EFTA00165555.pdf

Deutsche Asset & Wealth Management DBTCA Deposit Account Opening Application Private Wealth PremiumlM Private Wealth Premium TM Private Wealth Premium"' Elite Personal Accounts Elite Business Accounts Banking Services O Checking Acct. if O Checking Acct. IS ❑ Consumer Debit Card N (3 Elite Checking with Interest O Elite Checking with Interest O Joint Applicant Debit Card fl Acct. #35 a V, Q-7 6 Acct. ft APY APY O Business Debit Card I/ O Ekte Money Market Deposit O Elite Money Market Deposit Acct. #1 -7 99act Acct. a O Deluxe Checkbook Style II APY APY O Certificate of Deposit O Certificate of Deposit ❑ Name Only Acct. N Acct. O Name and Address APY APY Term Term O Dupicate Statement Addr O DB AG NY Prelerred O DB AG NY Preferred Certificate of Deposit Certificate of Deposit City Acct. # Acct. N State Zip Code APY APY O Mailing address (if different) Term Term Name Promo term Promo term Addr (OBTCA deposit account required. (DBTCA deposit account required. along with a 08 AG Preferred bums along with a 08 AG Preferred Terms City and Conditions] and Conditions) State Zip Code Private Weahh Premium''" O Cash Master Sweep Account Internet Banking Services Checking Acct. # • DE, Private Wealth Online Plus Elite Money Market Deposit O Link to Existing Online Relationship Acct. a APY (User/Co. ID Number) Target Amount Trigger Amount Client Relationship (3 Individual Account O Custody under NY UTMA O Corporation D Joint Tenants with Right O Foundation O Limited Liability Company of Survivorship ❑ Joint Tenants in Common D Non-Profit Organization O Partnership O In Trust For/Payable on O Attorney Trust Escrow O Limited Liability Partnership Death/As Trustee for O Trust O Landlord Master Escrow D Estate 13-AwssOirn NAOSOD00014499-000102434 013959.032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001289 EFTA_000 14763 EFTA00165555  Account Title and Joint Application Information Jeffrey Epstein Name of Account Title Joint Applicant past name, first name, middle initial) or Business (last name, first name, middle initial) 090444348 Social Security Number at Taxpayer ID Number Social Security Number or Taxpayer ICI Number _63110.8ad Hoek parkin Address Address Saint Thema 5 U.S. Virgin Islitosso2 City, State end rip Code Nome Telephone Number usiness Telephone Number Suainess Telephone Number 201Ja,u1953 Date of Binh Date of Beth South Name of Employer Name of Employer 6100 Red Hook Quarter B3 Address Address St Thomas U.S. Virgin Islam 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 wiN ask for your name, address, and other information that will allow us to identity you. We may also ask to sea 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 alto 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 collect requisite documentation to substantiate the information. Also, enhanced anti-money laundering requirements require that should any of the above personator 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. 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"). 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 negigence or willful misconduct of Deusche Bank Trust Company Americas (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 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 part thereof, without incurring any liability. DBTCA is under no obligation to execute your Verbal Instructions to transfer funds or securities to any 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 dent incurred by, ahy owner Of the account. DBTCA may honor checks, orders or withdrawal requests from the survivor(s) atter the death of any owners) and 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 honer 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 11AWkselel 013359.032613 CONFIDENTIAL — PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001290 EFTA_000 14764 EFTA00165556  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 (o receive Internet Banking SenAces, yoo understand that you will be required to sow into a separate %leftist Banking Services Agreement with DBTCA before you can access the Internet Banking Service. Acknowledgement of Receipt of 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 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 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 account(s) and your business relationship with OBTCA. 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). settlogsk beneficiary(ies), panner(s), etc. to enable himeherf them to fulfill any respective tali obligations that may arise for him/her/ 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 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 aCCIirele. The Terms and C nditions tor Deposit Mc are subject to change. Accepts (rcC You nderstand that Joint Account Holder's Signature Date ArAAAr• Ftwr,Batik.Bab0-nC/`r "?: 12 / As.210A A A Poe knitagattiminw Mk strteztfa,: .p.:QA atal &WOW r say,. \Wa i gidoicji f Et‘ . ctlaailartr▪U„..t. S Aitti0e...?eat , T O te - ---Aamasa , 12f.fltrP)]. • :^ --AarrEpatit'FNc-Tbra ...e. witakip‘ • c n r. t -dctr 4F: 7 tIcan"; • Ai".”5 8T • r ;tag ;424. 17,bn WEI ; 'MIK aittaf Atplea .W" ter • ..ria? 13.AWM 4101 013959.032613 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0001291 EFTA_000 14765 EFTA00165557