Case File
efta-01444426DOJ Data Set 10OtherEFTA01444426
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01444426
Pages
8
Persons
0
Integrity
Extracted Text (OCR)
EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
EFTA01444426
EFTA01444427
Deutsche Asset
& Wealth Management
f
DBTCA Deposit Account Opening Application
Private Wearth Premium"
Elite Personal Accounts
Q Checking Acct. # ^
Private Wealth Premium"
Elite Business Accounts
Q Checking Acct. #
Private Wealth Premium"
Backing Services
^ Consumer Debit Card #
Joint Applicant Debit C, iid #
Q Elite Checking with Interest
Acct. #
APY
Q Elite Money Market Deposit
Acct. #
APY
Q Certificate of Deposit
Acct. #
APY
Term
Elite Checking with Interest
Acct.
APY
Elite Money Market Deposit
Acct.# 'b
C '
Q Business Debit Card #
Rj Deluxe Checkbook Styl i #
Q Name Drily
Name and Address
Q Duplicate Statement
Addr
APY
Q Certificate of Deposit
Acct. #
APY
Term
X
o DB AG NY Preferred
EFTA01444428
Certificate of Deposit
Acct. #
APY
Term
Promo term_
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
Private Wealth Premium"
Imemet Banking Services
DB Private Wealth Online Plus
K Link to Existing Online Relationship
K DB AG NY Preferred
Certificate of Deposit
Acct. #
APY
Term
Promo term
(DBTCA deposit account required,
along with a DB AG Preferred Terms
and Conditions)
K Cash Master Sweep Account
Checking Acct. #
Elite Money Market Deposit
Acct. #
APY
■ Target Amount
Trigger Amount
City
Zip Codi
0 Mailing address (if diffei! nt)
Name
Addr
State
City
State
Zip Code
(User/Co. ID Number)
Client Relationship
Q Individual Account
^ Joint Tenants with Right
• of Sup/ivorship
K Custody under NY UTMA
Q Corporation
K Limited Liability Compai «•
Q Foundation
Q Partnership
Q Non-Profit Organization
0 Joint Tenants in Common
K InTrustFor/Payableon
Oeath/As Trustee for
EFTA01444429
Q Trust
Q Attorney Trust Escrow
0 Limited Liability Partnen liip
0 Landlord Master Escrow
n Estate
NA0S0D00015974-00I I0860!)
013£ :11,0326V3
Account Trtle and Joint Application Jnforrni
oi..Ni
Name of Account Title
(last name. ipitial) or Business
ation
Joint Applii""t
Social Securiw Number or Ta;i"ayer (0 Number .
21 M gH
Social Security Number or Taxpayer 10 Numbg
..X
f
(■
Address
HolL NY joQj."
CityTstate'andapCode
/>47.".2VV-"5-/7
Z7p Code
ioii-ai?-<riii
City, State and
Home Telephone Number
Home Telephone Number
Business Tel"hone Ni"ber
Business Telephone Number
IhZQ"'i
Date of ^
Date of Birth
A/es LLC,
Srt/pee"r
Name of Employer
/yy A</ 10031
Address
Address
City, State and 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 requires all finiricial
institutions to obtain, verify, and record information that identifies each
person who establishes an account, inves'i i nent or
other business relationship with a financial institution. This means that we
will ask for your name, address, and oti uir
EFTA01444430
information that will allow us to identify you. We may also ask to see
identifying documents such as a certificate <'
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 lau dering
and terrorist financing; these rules call for an active involvement of both
asset management firms and their client! For
new and existing clients we currently have a legal obligation to ask our
customers questions regarding their ident ties.
addresses, source of funds and, if necessary, legal representatives,
authorized signatories, beneficial owners or ci itrol
structures and to collect requisite documentation to substantiate the
information. Also, enhanced anti-money laui :lering
requirements require that should any of the above personal or institutional
information change, our clients would ; e
obliged to immediately notify us of the change(s) and provide us with
relevant documentation to verify these char tjias.
