Case File
efta-01392746DOJ Data Set 10OtherEFTA01392746
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392746
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
t i.
Account Title and Joint AtiplIcatibil Mlurrriatioii
Southern Trust Compea, ge
.
Name of Account Title
past nem% first name. inirldbi initial) or Nelms
Jai* Applicant
eirstrianii, trio mine:
SOCIBISSConly Number ortaxiamier. lD Number
5990tS, OPfliy.NAribsr:Or TisonYor.RNUrnber-
11r
204-Itt4t;;::
t odivw
..
•
raverrwity nowerrerre•-e.
•
'
City.
tit
.
tiornoteliphorte Number
Svs
.arisssetaphone Number
Home Teisphonii Nucktbe.
''
es
Mime OtEmployer
souposs sNo.ivnisempet
p,t;c4rii,'""
2-I .77'C ": • •
Nemo of Employer
Address
• Address
ptleat tV
est.• .4 • . •
. • •iia.2id
sg
•
.
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Notice'
IdentilitstiOn Policy
• ••
•
. .
•.. •.•
•. . .
:'Impertantinforenatfori
To help the giivirriment fight the handing of terrorism and money liiinderingactivities Federal lairinictuinis 'dithers:id
Institutions to obtain; verify.:end record information that identifies each person who eltabliihes an account, inyeatrisint:Or
other bueiness relatiOnsiiki with a financial htstittiticin: This means that irve.Wiliesk toryOUr name: address, and other--
information that will allow us to identity. you. We maialso ask to misidentifying document, Such 95:9 certifaeate of
fonnation or geed Standing 'Begat entities) ore plesprinbr OtherphotoprintificatientindiVidualst
:3rd €U Notice
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•Gawernmentafrules.have abet broadened the scope of the..lank's obligations to aid in the fight against money laundering
and terrorist financing: these:nips call for an active Involvement of both asset- management firms end then:dein*. For
nowe nit existing clients wecurrently have s legal obligation to ask our.cusiorners questions regarding their identities.
addresses, source of Nada and; iii ecessaArehigitsepresentetives; authorized signatories, lieneficiM owners or control
• joust Ines end to collect requisite documentation to substantiate the information:Also enhanced anti-money ieundering
reMiirerneldelequirethetatiould any Of the'sbOve Personal Oi inset/don& information change. ctn. alients woutd be
-obliged to• Immedjetely notify us of thechange.(S) and proeide.us.with relevant documentation to verify these changes.
•
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•. .•.•.
Telephone; Facsimile .or Email Instructions
By signing', below. you agreeThepfrom limeloilme.YoubtO give Instructions bytebathona.fecsimiteor email regarding
the abciVe captioned acCOUrldS). (defined herein is -Verbal Instruction"). It is understood that the.risit of Verbal
theiructIons being given. by person or persons Rumor:led tb be you is .yistir Own. Absent the gross. negligence or:wiliful
Misconduct of Gouache Bank Trust Company Americas (DBTCA)..you agree toindeninifrand hOktherrniess OBTCAlor
any Cain** loser*: exprinsee. 'Mists
attorneys feelinitivliingfrOrn OBICA'S eating Upon such misuArierttood and
unauthorized Verbal Instructions: You understand that OBTCA may, but shall not berequired to,.sookveritieetien of your
verbal. facsimile of email instructions by callitabIC In case of doubt, OBTCA may in its Sole discretion rehisettiexectite
iota verbal Instructions or any, gam: thereof, without incurring any liability. DMA.* under no obligation to execute your
yetbalhistnicitionsto transfer fonds or securitise.toony.ecaiont(p)withoin Written inStructiOne bearing your original
signature,
Joint AcCoOnt Disclosure.
.
You have:opithede jothiliocdtirre with DtildA and acknowledge 'receipt of the following information: Titre deposit and any
additlonsio the account shall'bosomed* progeny of: ach owner as pint tenants, and UBTPAptay relapse the entire
account to any owner during the lifetime: l allowns* DBTCA may Moor aheekA•prders or withdrawal requestSfrom
any owner during theBreath* of all owners. The Bank may be required by service of legal process to remit fundsheldin
the joint account to satisfy a Judgment entered against, or other valid debt incurred by any owner of the account. Di3TCA
mayhonor checks. Orders0 withdrawal requests from the survivorfalefle.the dezith of any oivnerfsland coney treat the
seethed. as the sole property of the survivonal after the death of any owneds)::Unleis D8TCA receives written notice
signed by any owner. nOtio pay or deliver any Pint deposit or addition or secnial,.DaTCA shall not be liable to any owner
for 'continuing to honor checks:orders or withdrawalrequests:from any owner: After thareatipt of the noticereferred to'
in the previous sentence. OBTCA may require the written authorization of any or all joint oWnerelfor any further payments
or deliveries.
2
13AW140101
013959.032813
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0098013
CONFIDENTIAL
SDNY_GM_00244197
EFTA01392746
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