrow
0 Corporation
I j Limited Liability Company
O Partnership
O Limited Liability Partnership
CONFIDENTIAL
*AMA-0101
NAOSOD00015602-0001001611
013959132613
SDNY_GM_00038628
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001452
EFTA_00 I 49237
EFTA01283006
outa itle and
Nam* of Account
Oast n
Apgcation I
- 7
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ormation
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Joint Applicant
Bast name, first name, middle inkier)
Social
5
"p
14
urity
tier or jasper/OD Number
n it A'„, Social Security Number or Taxpayer ID Number
flrek its ,ce..1 solo
5-7c- -Ceerfete1/4Larkrittce.-
Address
jja_ji
70(Ve
City, State antl Zip Code
iy___NOt applicable
Address
City, State and Zip Code
H • TelereiOn• Numbs
Business Telephone Number
L
Home Telephone Number
(Justness Telephone Number
Date of Birth
Date of Birth
Name of Employer
Name of Employer
Address
Address
Not applicable
City. State and bp Code
City, Sate and zip Code
Notice of Customer Identification Policy
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 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, outbound 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 time to time you may grve 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 (DBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. seek verification of your
verbal, facsimile or email instructions by call back In case of doubt. DBTCA may in its sob discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is wader no oblication tb execute your
Verbal Instructions to transfer funds or securities to any account(s1 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 shell 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 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. DBTCA
may honor checks, orders or withdrawal requests from the survivorfsl after the death of any owns*, end may treat the
account as the sole property of the survivors) 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 ndt be liable to any owner
for continuing to honor checks. Orders or withdrawal requests from any owner. Alter the receipt of the notice referred to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
13.AWMOKil
013959.037613
SDNY_GM_00038629
CONFIDENTIAL
CONFIDENTIAL — PURSUANT TO FED R. CRIM. P. 6(e)
DB-SDNY-0001453
EFTA_00 I 49238
EFTA01283007
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 IntelInel 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 sod 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), senlorts).
beneficiary(fes), 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 W-8 or W4 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
Joint Account Holder's Signature
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CONFIDENTIAL
13.AWAC0101
Ol3959 032813
SDNY_GM_00038630
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001454
EFTA_00 I 49239
EFTA01283008
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13959132613Forum Discussions
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