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Case File
efta-efta00165728DOJ Data Set 9Other

Ltrutsche Asset

Date
Unknown
Source
DOJ Data Set 9
Reference
EFTA 00165728
Pages
4
Persons
1
Integrity
No Hash Available

Summary

T Ltrutsche Asset • & Wealth Management Akto' (.2 etLioo DBTCA Deposit Account Opening Application Private Wealth Premium" Elite Personal Accounts O Checking Acct. O Elite Checking with Interest Acct. N APY O Elite Money Market Deposit Acct. ft APY O Certificate of Deposit Acct. N APY Term O DB AG NY Preferred Certificate of Deposit Acct. N APY Term Promo term (DBTCA deposit account required. along wan a 08 AG Preferred Terms and Conditions) Private Wealth Premium Internet Banking Services G6.0B Private Wealth Online Plus O Link to Existing Online Relationship Din)(5 -0 Walk.° ID Number) Client Relationship O Individual Account O Joint Tenants with Right of Survivorship O Joint Tenants in Common O In Trust For/Payable on Death/As Trustee for O Trust O Estate Private Wealth Premium' Elite Business Accounts 0 Checking Acct. N V2(95-115 Ci2 K Elite Checking with Interest Acct. APY O Elite Money Market Deposit Acct. 00113n5S -2,

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Extracted Text (OCR)

EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
T Ltrutsche Asset • & Wealth Management Akto' (.2 etLioo DBTCA Deposit Account Opening Application Private Wealth Premium" Elite Personal Accounts O Checking Acct. O Elite Checking with Interest Acct. N APY O Elite Money Market Deposit Acct. ft APY O Certificate of Deposit Acct. N APY Term O DB AG NY Preferred Certificate of Deposit Acct. N APY Term Promo term (DBTCA deposit account required. along wan a 08 AG Preferred Terms and Conditions) Private Wealth Premium Internet Banking Services G6.0B Private Wealth Online Plus O Link to Existing Online Relationship Din)(5 -0 Walk.° ID Number) Client Relationship O Individual Account O Joint Tenants with Right of Survivorship O Joint Tenants in Common O In Trust For/Payable on Death/As Trustee for O Trust O Estate Private Wealth Premium' Elite Business Accounts 0 Checking Acct. N V2(95-115 Ci2 K Elite Checking with Interest Acct. APY O Elite Money Market Deposit Acct. 00113n5S -2, Apy K Certificate of Deposit Acct. It APY Term O OB AG NY Preferred Certificate of Deposit Acct. N APY Term Promo term (DBTCA deposit account required. along with a D8 AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking Acct. II Private Wealth Premi :m74 Banking Services O Consumer Debiti ard O Joint Applicant (titbit Card a O Business Debit Ci,rd N ! K Deluxe Checkboriz Style a O Name Only O Name and A.: Ideas! O Duplicate Statem int Addr City State L p Coda D Mailing address ( I different) Name Addr Erne Money Market Deposit Acct. APY Target Amount Trigger Amount 0 Custody under NY UTMA O Foundation K Non.Prof it Organization O Attorney Trust Escrow O Landlord Master Escrow City State ZitrCodti O Corporation O Limited Liability C ny K Partnership O Limited Liability P, innership 13-AWM-0101 NAOSOD000156 SO-00010513S 0%3959 .032613 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001470 EFTA_000 14944 EFTA00165728 Account Title and Joint Application Information Butterfly Trust Name of Account Title Oast name. first name. middle initell or Business 264639711 Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer ID Number 6100 Red HookStuartar B.1 Address Address -fifins Applicant (lest name. first name, middle initial _Si—Thomas U.S. Virgin Isle 00802 City, State and Zip Code City. State and Zip Code Zei) j3110) 41-c -F5-2s- HormaTate Number Home Telephone Number ph (2{x)9 I " ‘,3 0 ( p Business Telephone Number Business Telephone Number 27/dect2006 Date of Birth Date of Binh Name of Employer Name of Employer Address Address Not applicable City. State and Zia 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 taw requirei 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. 3nd other information that will allow us to identify you. We may also ask to see identifying documents such es a cont .:cat. 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 mo ley laundering and terrorist financing: those rules call for an active involvement of both asset management firms and theit clients. For new and existing clients we currently have a legal obligation to ask our customers questions regarding the e identities, addresses, source of funds and, if necessary, legal representatives, authorized signatories, beneficial owne • 3 or control structures and to collect requisite documentation to substantiate the information. Also, enhanced antemor sly laundering requirements require that should any of the above personal or institutional information change, our clients ,vould be obliged to immediately notify us of the 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 lime to time you may give instructions by telephone, facsimile or en oil regarding the above captioned accounts) (defined herein as 'Verbal Instructions"). It is understood that the risk of VI 'bal Instructions being given by person or persons purported to be you is your own. Absent the gross negligamn or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnify and hold harmless OBTCA for any claims, losses, expeosns. costs or attorneys' fees resulting from DBTCA's acting upon such nnisunders-iiod and unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verifi :3tinn of your verbal. facsimile or email instructions by call back. In case of doubt. DBTCA may In its sole discretion talus Ti to execute your Verbal Instrucdnns or airy port thereof, without incurring any liability. DBTCA is under ne obligation to execute your Verbal Instructions to transfer funds or securities to any account(s) without written instructions bearing yot r original signature. Joint Account Disclosure You have opened a joint account with DBTCA and acknowledge receipt of the following inlormation: This c °posit and any additions to the account shell become the property of each owner as joint tenants, and DBTCA may relent tha entire account to any owner during the lifetime of all owners. DBTCA may honor checks, orders or withdrawal re( nests Iron, any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit funds field In the joint aecount to satisfy a judgment onteied against, or other valid debt Incurred by, any owner of the at count. DBTCA 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 DBTCA receives wrist 'n notice signed by any owner not to pay or deliver any joint deposit or addition or atonal, DBTCA shall not be lastile 'to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti. refeiled to in the previous sentence. OBTCA may require the written authorization of any or all joint owners for any fur her payments or deliveries. 2 11*W/4.0101 013959.032813 CONFIDENTIAL - PURSUANT TO FED. R. CRI M. P. 6(e) DB-SDNY-0001471 EFTA_000 14945 EFTA00165729 ATM/Debit Service You agree that the retention or use of the ATM/Debit card constitutes acceptance of the terms and 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 eon into a separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking S !mice. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Packer 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 _es applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in yet r account(s) and your business relationship with DBTCA. 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 '.es applicable to it in any relevant jurisdictions that may anse in connection with assets, income or transactions in yours xourills) and your business relationship with DBTCA. Furthermore, you confirm that the necessary information (to the t of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), se Ilor(s), beneficiary(ies), partner(s). etc. to enebte him/her/ them to fulfill any respective tax obligations that may al se for him/her/ 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 a this Application and agree to be bound by them. In addition, you agree to notify us immediately of any materii I change to the information provided by you on this Application. You represent and warrant that all of me information provided by you on this Application is accurate. . The Terms and Conditions for Deposit Accounts lie subject to change. Acceptance You understand that this applicat IC Helder:T:Sit eo17' l ; Nri )ALIned iblel4 14 / 2 0 1, ';lointlAccbunt Itelder'S.Sighatuie Ora* pore' minizse.74-,"..Tnomf ,cf-wpios 3. ,k '4" '26.11?7,311 One •Ce (Iwo' T4M,44.,Wargr "g i t.N 0). Ma ttiges' "rsr.t•Vele Ali:".. a -Remo h 44n,wrkiP* avizatxtreg, i iStli ;;:tsv,tarre-svizsi.,4NE.p." r-;:traWsld.? a: ff/A. Mr.: Org. 13.PWM-0101 013959 032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001472 EFTA_000 14946 EFTA00165730 IN WITNESS WHEREOF, the undersigned, by and through its authorized officer, has caused this ins trument to be executed on the date listed below. ]FOR BUSINESS USERS' Butterfly Trust .O9erneSSN kink, Darren Indyke/ Trustee tame/Ties: hig*. 404! OEUTSCti6 BANK TRUST COMPANY AMERICAS Print Name/Title la i Da (FOR ALL OTHER USERS] Richard KahrdTrus /I toM ..m Account Name Nanienitle gnature 21 OsU WMI34667 0%01%O30613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001473 EFTA 00014947 EFTA00165731

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