Case File
efta-01283018DOJ Data Set 10OtherEFTA01283018
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01283018
Pages
3
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
0autsche Asset
& Wealth Management
7- O aZ CC)
DBTCA Deposit Account Opening Application
Private Wealth Premiumlm
Elite Personal Accounts
O
Checking Acct .I
o
Elite Checking with Interest
Acct. I
APY
O
Elite Money Market Deposit
Acct.
APY
O
Certificate of Deposit
Acct.
APT
Term
K
D8 AG NY Preferred
Certificate of Deposit
Acct. 4
APY
Term
Promo term
(DBTCA deposit account recruited.
along with a 0B AG Preferred Terms
end Conditions)
Private Wealth PromiumTM
Internet Banking Services
O
D8 Private Wealth Online Plus
OteLink to Existing Online Relationship
/0.50,3 SO
(User/Co. ID Number)
Client Relationship
K Individual Account
O Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
O In Trust For/Peyable on
Death/As Trustee for
O Trust
CI Estate
Private Wealth PremiumDA
Eli
Business Accounts
Checking Acct. N
412953 45`6
O
Elite Checking with Interest
Acct.
O1/PY
Elite Money Market Deposit
Acct. Of VV./2 4:7q ci
APY
ij Certificate of Deposit
Acct. 4
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
(DBTCA deposit account required.
along with a GB AG Pretend Terms
and Conditional
O
Cash Master Sweep Account
Checking Acct. N
Private Wealth Premiums'
Banking Services
ID Consumer Debit Care
O
Joint Applicant Debit :ard
O
Business Debit Card
Deluxb_Cieheity c S
O
Name Only
a
Name and Addre !.5
O
Duplicate Statement
Addr
City
Stale
Zip Cr .:a_
O
Mailing address (if dd. 'went)
Name
Addr
City
State
Zip Cc rte
Elite Money Market Deposit
ACCt. #
APY
Target Amount
Trigger Amount
O Custody under NY UTMA
K
Foundation
O
Non-Profit Organization
O
Attorney Trust Escrow
O
Landlord Master Escrow
O
Corporation
O Limited Liability Comp ny
ci Partnership
O Limited Liability Pannt 'ship
CONFIDENTIAL
1: AWM.Ol01
NAOSOD00015602-0 M104411
01 ',SS 03313
SDNY_GM_00038640
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001464
EFTA_00 149249
EFTA01283018
Account Ittle and Joint Application Information
Name of Account Tele
JointApplicant
(last name, rst name, ipiddleinitiall or Bu
Osiness0
- (4 I
:
Bast name, first name, middle initial;
334Y
Social SecuriDiNumfoe,pryerAD Numb
R
er
,..,
Social Security Number or Taxpayer ID Number
kloo RED
btkpitvier /33
• /
Ad4ress
i
0 ° ie n "...
Address
r T hstv,1/44, u5y, Not aonficable
City, S
te and Zip Code
City. Slate and Zip Code
Nome Telephone Number
Business Telephone Number
brrjairth
Data of Birth
Name of Empioyer
Name of Employer
Address
Address
Not applicable
City, State and bp Code
City. State and Zip Code
Notice of Customer Identification Policy
Important Information
To help the government light the funding of terrorism and money laundering activities. Federal law requires a financial
institutions to obtain, verify, and record information that identifies each person who establishes an account. ii vestment or
other business relationship with a financial institution. This means that we will ask for your name, address, an: other
information that will allow us to identity you. We may also ask to see identifying documents such as a certific rte of
lormation 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 mono) laundering
and terrorist financing; these rules call for an active involvement of both asset management firms and their cl lints. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding their ii
addresses, source of funds and, if necessary, legal representatives, authorized signatories. beneficial owners i.• control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-money !!,undo ring
requirements require that should any of the above personal or institutional information change, our clients wo .ld be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these t lenges.
Telephone, Facsimile or Email Instructions
ay signing below, you agree that from time to time you may give instructions by telephone, facsimile or email I °gelding
the above captioned account(s) (defined herein as "Verbal Instructions"). It is understood that the risk of Verb'
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence o • willful
misconduct of Oeusche Bank Trust Company Americas (DBICA), you agree to indemnify and hold harmless D.lICA for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstom and
unauthorized Verbal Instructions. You understand that OBTCA may, but shall not be required to. seek verificatri in of your
verbal, facsimile or email instructions by cell heck In case of doubt, DBTCA may units sole discretion refuse to Dracut°
your Verbal Instructions or any pan thereof, without incurring any liability. DBTCA is under no obligation to axe lute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your or final
signature
Joint Account Disclosure
•
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This dapo ;‘1 and any
additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the Wire
account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal reques ; from
any owner during the lifetime of al owners. The Bank may be required by service of legal process to remit food.: held In
the joint account to satisfy a ludgment entered against, or other valid debt incurred by, any owner of the accour
DBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may t eat the
account as the sole prooeny of the survivor(s) after the dee th of any owner's). Unless OBTCA receives written n ::ice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to a 'y owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice re erred
in the previeus sentence. DBTCA may require the written authorization of any or all joint owners for any further :iaymentS
or deliveries.
2
t, nWhi-titoi
01: '59.032613
SDNY_GM_00038641
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001465
EFTA_00149250
EFTA01283019
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and conditlo is of the
Cardholder Agreement contained in the Terms and Conditions of Deposit Accounts.
Internet Banking Service
II you have selected to receive Internet Banking Services. you understand that you will be required to enter i• to a
separate Internet Banking Services Agreement with DBTCA before you car access the Internet Banking Sen
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 dutie ; applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in your t icoum(S)
and your business relationship with DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilitieli.
You confirm that it Is your responsibility to fulfill any tax obligations and any other regulatory reporting flutist applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your acc : drh(s) and
your business relationship with DBTCA. Furthermore. you confirm that the necessary information (to the bes: of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s). settlo
ben& iciaryhest. partner(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may arise br hiralher/
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 th
Application and agree to be bound by them. In addition, you agree to notify us immediately of any material cl mge 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
Acceptance
../
You nderstend that this appli
Lz ir
.
ount Holder's Signature
posit Accounts are sublet to.changli:
Joint Account Holder's Signature
?he,
Date
Data
Vfar.M.MMIXI4 WW1* *
3.atiatiflaAis4,Ahisw.
ia,
- • cii.4,.
•
4
!Ago:: wa y.:Arkrw.ftyn,:tipiterr4w :20.2n
garo.mi
t • wgt•r v z.g.fwvik,..,...h4-yext-Ats:- .• ,T WV “1-ac iA;ra
X ilMW'.
T"' el•i
" ::Ara.i4.it
PAgtsti
sg't Neyeirf irenr*via -.4c -J, --ifa-
Ca'
'^' 44!tri*
r:
1,6“...,
..4i
ta
kweid:x, -
coatpsitt
, vb.
I
wekfie- .. /A
o
"
Pinei /
• '41/2..
at
t a
4 41,."4.
:44 - ttttrtgrati
itMttkgt`AlskrY
0,576:-W,.17:AUIrth
-3/4
:70/
t VX.IESI:WAPSit
liFi'•
I.:4
Er 4 „,
A,%,70
_
1Y-
..qi,ig.4.
lr----
'- sto. ,..--:4-2, y J 4-,K AiNgEts.
.i-iliit.%.?:fi ,
fr,
. ti..:;
1 -0
..4-,g
3
13 .iNVM.010I
OW59.032,13
SDNY_GM_00038642
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001466
EFTA_00 I 4925 I
EFTA01283020
Technical Artifacts (1)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
Wire Ref
Wire
accountForum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.