Case File
efta-01392708DOJ Data Set 10OtherEFTA01392708
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392708
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Account Title and Joint Application Information
Butterfly Trust
Name of Account Title
Joint Applicant
(last name, first name, middle initial) or Business
Oast name, first name. middle initial
Social Secwiry Number or Taxpayer ID Number
6100 Red Noc&CluarteL.BB
Address
Address
SUlictmaS
U.S, Virgin Isf OD802
City. State and Zip Code
Social Security Number or Taxpayer ID Number
No
Business Telephone umber
ate o
Home Telephone Number
Business Telephone Number
Date of Birth
Name of Employer
Name of Employer
Address
Address
Not applicable
City. State and Zip Code
Notice of Customer Identification Policy
City, State end'2p t.oda
Important Information
To help the government fight the funding of terrorism and money laundering activities, Federal law require( 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 care -.cats of
formation or good standing (legal entities) or a passport or other photo identification (individuals).
3rd EU Notice
Governmental roles have also broadened the scope of the Bank's obligations to aid in the fight against mo- ley laundering
and terrorist financing: those rules call for an active involvement of both asset management firms and then clients. For
new and existing clients we currently have a legal obligation to ask our customers questions regarding the r 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-mor or laundering
requirements require that should any of the above personal or institutional information change. our clients ,vould be
obliged to immediately notify us of the channels) and provide us with relevant documentation to verify the., changes.
Telephone, Facsimile or Email Instructions
By signing below. you agree that from time to time you may give instructions by telephone. facsimile or Sr.
regarding
the above captioned account(s) (claimed herein as "Verbal Instructions") It is understood that the risk of Vi -bal
Instructions being given by person or persons purported to be you is your own. Absent the gross negligencii or willful
misconduct of Dousche Bank Trust Company Americas (DBTCA), you agree to indemnify and hold harmless OBTCA for
any claims, losses. expeosns. costs or attorneys' fees resulting from DBTCA's acting upon such misunders ood and
unauthorized Verbal Instructions. You understand that DBTCA may. but shall not be required to, seek verifi :atinn of your
verbal, facsimile or email instructions by call back. In case of doubt. DBTCA may in its sole discretion (Shia a to execute
your Verbal Insrrucdnns or any pert thereof, without Incurring any liability. (MICA is under ne ebagation to execute your
Verbal Instructions to transfer funds or securities to any accounts) without written instructions bearing yot !original
signature.
Joint Account Disclosure
You have opened a joint account with DBTCA and acknowledge receipt of the following information: This c nposit and any
additions to the account shell become the property of each owner as joint tenants, and DBTCA may ideas( tha entire
account to any owner during the lifetime of all owners. OBTCA may honor checks. orders or withdrawal cm crests from
any owner during the lifetime of all owners. The Bank may be required by service of legal process to remit ji Inds hold in
the joint aecount to satisfy a judgment omitted against, nr other valid debt Incurred by, any ownef ol the ac count. DBTCA
may honor checks, orders or withdrawal requests from the survivors) after the death of any owner(s) and r -ay treat the
account as the sole property of the survivors) after the death ol any owner(s). Unless DBTCA receives writ,
notice
signed by any owner not to pay or deliver any joint deposit or addition or acorual, DBTCA shall not be Table 1.o any owner
for continuing to honor checks, orders or withdrawal requests from any owner. After the receipt of the noti.:≥ referred to
in the previous sentence. DBTCA may require the written authorization of any or all joint owners for any fur ter payments
or deliveries.
2
13.6WM-0101
013959.032513
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0097975
CONFIDENTIAL
SDNY_GM_00244159
EFTA01392708
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