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efta-efta01253072DOJ Data Set 9Other

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DOJ Data Set 9
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efta-efta01253072
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
(User/co kJ Number) De0tsche Asset • & Wealth Management I\N StWftcr DBTCA Deposit Account Opening Application Private Wealth Premuumm Elite Personal Accounts O Checking Acct. N O Elite Checking with Interest Acct. APY K Ehte Money Market Deposit Acct. 8 APY O Certificate of Deposit Acct. It APY Term O DB AG NY Preferred Certificate of Deposit Acct. 0 Private Wealth Premium M d e Eli Business Accounts O Elite Checking with Interest Acct. APY O/flite Mo Market De sit Acct. APY O Certificate of Deposit Met. 0 APY Term K DB AG NY Preferred Certificate of Deposit Acct. APY APY Term Term Promo term (OBTCA deposit account required. along with a DRAG Preferred Terms and Conditions' Private Wealth Premium Internet Banking Services g - DB Private Wealth Online Plus to Existing Online Relationship Client Relationship ▪ Individual Account EI 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 Promo term (DIOCA deposit account required. along with a DB AG Preferred Terms and Conditions) O Cash Master Sweep Account Checking Acct. 8 Private Wealth Premium ^" Banking Services O Consumer Debit Card N O Joint Applicant Debit Card 0 Business Debit Card I "Tel e Chic . kbook Style 8 / fig -A €Alreicti &via )...w Name Only Q Name and Address K Duplicate Statement Addr City State Zip Code O Mailing address (if different) Name Addr City State Zip Code Elite Money Market Deposit Acct. 0 APY Target Amount Trigger Amount K Custody under NY UTMA O Foundation O Non-Profit Organization O Attorney Trust Escrow O Landlord Master Escrow Corporation O Limited Liability Company O Partnership O Limiled Liability Partnership CONFIDENTIAL 13.rumsoloi NAOSOD0001 5602-000104611 011959 032613 SDNY_GM_00038535 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001359 EFTA_00149144 EFTA01253072 Account Title and Joint4plication Inforrpation & Name of Aocount Tills ew yolk te__ Joint Appbcam Oast r Business (lest name, first name, middle initial) Social Social Secinay Number or Taxpayer ID Number Add dress A-7y limy zon2e_tiotactsicabs. City. tate* Zip Code Guy. Stale and Zip Code Home Telephone Number siness telephone Numb/ Business Telephone Number Date of Binh Name of Employer Date of Birth Name of Employer Address Address Not applicable 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 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, and other information that will allow us to identify 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: these rules call for an active involvement of both asset management firms and their clients. For 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 conuol 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 changers) 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 beinn given by person or persons purported td be you is your own. Absent the cross oegligence or willful misconduct of Deusche Bank Trust Company Americas (DBTCA). you agree to indemnity and hold harmless DBTCA for any claims, losses. expenses, costs or attorneys' fees resulting from ()DMA's acting upon such misunderstood and unauthorizeo Verbal Instructinns. You understand that DBTCA may. but shall not be required to, seek verification of your verbal, facsimile or email instructions by call back. In case of doubt. DBTCA 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 Instructions to transfer funds or securities to any aocourn(s) 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 each owner as joint tenants, and DBTCA may release the entire account to any owner during the lifetime pf all owners. DBTCA may honor checks, orders 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. DBTCA may honor chocks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may neat the account as the sole property of the survivor(s) after the death of any owner(s). Unless DBTCA receives written notice signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shall not be liable to any owner for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the notice referred to in th0 pfOinOuS sentence: DBTCA may require the written authorizationof any or all joint owners for any further payments or deliveries. 2 SDNY_GM_00038536 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001360 EFTA_00149145 EFTA01253073 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 II you have selected to receive Internet Banking Services, you understand that you will be required to enter into a separate Internet Banking Services Agreement 'nab DBTCA before you can access the Internet Seeking Service. Acknowledgement of Receipt of Privacy Notice By signing below. you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. 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 dimes applicable to you in any relevant jurisdictions that may arise in connection with assets, income or transactions in your account(s) and your business relationship with DBTCA. Non-US Organizations: Confirmation of Tax and Compliance Responsibilities. You confirm that it is your responsibility to fulfill any tax obligations and airy other regulatory reporting duties applicabki to it in any relevant jurisdictions that may arise in connection with assets, income or transactions in your accounts) and your business relationship with OBTCA. Furthermore. you confirm that the necessary information (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(s), settlor(s). beneficiarylies), panner(s), etc. to enable him/her/ them to fulfill any respective tax obligations that may arise for him/hed them in connection with your business relationship with DBTCA. 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 to this Application and agree to be bound by them. In addition• you agree to notify us immediately of any material change to the information provided by you on this Application. You represent and warmnt that all of the information provided by you on this Application is accurate. The Terms and Conditions 1w Deposit Accounts are subject to change. Acceptance You understand that this application is sic 'ea to acceptance by DBTCA. Account Holder's Sronattne Joint Account Holder's Signature 97 03 Date Date '.. 5r2grtys.A,SZie:41,7.87,./WA FTW kei (gc sy littg,,trr2-X. Wen.IPTIPX5 Ni..4 "4" ,,,, pitiancrerv• avili75.Tkti7-. te---al.41?S: WIN Lr.itio37 eit:t l'ara it CV:. .74.v!i:Nt 'e MirrWili* , iv? rust'''s *OAS .... _sr , oitteS/44 '... ;$145 ifft . iekg/Wgi." '-ti 7.• rre.A . . Aecept Mce li ;.• 1. Naine agr Ewyci rOgittr., at r• nY• 1.,, --”e ? ,):: ti-7 , A Le . et.,:l. .k3i...,„ ,,.. : f. ..P.,M. A .....5 ,.... .., . CV Me err/ itt .7 ...-.4.r.:4rWAiew• 4e.: ./.../ r i tk a.r‘ fl rin A .1. ri, sit, ,t viinn:*".4.4e'v ' ' It.41 '1 .Slai: I fl2 , a 31. . r . agi ..... „,... .: . ,. t4 V :t af, (44,4,17.0ivisrt,3,:nforts.- A,r at tiOttY105f3WICATE07. ozels .0, .-aw.4.--.: 4 vor ." AI mg ws?. 13AW1.4-0101 3 CONFIDENTIAL 013959032613 SDNY_GM_00038537 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001361 EFTA_00 I 49146 EFTA01253074

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