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efta-efta01253092DOJ Data Set 9Other

DS9 Document EFTA01253092

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DOJ Data Set 9
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efta-efta01253092
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3
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
Cob, Deutsche Bank Wealth Management Business Deposit Accour:i Brattate.M_T.r.uslcompaoy,.Inc. Account the $0.11theThAust.Company, Inc. Entity/Company Name .6100_Bed.Hook.Quarter B3 Mahlon Address Business Telephcme Number Legal Address Of chltotent Nom melting address' ORIGINAL ". 11118/2011 Chau Taxpayer ID Number DIN, St Thomas USVI 00802. .. Coly Stale zq Rumness fax Number Other Nutter Cdv Slate Zip Client Relationship Corporation Limited Liability Company (LLC1 Attorney Escrow Account Foundation Partnership Landlord Master Escrow Non•Profit Organization Limited Liability Partnership ILLP) Trust Estates Private Wealth PremiumTM DBTCA Accounts Deutsche Bank AG NY Branch Accounts 1.7 Checking Account it Deutsche Bank AG NV Preferred Banking Account LI. Checking with Interest Deutsche Bank AG NY Preferred Certificate of Deposit i. Money Market Deposit DBTCA Certificate of Deposit APY Term Cash Master Sweep Account Tirgia Amount Trigger Amount Banking Services Deluxe Checkbook . Name Only Name and Address avb era., Internet Banking Services . 0B Private Wealth Online Plus '7' Link to existing online relationship: Promo leim ANITCA &moss Meow,. reused. along woe a DB AG Prolored Terms and Condemns) Debit Cards —Business Debit Card Duplicate Statement Moot. Cary CONFIDENTIAL Siete ItpCoee . VIM 167245 015624.090815 Page I al 3 SDNY_GM_00038700 CONFIDENTIAL - PURSUANT TO FED R. CRIM. P. 6(e) DB-SDNY-0001524 EFTA_00149309 EFTA01253092 Notice of Customer Identification Policy Important information To help the government fight the funding of terrorism and money latintleeng activities. Federal law requires all financial institutions to obtain, verify and record information that identifies each peison who establishes an account. investment or other business relationship with a financial institution. This means that we will ask Its you' name, address and other information that will allow us to identity you. We may also ask tu see klentifteing documents such as a certificate of formation or good standing (legal entities) or a passport or other phew identification [individuals'. Information Sharing You authorize Deutsche Bank to share information about you and your Account es set forth in our Privacy Policy, Including any disclosures that (I) Deutsche Bank believes are required by applicable law and regulations that apply to Deutsche Sank or others, including disclosure of information about you and your Aeon' int to any government agency or self-regulatory body on request. (2) is necessary or appropriate in connection with Deutsch* Rank's provision of services undo( this Agreement, or (3) is requested by a financial institution, financial intermerlialy, or other tnird party in order to assist such person with compliance with law applicable to such person in connection with services Provided to you or on your behalf. 3rd EU Notice Governmental rules have also broadened the scope of the Bank's obligations to aid in the light against money laundering and terrorist financing: these rules call for an active involvement ol both asset management ferns and thee 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 representativee, authorized semeiotics. beneficial owners or 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 would be obliged to immediately notify us of the change(s) and provide us with relevant documentation to verify these changes. ATM/Debit Service You agree that the retention or U6e Of the ATM/Debit card constitutes acceptance of the terms anti conditions Of the Cardholder Agreement contained in the Terms and Conditions ol Deposit Accounts. Internet Banking Service If you have selected to receive Internet Banking Services. youtexlerstand that you will be required to enter into a separate Internet Banking Services Agreement with OBTCA before you can access the. Internet Banking Service. Acknowledgement of Receipt of Privacy Notice By signing below, you acknowledge receipt of DBTCA's Privacy Notice included in the Application Package. Non-U.S. Organizations: Confirmation of Tax and Compliance Responsibilities You confirm that it is your responsibility to fulfill any tax obligations and any other regulatory reporting duties applicable to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your account's) and your business relationship with OBTCA. Furthermore. you confirm that the necessary into motion (to the best of your knowledge and capabilities) is made available no less than annually to the relevant beneficial owner(sl, settlotis). beneficin(ies), partner(s), etc., to enable hinVheathem to fulfill any respective lax obligations that may arise for hen/her/them in connection with your business relationship with 0BTCA. 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 nobly us immediately of any material Change to the information provided by you on this Application. You represent and warrant that all of the information provided by you on this Application is accurate. The Terms and Conditions for Deposit Accounts are subject to change. WM16324S 01$374.330131C Rne 2 of 3 SDNY_GM_00038701 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001525 EFTA_00 149310 EFTA01253093 Acceptance You understand that this application is subject to acceptance by DEtTCA. .% e t- 1 4,•SIL L VC. Antnotood Svc, AulliCrited $.10/1. Darye.o.Indyke Print Name il%?11 For Bank Use Only Reviewed by ilda Oa ;SC Tolle Date Accepted by DBTC Signatvr Name Title Date Ct_3-ARA. Zelictsz kue r&ed g' tizil Account numbers: Pont ODA NOW MMDA CIVDenr. CONFIDENTIAL WM I67245 015624.090816 SDNY_GM_00038702 CONFIDENTIAL - PURSUANT TO FED. R CRIM. P. 6(e) DB-SDNY-0001526 EFTA 00149311 EFTA01253094

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