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efta-01283009DOJ Data Set 10Other

EFTA01283009

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DOJ Data Set 10
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efta-01283009
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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 Pc_ Pi-4-C. DBTCA Deposit Account Opening Application Private Wealth PremiumTM Elite Personal Accounts K Checking Acct. I Private Wealth Premium TM ;,,Business Accounts O Elite Checking with Interest O Elite Checking with Interest Acct. N Acct. APY !}PY K Elite Money Market Deposit Elite hail Acct. N Acct APY APY o Certificate of Deposit o Certificate of Deposit Acct. 0 Acct. 0 APY APY Term Term O D$ AG NY Preferred Certificate of Deposit Acct. If APY Term Promo term CDIOCA deposit account ragwort. along with a Dlt AG Prelerred Terms and Conditions) Private Wealth PremiumTM Internet Banking Services 0/08 Private Wealth Online Plus ' Li n Nine Relationship (User/ . I Number/ Client Relationship K 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 K Estate 08 AG NY Preferred Certificate of Deposit Acct. APY Term Promo term 108TCA deposit account required. along with a 08 AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking Acct. Elite Money Market Deposit Acct. a APY Target Amount Trigger Amount Private Wealth Premium TM Banking Services O Consumer Debit Card st O Joint Applicant Debit Card N O Business Debit Card It 4rIielum Checkpooic StylCo otp4 / •-1 eKb &XI feW. 0 „ Name Only f- Fre Name and Address K Duplicate Statement Addr City State Zip Code O Mailing address Ill different) Name Addr City State Zip Code El Custody under NY UTMA O Foundation O Non-Profit Organization K Attorney Trust Escrow O Landlord Master Escrow O Corporation O Limited Liability Company O Partnership O Limited Liability Partnership CONFIDENTIAL 13-AWM.0101 NAOS0000015602-ocrot 04611 013969 037513 SDNY_GM_00038631 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001455 EFTA_00 I 49240 EFTA01283009 o Account Title and Joint ApnpliAa r tion Infor Information tr-en ic Na t Account Tate la CLA-- Joint Applicant (last r Business past name, rest name, middle Sod ial &mirky Number or Taxpayer ID Number .Nolstoolleable Address City, State and Zip Coda H Home Telephone Number Business Telephone Number Business Telephone Number Date of Birth Date of Birth Name of Employer Name ot Employe Address Not applicable City. State and Zip Code Notice of Customer Identification Policy Address City, Stele and 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 identifying documents such as a certificate of formation or good standing gegal 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 tarns 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 hinds and, if necessary, legal representatives, authorized signatories, beneficial owners or control structures and to collect requisite documentation to substantiate the information. Also, enhanced artsmoney laundering requirements require that should any 01 the above personal or institutional information change, our clients would be obliged to immediately notify us of the changets) and provide us with relevant documentation to verity 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 regarding the above captioned eccoungs) (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 Indemnity and hold harmless DBTCA for any claims. losses. expenses. costs or attorneys' lees resulting from O8TCA's acting upon soch misunderstood and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. seek verification of you; 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 ony part thereof, without incurring any liability. OBTCA is under no obligation to execute your Verbal Instructions to transfer hinds or securities to any aceOtrnt(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. OBTCA 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 survivors) after the death of any owner(s) end 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 nut be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. Alter the receipt of the notioe 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-AWM.0101 013959.032613 CONFIDENTIAL SDNY_GM_00038632 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001456 EFTA _00149241 EFTA01283010 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(Ors). penner(s). etc. to enable him/her/ them to fulfill any respective tak 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 Applicaton and egree to be bound by them. In addition, you agree to notify us irmeediately of any materiel change to the information provided by you on ths 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 You understand that this appli lion is su ct to acceptance by DBTCA. th I ta.xaltheLV-- Account Holder's Signature bite idea Account Holder's Signature re. SI; fF,or. OnkFirvieniihdig: atil;tsri:+2* Ayr I T I SF' Ofeic 2 ;;.' qrcc 1C4. .,..,e' "tr&%lic 91 ' 734 ' ‘, - et., , ir$2.7 F' c it 7 I' ":5 '- , ' V ,i4.• 41" e l ----t )•— pito , vikl44€14; e , .16. }Or( ' .. . segos I“ t Vste• - ' .. .-.., ".: Name y' IY :a, 4., . rSeAc3/4O4 ., • is 4. " ' ..orti,..!as 6.. , _r5a_-..... ,sra-aserdr-, Z"36 W n.-frieSa, , n. • • ''s'''.gn, ''' sA ' V: -I' X r Cif ° % r il aMil t Z443S: ,:t - ,---,_ e .. ir C 4." , eAcc-eP ed r 5.' C"liSr...VHta ' .., 4 , 1., ti• .1 -,.. .. . ".-- Name , a\ 1., ' Mgrebtt• 0. r'r attnA t Xi af 4 ga; 'ailArlo‘ 3)21.371:0kVit•RAXIM • 4 as- Trni . •.; ;;;...7. i , 1} , a',.. N t a 0 ' V , e a,anatat •th VIr t , a t , 0,';', St. r .% Dare 3 CONFIDENTIAL 'MAW/A.0101 013559 032013 SDNY_GM_00038633 CONFIDENTIAL - PURSUANT TO FED. R CRIM. P. 6(e) DB-SDNY-0001457 EFTA_00 I 49242 EFTA01283011

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