Case File
efta-efta01459368DOJ Data Set 10CorrespondenceEFTA Document EFTA01459368
Date
Unknown
Source
DOJ Data Set 10
Reference
efta-efta01459368
Pages
0
Persons
0
Integrity
Loading PDF viewer...
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
BY SIGNING BELOW CLIENT ACKNOWLEDGES THAT:
CLIENT HAS RECEIVED. READ AND AGREES TO THE TERMS AND CONDITIONS OF THIS
ACCOUNT AGREEMENT, INCLUDING DIE APPENDIX WHICH CONTAINS IMPORTANT INFORMATION; (2) THE INFORMATION CONTAINED IN THIS
ACCOUNT AGREEMENT IS ACCURATE; AND (3) CLIENT HAS ELECTED IN SECTION IV, PAGES, HOW TO USE FREE CREDIT BALANCES.
CLIENT ACKNOWLEDGES THAT THIS ACCOUNT AGREEMENT CONTAINS A PRE•DISPUTE ARBITRATION CLAUSE AT SECTION III PAGE 5. AND CLIENT
AGREES TO ITS
4S (ALL ACCOUNT AGREEMENT SIGNATORIES MUST INITIAL).
INMAL HERE
THE INTERNAL REVENUE SERVICE DOES NOT REQUIRE CLIENTS CONSENT TO ANY PROVISION OF THIS DOCUMENT OTHER THAN THE CERTIRCATION
REQUIRED TO AVOID BACKUP WITHHOLDING, AND. IF APPLICABLE, THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUS AS A NON-US.
PERSON AND OBTAIN A REDUCED RATE OF WITHHOI DING.
Important IMormetkin for ERISA employee benefit plan taints: US. Depetment of Labor mutilations require DSSI todisclose to a responsible plan fiduciary
certain information In connection with the services that DB51 provides toe plan. to assist the fiduciary in evaluating the reasonableness of DBS1's services and
related compensation. The disclosure Is available online. at http://wvespwm.db comiamericasienierisa_disclosure pcs htrni. By signing below. you acknowledge
that you area fiduciary responsible for the procurement of DEIS1's services to the den, you have reed the disclosure and you understand the discinsure.
Individual or Joint account (IF THIS IS A JOINT ACCOUNT, AU. ACCOUNT OWNERS MUST SIGN):
CONFIRMATION OF TM AND COMPLIANCE RESPONSIBILITIES
Client acknowledges having sole responribilky to fulfil any tax obligations and any other regulatory reporting duties applicable In any relevant jurisdictions that
may arise in connection with assets, income or transectkees in Client's account(a) and business relationship with OBSI.
CHECK A BOX BELOW ONLY IF CLIENTS DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP OR TENANTS BY THE ENTIRETIES.
CLIENTS SPECIFY INSTEAD:
OTenants in common; or
ElCommunity Property Rot married couples 31 certain states; each spouse retains 50% interest in the community property upon death of the first spousal.
Signature
Datil
Print Name
SSNIEIN
Signature
Date
Print Name
SSWEIN
Signature
Ode
Print Name
SSWEIN
Corporation, partnership, trust or other entity:
CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES
Clieni acknowledges lowing sole responsibility to fuffill any tax obligations and env other regulatory reporting duties appitatgo to In any relevant jurisdictions
that may arise In connection with assets. income or transactions In Client's aocnunt(s) end business relationship with 0851. Furthermore, Caere confirms that the
necessary information (to the best of Clients knowledge and capabilites) is made available no less than annually to the relevant beneficial owner(s). setdor(s),
beneficiaryIesi, panner(s). etc. to enable such OCTSOn(s) to IUIM1II any respective tax obligations that may arise for such persords) in connection with Client's
business relationship with OBSI.
Name ol Entity
R
rote- MA
I_ cif
Employer ID Not
Date
11
Signature of Officer, Partner, Tnntee, Auiltorized PIM
Print Memel-I itte_Alitt 11Pri
g..413%) )
• ..A;th
I),
Signature of Officer. Partner. Trustee.
zed Party 1............)0
...4-40
A.E
.
Print Name/True
Date
23-11C
V
Signature at Mose, Panne:, Trustee Ai niorbed Pauly
Dols
Print NamoTOIO
WM134715
015584.110314
CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e)
DB-SDNY-0119719
CONFIDENTIAL
SONY GM_00265903
EFTA01459368
Technical Artifacts (8)
View in Artifacts BrowserEmail addresses, URLs, phone numbers, and other technical indicators extracted from this document.
SWIFT/BIC
ACCURATESWIFT/BIC
APPENDIXSWIFT/BIC
ARBITRATIONSWIFT/BIC
BALANCESSWIFT/BIC
CONTAINSSWIFT/BIC
INFORMATIONSWIFT/BIC
SIGNATORIESURL
http://wvespwm.dbForum Discussions
This document was digitized, indexed, and cross-referenced with 1,400+ persons in the Epstein files. 100% free, ad-free, and independent.
Annotations powered by Hypothesis. Select any text on this page to annotate or highlight it.