Case File
efta-01392703DOJ Data Set 10OtherEFTA01392703
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392703
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
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AccouVrtte and Joint Application Information
Name of
of Account Title
Joint Applicant
(last riameArst name, rpiddleinitian nr Ituiinetc
Hest name, first name, middle
Sot I Secur, Nurrigoep oryea/Num7;
/00
6 .0
ve.Y e 3
Atgrast
490SCr1.---
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hts.rudicabie
City, State and Zip C
e
Social Securiiy Number or Taxpayer ID Number
Address
City. Suite and Zip Code
Home Tele hone Number
Home Telephone Number
Business elephone Numbs
Business Telephone Number
Date of Furth
—
Name of Employer
Address
City, State and Zip Code
Date of air—th
Name of Employer
Not applicable
Notice of Customer Identification Policy
Address
City. State ancnip Code
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, it rastment or
other business relationship with a financial institution This moans that we will ask for your name, address. an: other
information trial will allow us to identify you. We may also ask to see identifying documents such as a certilic its 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 it
addresses, source of funds and. if necessary, legal representatives, authorized signatories, beneficial owners • 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 wo ..Id be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these I ranges.
Telephone, Facsimile or Email Instructions
ay signing below, you agree that horn time to time you may give instructions by telephone, facsimile or email iegatdinct
the above captioned account(s) (defined herein as 'Verbal Instructions"). It is understood that the risk of Vertu'
Instructions being given by person or persons purported to be you is your own. Absent the gross negligence o 'willful
misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless D, FICA for
any claims, losses, expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstoot and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to. seek verificati. in of your
verbal, facsimile or email instructions by cell hack. In case of doubt. DBTCA may irrits sole discretion refuse to :xecute
your Verbal Instructions or any part thereof, without incurring any liability. DBTCA is under no obligation to ext lute your
Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing your or )inal
signature.
Joint Account Disclosure
You have opened a jOint account with DBTCA and acknowledge receipt of the following information: Thus dapo
and any
additions to the account shall become the property of each owner as joint tenants, and DBTCA may release the rntire
account to any owner during the lifetime of all owners. DBTCA may honor checks. Orders or withdrawal argues ; from
any owner during the liletime of ail owners. The Bank may be required by service of legal process to remit fuod ; held In
the joint account to satisfy a judgment entered against, or other valid debt incurred by. any owner of the accour
08TCA
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 property of the survivor(s) after the dee th of any owner(s). Unless ODTCA receives written n
signed by any owner not to pay or deliver any joint deposit or addition or accrual, OBTCA shall not be liable to tt.' y owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice re 'ed Co
in the previeus sentence, DBTCA may require the written authorization of any or all joint owners for any further :iayments
or deliveries.
2
11 VNM.010I
01::59.032813
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0097969
CONFIDENTIAL
SDNY_GM_00244153
EFTA01392703
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