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efta-01392768DOJ Data Set 10Other

EFTA01392768

Date
Unknown
Source
DOJ Data Set 10
Reference
efta-01392768
Pages
1
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0
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EFTA Disclosure
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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