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EFTA01282879

Dataset 10 · 3 pages · 588 KB · 1,464 words

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Deutsche Asset
& Wealth Management
DBTCA Deposit Account Opening Application
Private Wealth Premium! "                 Private Wealth Premiumni                 Pinion, Wealth Premium Tht
Elite Personal Accounts                   Elite Business Accounts                  Banking Services
Checking Acct. I                     O Checking Met. N                        D Consumer Debit Card II
O   Elite C   •   •                       ❑ Elite Checking with Interest           0   Joint Applicant Debit Card N
Acct.                                   Acct.
APY                                     APY                                    O Business Debit Card N
O   Elite Mono Market Do os               O Elite Money Market Deposit
Acct.                                   Acct.                                  O Deluxe Checkbook Style I
APY                                     APY
O    Certificate of Deposit               O   Certificate of Deposit                   O    Name Only
Acct. I                                  Acct.                                    O    Name and Address
APY                                      APY
Term                                     Term                                 O Duplicate Statement
Addr
O   DB AG NY Preferred                    ip DR AG NY Preferred
Certificate of Deposit                    Certificate of Deposit                   City
Met. N                                    Acct. I                                  State           Zip Code
APY                                       APY                                  O   Mailing address (if different)
Term                                      Term                                     Name
Promo term                                Promo term
Mdr
108TCA deposit account required,          (DBTCA deposit account required.
along with a DO AG Prelersed 'Terms       along wnn a LIB AG Preferred Terms       City
and Conditions)                           and Conditions)                          State          Zip Code
Private Wealth Premium^.                  O Cash Master Sweep Account
Internet Banking Services                     Checking Acct. N
O O9 Private Wealth Online Plus               Elite Money Market Deposit
O link to Existing Online Relationship        Acct.
APY
(User/Co. ID Number)                     Target Amount
Trigger Amount
Client Relationship
O Individual Account                      O   Custody under NY UTMA                O Corporation
O Joint Tenants with Right                O   Foundation                           O   Limited Liability Company
of Survivorship
O Joint Tenants In Common                 ❑   Non-Profit Organization              O   Partnership
10 In Trust For/Payable on                 O   Attorney Trust Escrow                O   Limited Liability Partnership
Death/As Trustee for
O hint                                    O Landlord Master Escrow
O   Estate
13.AWM4101
NAOSOD00014499-000102434
013959 0325t3
SDNY_GM_00038471
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)                                                                      DB-SDNY-0001295
EFTA_00ll 49080
EFTA01282879
Account Title and Joint Application Information
Jeffrey Epstein
Name of Account Thu.                                          Joint Applicant
Past name, first name. middle Initial) or Business            Past name, first name, middle initial)
Social Security Number or Taxpayer ID Numb,/                  Social Seamy Number or Taxpayer ID Number
It199Jted llosikOtr 83
Address                                                       Address
sfilm Thome                      0.5. Virgin telei_00802
City. State and Zip Code                                      City. State end Zip Code
Home Telephone Number
Business Telephone Number
Oats at Bath                                                  Date of Bind
Soithens.ggigil‘EC--
Name of Employer                                              Name of Employer
6100 Red Hook Quarter B3
Address                                                       Address
St Thomas                        U.S. Virgin Islam 00.02
City, Suite and Zip Code                                      CITY. Stare and by Code
Notice of Customer Identification Policy
Important Information
To help the government light 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: those 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.
add/asses, source of funds end, 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 personator institutional information change. out clients would be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verily 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 accounts) (defined herein as 'Verbal Instructions- I. It is understood that the risk of Verbal
Instructions being given by person or persons purported to be you is your own. Absent the gross negigence or willful
misconduct of 00USChe Bank Trust Company ArnenC85 (OBTCA), you agree to indemnify and hold harmless DBTCA for
any claims, losses, expenses, costs dr attorneys' fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that DBTCA may, but shall not be required to. seek veriticatinn of your
verbal, facsimile or email instructions by call back. In case of doubt, DBTCA may in its sore disoretion refuse to execute
your Verbal Instructions or any part thereof, without insuring any liability. DBTCA is under no obligetion to execute your
Verbal Instructions to transfer funds or securities to aoy account(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 shell become the property of oath owner as joint tenants, and DBTCA may release the entire
account to any owner during the lifetime of 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 untered against, of °ther valid dent incurred by, ahy owner bf the account. DBTCA
may honor checks, orders of withdrawal requests from the survivals) after the death of any owns:Island may treat 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 the previous sentence. DBTCA may require the written authorization of any or all joint owners for any further payments
or deliveries.
2                                                 flAWM-0101
013959 037613
SDNY_GM_00038472
CONFIDENTIAL
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)                                                                         DB-SDNY-0001296
EFTA_00149081
EFTA01282880
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 Co reserve Internet Banking Services. yoo understand that you will be regoired to eater Into a
separate Internet Banking Services Agreement with DBTCA before you can access the Internet Banking Service.
Acknowledgement of Receipt of Privacy Notice
By signing of low, you acknowledge receipt of OBTCA'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 obligatNns 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 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 any other regulatory reporting duties applicable
to it in any relevant jurisdictions that may arise in connection with assets. income or transactions In your accountIsi 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), settor(s),
benaticiaryties), normals). etc to enable himihed them to fulfill any respective tali obligations that may arise for lunithed
them in connection with your business relationship with DBTCA.
Please complete and attacb 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 thorn. In addition, you agred to notify us immediately of any material change to
the information provided by you on this Application.
You represent and warrant that alt of the information provided by you on this Application is accurate
The Terms and         ndkions for Deposit Accra        are subject to change.
Accep~tance
You nderstend that t
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3                                                                   13-AWN.0101
013959i:02613
SDNY_GM_00038473
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
CONFIDENTIAL                                                                                      DB-SDNY-0001297
EFTA_00149082
EFTA01282881
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