Case File
efta-01392692DOJ Data Set 10OtherEFTA01392692
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392692
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
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I Title and/Joint ApeIgatgrif
tion
OUZO 10 Xv1
Acco
Name of Account Title
Joint Applicant
past nam lint name, middle in till or Business
(last name, first name, middle
Social Security Number or Taxpayer ID Number
Social Security Number or Taxpayer ID Number
Addross
44,, Avpk,e
12-
Address
,1A7
Not applicable
-C rty/Suterand Zip Code
City. Stale and Zip Code
Home Telephone Number
-k n.nets a ep one um er
Business Telephone Number
Date of Binh
Name of Employer
Date of Binh
Warne of Employer
Address
Address
Not applicable
City. State and Zip Code
City. State end 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 wo 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 (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: those rules call for an active involvement of both asset management firms and their clients. Fot
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, authorized 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 give 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 present purported to be you is your own. Absent the gross negligeoce et willful
misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to indemnity and hold harmless OBTCA for
any claims, losses, expenses, costs or attorneys' fees resulting from OBTCA's acting upon such misunderstood and
unauthorised Vorbat Instructions. You understand that DBTCA irtay, but shall not be required to, seek verification of your
verbal, facsimile or email instructions by call back. In case of doubt. OBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to execute your
Verbal Insttuctions to transfer funds or securities to any accounts) 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 oath owner as joint tenants. and DBTCA may release the entire
account to any owner during the lifetime of all owners. OBTCA may honor °necks. crews 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 front the survivor(s) stter the death of any owner(s) arid may treat the
account as the sole property of the survivors) alter the death of any owner(s). Unless DBTCA receives written notice
signed by any owner not to pay or deliver any pint deposit or addition or accrual. DBTCA shall not be liable to any owner
for continwng to Minor checks, urders or withdrawal requests from any owner. After the receipt of the notice referred to
in the previous sentence, DBTCA may require the written authorizatroniof any or all joint owners for any further payments
or deliveries.
2
13.AWM-0301
013£49 C22513
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0097954
CONFIDENTIAL
SDNY_GM_00244138
EFTA01392692
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