Case File
efta-01450322DOJ Data Set 10OtherEFTA01450322
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01450322
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
BY SIGNING BELOW CUENT ACKNOWLEDGES THAT: (t) CUBIT HAS RECEIVED, READ AND AGREES TO THE TERMS AND CONDITIONS OF THIS
ACCOUNT AGREEMENT, INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION: AND 121 THE INFORMATION CONTAINED IN THIS
ACCOUNT APPLICATION IS ACCURATE.
CUE hiT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENTCONTAINS A PRE•INSPUTE ARBITRATION CLAUSE AT SECTION III, PAGE 5, AND CLIENT
AGREES IOUS TE
(ALL ACCOUNT AGREEMENT MONATORIES MUST INITIAL)
MAL HERE:
THE INTERNAL
NUE SERVICE DOES NOT REQUIRE CUENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIFICATION
REQUIRED TO A
ID BACKUP WITHHOLDING, AND. IF APPLICABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CUENT'S STATUS AS A NON-U.S.
PERSON AND OBTAIN A REDUCED RATE OF WITHHOLDING.
Important Information for ERISA employee benefit plan clients: U.S.. Department of Labor regulations require DBSI to disclose to a responsible plan fiduciary
certain information in connection with the services that ()BSI provides to a plan, to assist the fiduciary in evaluating the reasonableness of DEISI's services and
related compensation. The disclosure is available online, at http://wivw.pwm.db.com/smorkasiert/erise..disdosure_pcs.html. By signing below, you acknowledge
that you are a fiduciary responsible for the procurement of DBSI's seMces to the plan, you have read the disclosure and you understand the disclosure.
Individual or joint account (IF THIS IS A JOINT ACCOUNT. ALL ACCOUNT OWNERS MUST SIGN):
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Client acknowledges having sole responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable in any relevant jurisdictions that
may arise in connection with assets. Income or transactions In Client's accounts) and business relationship with DBSI.
CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVNORSHIP OR TENANTS BY THE ENTIRETIES.
CLIENTS SPECIFY INSTEAD:
pTenants In common; or
OCommunity Property (for married couples in certain states; each spouse retains 50% interest In the community property upon death of the first spouse).
Signature
Date
Print Name
SSN/EIN
Signature
Date
Print Name
SSN/EIN
Signature
Date
Print Namo
SSN/EIN
Collimation, partnerthip,Ovstor other *Sty'
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Client aoknordedges hating sole responsibilityto fulfill any tax obligations and any other regulatory repotting duties applicable Min any relevant jurisdictions
that manilaIn connection with assets, Income or transactions in Client's accovnt(si and busIntrini relationship With 0851. Furthermore. Client confirms Mardi
necessary Information Ito the best of Client's knowledge and capabilities) is made available no Ian than annuellyto the relents Isineffidal ovmenal, settlot(S),
beneflciatyhese. premeds), etc. to enable such person:Is) to fulfill any respective tax obligations that may ads. hireuchperSOM4 in Connection with Client's
business relationship with DBSI.
Namo of Entity J. Epstein Virgin Islands Foundation, Inc
Employer ID No iCri Oclic an,
Signature of Officer, Partner, Trustee Autherbald Ports
,,
Date
940?
Print Name/Title
PK/ ci914bPs
/ 91425 1 /isn't
Signature of Officer, Penner, Trustee, Authorized Party
Date
Print Name/Title
Signature of Officer. Partner. Trustee. Authorized Party
Date
Print Name/Title
13-AWM-0196
7
012146.032813
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0105878
CONFIDENTIAL
SONY GM_00252082
EFTA01450322
Technical Artifacts (7)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
ACCURATESWIFT/BIC
APPENDIXSWIFT/BIC
APPLICATIONSWIFT/BIC
ARBITRATIONSWIFT/BIC
CONTAINSSWIFT/BIC
INFORMATIONURL
http://wivw.pwm.db.com/smorkasiert/erise..disdosure_pcs.htmlForum 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.