EFTA01282879.pdf

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 1I 1I 3 Iwo; Joint Account Holder's &ennui* Dare rea lank CM at OnfilE eYIP byn Ind b *is - tzes. e 0.15)-ariadeea . s. l'W.•. .t .4•>V1.3 4 reit'siPwg '-≥ 61814:e.rn*: e -41W a r aP 9t w e' gitiintt. ersil , lettpitr t it` 4.• _r, ta ....cglittg*aak'l• •I f3 / 4-,v 34/,tai nc [tag Agara :far 5 • latia•51 5 minv.ze -TR Ph. r," MY:441Fasall • 01 115 . Eft Chtte te: v 4 cr4443 1 V,, P..4:4""t• ftgariefA 44" Ate 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