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sd-10-EFTA01298370Dept. of JusticeOtherEFTA Document EFTA01298370
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Dept. of Justice
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sd-10-EFTA01298370
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Summary
Deutsche Asset & Wealth Management +11 c.1" Opp DBTCA Deposit Account Opening Application Private Wealth PremiumTM Elite Personal Accounts O Checking Acct. # O Elite Checking with Interest Acct. # APY O Elite Money Market Deposit Acct. # APY O Certificate of Deposit Acct. I APY Tenn O DB AG NY Preferred Certificate of Deposit Acct. I APY Term Promo term (DBTCA deposit account required. along with a DB AG Preferred Terms and Conditions) Private Wealth PromiumTm Intern
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EFTA DisclosureText extracted via OCR from the original document. May contain errors from the scanning process.
Deutsche Asset
& Wealth Management
+11 c.1" Opp
DBTCA Deposit Account Opening Application
Private Wealth PremiumTM
Elite Personal Accounts
O Checking Acct. #
O
Elite Checking with Interest
Acct. #
APY
O
Elite Money Market Deposit
Acct. #
APY
O
Certificate of Deposit
Acct. I
APY
Tenn
O
DB AG NY Preferred
Certificate of Deposit
Acct. I
APY
Term
Promo term
(DBTCA deposit account required.
along with a DB AG Preferred Terms
and Conditions)
Private Wealth PromiumTm
Internet Banking Services
I3I4Et Private Wealth Online Plus
[Link
to Existing Online Relationship
(User/Co. ID Number)
Client Relationship
O Individual Account
O Joint Tenants with Right
of Survivorship
O Joint Tenants in Common
K In Trust For/Payable on
Death/As Trustee for
CI Trust
O Estate
Private Wealth Premium TM
Elite ,Business Accounts
Checking Acct. 0
O Elite Checking with Interest
Acct. N
PY
Elite Money Market Deposit
Acct. N
APY
O Certificate of Deposit
Acct. X
APY
Term
O DB AG NY Preferred
Certificate of Deposit
Acct. f/
APY
Term
Promo term
(08TCA deposit account required.
along with a 06 AG Preferred Terms
and Conditions)
O Cash Master Sweep Account
Checking Acct.
Private Wealth Premiumn"
Banking Services
O Consumer Debit Card #
O
Joint Applicant Debit Card #
Business Debit Card #
E17 0 eine ClItipkbpok Sly? ,
L001(41,-.45
Coon
F.
O Name Onlr0CR)
se Name and Address
TeAllsolf La IC
O
Duplicate Statement -a
C.Dior
we
Addr
City
State
Zip Code
O
Mailing address (if different)
Name
Addr
City
State
Zip Code
Elite Money Market Deposit
Acct. #
APY
Target Amount
Trigger Amount
K Custody under NY UTMA
O Foundation
O Non Profit Organization
O Attorney Trust Escrow
O
Landlord Master Escrow
PACcWNEMT
O Corporation
O Limited Liability Company
O Partnership
O Limited Liability Partnership
13.AWM-0101
NAOSOD00015602-000104611
010959.001610
SDNY_GM_00062715
CONFIDENTIAL - PURSUANT TO FED. RWINF ,IDENTIAL
DB-SDNY-0025540
EFTA_00 173223
EFTA01298370
5l7b#1Ai1
Accou
Title and Joint Application Information
• kintLA
sk- Li-c
i5
Name of
m Tole
(last nem
Social §ecurny N.ymber or Taxpayer 1 Number
Address
120t0").---
City, S
Hon
ads
Ti elephOne umber
r
—
..„,/a)971
2-7\ 27,-. 2(
...
Horne Telephone Number
"VP-
Business Telephone Number
Joint Applicant
(last name, first name, middle initial)
Social Security Number or Taxpayer ID Number
Address
City, State and Zip Cade
Business Telephone Number
Date of Binh
Name of Employer
Address
at
b
a
of Binh
Name of Employer
Address
Not app eablit
City. State and Zip Cod*
City, State end 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, verity, and record information that identities 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 identity you. We may also ask to see identifying documents such as 8 certiticatb 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 light 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 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 verity 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 being given by person or persons purported to be yoo is your own. Absent the gross negligence or willful
misconduct of Deusche Bank Trust Company Americas (OBTCA). you agree to indemnify and hold harmless DBTCA for
any claims, losses. expenses, costs or attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. Yon 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. OBTCA may in its sole discretion refuse to execute
your Verbal Instructions or any pan thereof, without incurring any liability. OBTCA is under no obligation to execute your
Verbal Instructions to transfer funds or securities to any accoum(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 mint tenants, and DBTCA may release the entire
account to any owner during the lifetime of all owners. OBTCA may honor checks. orders or withwavtal requests born
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 checks. orders or withdrawal requests from the survivor(s) alter the deatn of any owner(s) and may treat the
account es the sole property of the survive:1s) 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 continuiog to honor checks. orders or withdrawal requests from any owner. After the receipt of the notice referred to
en the previous sentence. OBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2
134,w/40101
013959032613
SDNY_GM_00062716
CONFIDENTIAL - PURSUANT TO FED. RWINIlf
) IDENTIAL
DB-SDNY-0025541
EFTA_00 173224
EFTA01298371
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 into a
separate Internet Banking Services Agreement with DBTCA before you can aocess 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-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 duties applicable
to you in any relevant jurisdictions that may arise in connection with assets. income or transactions in your accounts)
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 any other regulatory reporting duties applicable
to it in any relevant jurisdictions that may arise in connection with assets. income or transactions in your accounqs) and
your business relationship with DBTCA 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). seltIONS).
beneficiery(ieS). partner(s). etc. to enable him/her/ thorn to fulfill any respective tax obligations that may arise for him/Ter/
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 warrant that allot the information provided by you on this Application is araitete.
The Terms and
non for Deposit Accounts are
Acceptance
You • nderstead that this a
m Holder's Signature
tante by OBTCA.
Joint Account Molder's Signature
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013959.032613
SDNY_GM_00062717
CONFIDENTIAL - PURSUANT TO FED. RcQNf
IDENTIAL
DB-SDNY-0025542
EFTA_00 173225
EFTA01298372
IN WITNESS WHEREOF, the undersigned. by and through its authorized officer, has caused this instrument to be
executed on the date listed below.
,FOR BUSINESS USERS,
Dustless lite
Nam ej
"
roW Air U-L.
In
°nature
DEUTSCHE BANK 'MUST COMPANY AMERICAS
P//‘03
Date
By
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Print Name/Title
( (3
Date
(FOR ALL OTHER USERS'
Account Name
Name/Title
Signature
Date
wm134667
21
010198 080613
SONY_GM_00062718
CONFIDENTIAL - PURSUANT TO FED. RctONF ,IDENTIAL
DB-SDNY-0025543
EFTA_00 173226
EFTA01298373
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