EFTA01282873.pdf

Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumTM Private Wealth PremiumTM Private Wealth Premiumna Elite Personal Accounts Elite Business Accounts Banking Services O Checking Acct. # O Checking Acct. If O Consumer Debit Card # O Elite O Elite Checking with Interest O Joint Applicant Debit Card # Acct. Acct. H 1 APY APY O Business Debit Card # O Elite O Elite Money Market Deposit Acct. Acct. # O Deluxe Checkbook Style # APY APY_ O Certificate of Deposit O Certificate of Deposit D Name Only Acct. Acct. # Name and Address APY APY Term Term O Duplicate Statement Add, O DB AG NY Preferred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. H Acct. PI State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (013TCA deposit account required, (DBTCA deposit account required* along with a 08 AG Preferred loins along with a 08 AG Preferred Terms City and Conditional and Conditions) State Zip Code Private Wealth Premiumm O Cash Master Sweep Account Internet Banking Services Checking Acct. 8 ▪ D8 Private Wealth Online Plus Elite Money Market Deposit O Link to Existing Online Relationship Acct. II APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship O Individual Account O Custody under NY UTMA O Corporation ▪ Joint Tenants with Right D Foundation O Limited Liability Company of Survivorship O Joint Tenants in Common D Non-Profit Organization O Partnership In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership CI Death/As Trustee for O Trust O Landlord Master Escrow D Estate 13-AWM•01131 NAOSOD00014499-1100102434 073959.032613 SDNY_GM_00038465 CONFIDENTIAL CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001289 EFTA_(() I49074 EFTA01282873  Account Tide and Joint Application Information Jeffrey Epstein Name of Account Title Joint Applicant (last name, fast name. middle initial) or Rosiness (last name, first name, middle initial) Social Security Number or Taxpayer ID Number Social Security Number or Taxpayer 10 Number 01..00 Mack Qtr.83 Address Address "AInt.thomes U.S. Virgin Istes00802 C' City. State and Zip Code Horne Telephone Number usiness Telethons Number Business Telephone Number 2OtJant1953 Oats of (Jinn .6 4-- ViTiarzirin South Name of Employer Name of Employer 6100 Red Hook Quarter B3 Address Address St Thomas U.S.1Omin Islay 00802 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 control Structures and to cdeoct 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 changefs) 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 account(s) (delined herein as "Verbal Instructions"). It is understood that the risk of Verbal Instructions being given by person or persona purported to be you is your .own. Absent the gross negligence or willful misconduct of Dousche Bank Trust Company Americas (OBTGA). you agree to indemnify and hold harmless MICA 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 verificatinn 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 pan thereof, without incurring any liability. ()Brea 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 each 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 entered against, or othel valid deot incurred by, ahy owner bf the account. DBTCA may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may heat 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 13.AWM-O101 013959.032813 SDNY_GM_OOO38466 CONFIDENTIAL CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DEI-SDNY-0001290 EFTA_OCII49075 EFTA01282874  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 fo receive Internet Banking Services, yoo understand that you will be required to eater into a separate Internet Banking Services Agreement with OBTCA before you can access the Internet Banking Service. Acknowledgement of Receiptof Privacy Notice By signing below, you acknowledoe receipt of DBTCA's Privacy Notice included in the Application Package. Non-US Individuals: Confirmation of Tax and ComplianceResponsibilities. You confirm that it is your responsibikty to fulfill any tax obligations and any other regulatory reporting duties applicable to you in any relevant jwisdictions that may arise in connection with assets. income or transactions in your account(s) and your business relationship with OBTCA. Non-US Organizations:Confirmation of Taxand ComplianceResponsibilities. 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 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), settlor(s), beneficiary(ies), pertner(s), etc. to enable him/hell them to fulfill any respective tak obligations that may arise 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. Termsand Conditions and Representations By signing below, you acknowledge receipt of the Terms and Conditions for Deposit Accounts attached to this Application aed agree to be bound by them. In addition, you awed to notify 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 C ndifions for Deposit Acc are subject to change. Accep onyc: - pianos by DBTCA. 9(It I3 You ndeistand that Ordie r rriTigisatit Joint Account Holder's Signature Date 2[47. t. V.er Bak , C8eviemied w er eab.:t a.4a-sa rn• NO • •V 4, • • /4 .•>Snat 32,%. 4 14/ 1,elt eeV7 1 ,4 14443inra tiparAiyaw; if Prgiitc As.At: ;ars :a ilia .,-R7 s•-• vgLy..<rti:733atsara vka- ItC 4.: „31,,VM.N7Lar•L477i,;4:Cv Leati,Syntict li titr7v 6Fti reV•Wrevaigi ecoM47 - I,- - eM."' .,*4- ••74• F,-,+$4-‘fl rowel ? yrytim, a*.t.et .re ' • i 45 ., 3.6,'2.14W, V ' imte-e• 'Yr ce; -PA, 1 ".2.• ter" , e IW Acce ,-,g4 m Fra.),„ra..04 v 5a1 -..Str.dift :e ; s, i Nommwsew Vialle (4 etfr. ...5,-,..r.t Ltiai 'It$VM-• .:4 ..,.•4,,,4,- '. ,g.itaml-ft* 3 at' tF 13AWesi.0101 013959.i:02613 SDNY_GM_00038467 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0001291 EFTA_00I 49076 EFTA01282875