Case File
efta-01392768DOJ Data Set 10OtherEFTA01392768
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392768
Pages
1
Persons
0
Integrity
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
Account Tjile and JointAi opli
nCCatio Information
Inds,
Name
int
Joint Applicant .
Oast name, 11
(last rime. fi'st name, middle Initial)
s7ciersia'
&lcu
AffirTr
. Perm tn.
49
4or
Social Security Number or Taxpayer ID Number
Address
C ty, Stern end Zip Code
Nome Telephone Number
Business Telephone Number
()stoat arm
Nis Mine
Name of Employer
Address
Named Employer
Not epidkabi•
City. Suite and Zip Code
Notice of Customer Identification Policy
Address
tint, ram snalii—Rode
Important Information
To help the government fight the fundkig of terrorism end money laundering activities, Federal law requires all financial
institutions to obtain, verify. and record information that identifies each person who establishes en account investment or
other business relationship with a financial institution. This means that we will ask for your name, address. end 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 e 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
end terrorist financing: these rules call for an active involvement of both asset management fiims 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. euthonzed 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 personal or institutional information change, our clients would be
obliged to immediately notify us of the change(s) and provide us with relevant documentation to verity 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) (defined herein as `Verbal Instructions"). 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 negligence or willful
misconduct of Deusche Bank Trust Company Americas (DBTCA). You agree to indemnify end hold harmless DBTCA for.
any claims, losses, expenses, coats or attorneys fees resulting from DBTCA's acting upon such misunderstood and
unauthorized Verbal Instructions. You understand that OBTCA may. but shall not be requited to, seek verification of your
verbal, facsimile or email instructions by call beck. In case of deubt. 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(e) without written instructions bearing your original
signature.
Joint Account Disclosure
You have opened a feint account with DBTCA and acknowledge receipt of the blowing information: This deposit and any
additions to the account shell become the property of eacn 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 he reiztilred by service of legal process to remIt funds held in
the joint account to satisfy a judgment entered against, or other valid debt Incurred by, any owner of the account. DBTCA
may honor checks, orders or withdrawal requests from the survivor(s) after the death of any owner(s) and may treat the
account as the sole property of the survivor(s) after the death of any owoet(s). Unless DBTCA roceives writleo notice
signed by any owner not to pay or deliver any joint deposit or addition or accrual, DBTCA shalt not be liable to any owner
for continuing to honor checks, orders nr withdrawal requests from any nwner After the receipt of the notice referred to
in the previous sentence. DBTCA may require the written authorization of any or ell joint owners for any further payments
or deliveries.
2
13-AWMdifil
013069 032613
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0098036
CONFIDENTIAL
SDNY_GM_00244220
EFTA01392768
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