Telephone, Facsimile or Email Instructions
By signing below, you agree that from time to time you may give instructions
by telephone, facsimile or email reg: i'ding
the above captioned account(s) (defined herein as "Verbal Instructions"). It
is understood that the risk of Verbal
Instructions being giveo by person or persons purpprted to be you is your
own. Absent the gross negligence or w ITuI
misconduct of Deusche Bank Trust Company Americas (DBTCA), you agree to
indemnify and hold harmless DBT( for
any claims, ioeses, expenses, costs or attorneys' fees resulting trom
OBTCA's acting upon such misunderstood at ii>
unauthorized Verbal Instructions. You understand that DBTCA may, but shall
not be required to, seek verification >iryour
verbal, facsimile or email instructions by call back. In case of doubt,
DBTCA may in its sole discretion refuse to ex i;:ute
your Verbal Instructions or ahy part thereof, without incurring ehft
liability. DBTCA is under no obligation to execu ii your
Verbal Instructions to transfer funds or securities to any account(s)
without written instructions bearipg your origii i;il
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the
following information: This deposit i nd any
additions to the account shell become the propdrty of eactr owner as joiot
tenants, and DBTCA may release the er lire
account to any owner during the lifetime of ai) owners. DBTCA may honor
checks, orders or withdrawal requests' i ism
any owner during the lifetime of all owners. The Bank may be required by
service of legal process to remit funds f nld in
the joint account to satiefy a judgment ontered against. of other valid debt
incorredi by, ahy owner of the accouot. i;iBTC^>
may honor checks, orders or withdrawal requests from the survivor(s) after
EFTA01444431
the death of any owner(s) and may tre il: the
account as the sole property of the survtvor(s) after the death of any
owner(s). Unless DBTCA receives written noti; 13
signed by any owner niM to pay or deliver any joint deposit or addition or
aooroal, DBTCA shalt not be liable to iiny nwner
for continuing to honor checks, orders or withdrawal requests from any
owner. After the receipt of the notice refeiii3d to
in the previous sentence, DBTCA may require the written authorization of any
or all joint owners for any further pa iments
or deliveries.
t3.A>.M-O101
0139! 11.032613
2
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 inte 11
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 OBTCA's Pr'rvacy Notice
included in the Application Package.
Non-US lodividuals: Confirmation of Tax and Compliance Responsibilities.
You confirm that it is your responsibility to fulfill any tax obligations
and any other regulatory reporting duties ap i ilicabli?
to you in any relevant jurisdictions that may arise in connection with
assets, income or transactions in your accc .:nt(s)
and your business relationship wrth DBTCA.
Non-US Organizations: Confirmation of Tax and Compliance Responsibilities.
You conf rm that it is your responsibility to fulfill any tax obligations
and any other regulatory reporting duties ap I'licable
to it in any relevant jurisdictions that may arise in connection with
assets, income or transactions in your accour lis) and
your business relationship with DBTCA. Furthermore, you confirm that the
necessary information (to the best of Ii3ur
knowledge and capabilities) is made available no less than annually to the
relevant beneficial owner(s), settlor(s)
beneficiary(ies), partner(s), etc. to enable him/her/ them to fultill any
respective tax obligations that may arise for itim/her/
them in connection with your business relationship with DBTCA.
Please compjete and attach separate W-8 or W-9 dooumenfation as applicable.
Terms and Conditions and Representations
By signing below, you acknowledge receipt of the Terms and Conditions for
Deposit Accounts attached to this
Application and agree to be boued by them. Inaddition, you agree to notify
us immediately of any material chan: s to
the information provided by you on this Application.
EFTA01444432
You represent end warrant that all of the information provided by you on
this Application is accurate.
The Terms and Conditions for Depositi Accounts are subject to change.
Acceptance
You understanditHel tiiis-application is subjec
icceptance by DBTCA.
AccountHbt"r's
Data
ihsiaoi"
Joint Acc"^ftofSer's Signature
Date
r\
For Banl ^se i^p^^Rewewed by;
Name
Title
10
Data
Accepted bV DBTCA:
Name ^
1
I'll iz\ 15
Title
//
psNOC
Date'
3
013! 1:3.032613
EFTA01444433
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