Case File
efta-01283024DOJ Data Set 10OtherEFTA01283024
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01283024
Pages
4
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
T
Orutsche Asset
& Wealth Management
/MO'. TA (o 9L100
DBTCA Deposit Account Opening Application
Private Wealth Premiums"'
Elite Personal Accounts
O
Checking Acct. 8
O
Elite Checking with Interest
Acct. N
APY
O
Elite Money Market Deposit
Acct. 0
APY
O
Certificate of Deposit
Acct.
APY
Term
O
DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(DBTCA deposit account required.
along writ. a DB AG Prefened Terms
and Conditions)
Private Wealth Premiumn.
0
Internet Banking Services
gc ..DB Private Wealth Online Plus
01 Link to Existing Online Relationship
l4Peillor .V (Number)
Private Wealth Premium TM
Elite Business Accounts
0
Checking Acct.
VMS
-4O(o
Co
Elite Checking with Interest
Acct.
APY
Elite Money Market Deposit
Acct. N 0203 c-CS2,
APY
0
Certificate of Deposit
Acct. N
APY
Term
Client Relationship
K Individual Account
K Joint Tenants with Right
of Survivorship
K Joint Tenants in Common
K In Trust For/Payable on
Death/As Trustee for
O Trust
O Estate
DB AG NY Preferred
Certificate of Deposit
Acct.
APY
Term
Promo term
(DBTCA deposit account required,
along with a D8 AG Preferred Terms
and Conenionsf
Cash Master Sweep Account
Checking Acct.
Elite Money Market Deposit
Acct.
APY
Target Amount
Trigger Amount
Private Wealth Premi .:mTm
Banking Services
0
Consume( Debit Card
O
Joint Applicant (iebit Card II
0
Business Debit Card N •
Deluxe Checkboi
Style
K
Name Only
O
Name and A :Idress
O
Duplicate Statem
Addr
City
State
E p Coda
Ei Mailing address ( I different)
Name
Addr
City
State
Zi Code
O Custody under NY UTMA
O
Foundation
O
Non-Profit Organisation
O
Attorney Trust Escrow
O
Landlord Master Escrow
K Corporation
K Limited Liability C::mpary
O Partnership
O Limited Liability Pi innership
CONFIDENTIAL
13.AWM4101
NAOSOD0001S6 S0400105135
0139!5.037613
SDNY_GM_00038646
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001470
EFTA (()149255
EFTA01283024
Account Title and Joint Application Information
Butterfly Trust
Name of Account Tele
(last name, first name, middle initial) or Business
2686397/1
Social Security Number or Taxpayer ID Number
6100 Red floctitchriNer
Address
_SL.Thomas
U.S. Virgin Islekol)802
City. State and Zip Code
2.(2) q - 13ct‘, 1.3tio")
Nome Teleph e Number
Home Telephone Number
2- ctil I3o
Business Telephone umber
Business Telephone Number
Joint Applicant
test name. first name, middle initial
Social Searity Number or Taxpayer ID Number
Address
City. State and Zip Code
27fdec2O06
Date of Birth
Date of Birth
Name of Employer
Name of Employer
Address
Address
Not applicable
City. State end Zip Code
City. State 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 requirt 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 corn 'Cate of
formation or good standing (legal entities) or a passport or other photo identification (individuals).
3rd EU Notice
Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against moo lay laundering
and terrorist financing; these rules call for an active involvement of both asset management firms and thou' clients. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding the r identities,
addresses. source of funds and. if necessary, legal representatives. authorized signatories. beneficial owners; or control
structures and to collect requisite documentation to substantiate the information. Also, enhanced anti-mor iry laundering
requirements require that should any of the above personal or institutional information change, our clients .vould bo
obliged to immediately notify us of tho change(s) and provide us with relevant documentation to verify the:.a changes.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions by telephone, facsimile or en oil regarding
the above captioned account(s) (defined herein as "Verbal Instructions") It is understood that the risk of VI tat
Instructions being given by person or persons purported to be you is your own. Absent the gross negligent r, or willful
misconduct of Dousche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expeosns. costs or attorneys' fees resulting from OBTCA's acting upon such misundersood and
unauthorized Verbal instructions. You understand that DBTCA may. but shall not be required to, seek verifi :stint .31 your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion fetus 3 to execute
your Verbal Instrucdnns or airy pert thereof, without incurring any liability. OBTCA is under ne &legation to axoeute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yet r original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c 'posit and any
additions to the account shell become the prooeity of each owner as joint tenants, acid DBTCA may ideas( the entire
account to any owner during the lifetime of all owners. DBTCA may honor checks. orders or withdrawal rei nests from
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit iiinds held in
the joint account to satisfy a judgment onteied against, nr other valid debt Incurred by, any owner of the ac, zount. OBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and r •ay treat the
account as the sole property of the survivor(s) after the death of any owner(s). Unless MICA receives writs In notice
signed by any owner not to pay or deliver any joint deposit or addition or acorual. DBTCA shall not be liable lo any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:3 referred to
in the previous sentence. DBTCA May require the written authorization of any or all joint owners for any fur ler payments
or deliveries.
2
iSawhi.010t
013356.032613
SDNY_GM_00038647
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001471
EFTA_00 I 49256
EFTA01283025
ATM/Debit Service
You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms arid condit ms 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 *Ent into n
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S
Acknowledgement of Receipt of Privacy Notice
By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packat
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 du:As applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in yot r account(s)
and your business relationship with (MICA
Non-US Organizations: Confirmation of Tax and Compliance Responsibilii ies.
You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting du 'MS applicable
to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your i tcount(s) and
your business relationship with DBTCA Furthermore, you confirm that the necessary information (to the [1st of your
knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(sl. se' Sorts},
bentificiarylies). partnet(s). etc. to enable him/her/ them to fulfill any respective tax obligations that may ai ie for him/herr
them in connection with your business relationship with OBTCA.
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 u this
Application and agree to be bound by them. In addition, you agree to notify us immediately of any materit I 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
You understand that this ripper-at
ptance by DBTCA.
,Pffife‘
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CONFIDENTIAL
13,awmOtel
013%9.032813
SDNY GM_00038648
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0001472
EFTA_001 49257
EFTA01283026
IN WITNESS WHEREOF. the undersigned. by and through its authorized officer, has caused this int irument to be
executed on the date listed below.
(FOR BUSINESS USERS)
Butterfly Trust
BMsoMsT:Hente
Owen Indyke! Trustee
Richard KahnfTrust
Ilepeffitte.
Vir9114*CLQ°104A---
DEUTSC i BANK TRUST COMPANY AMERICAS
Print Marne/Tale
I
I
Os
IFOR ALL OTHER USERS)
41P UM
Account Nan*
Name/Title
Signature
21
CONFIDENTIAL
Oats
YVM i34667
0 tOis9 080613
SDNY_GM_00038649
CONFIDENTIAL - PURSUANT TO FED R CRIM. P 6(e)
DB-SDNY-0001473
EFTA_00149258
EFTA01283027
Technical Artifacts (3)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
IPv6
C::Phone
2686397SWIFT/BIC
AMERICASForum Discussions
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