EFTA01265314_p4_i0.png Image dataset_10 View on DOJ

Illegal Activity
none
Blackmail
none
Date
Unknown
Document Type
image
Model
gemini-2.0-flash-001
Processed
2026-02-07T18:45
Summary
The image is a scanned EFT Enrollment Form for Citibank, N.A., with some sections redacted. The document is marked as confidential and contains financial information.
Metadata
Subject
Electronic Funds Transfer (EFT) Enrollment Form
Sender
Recipients
Document ID
Date
Document Extraction
Document Type
form
Reference #
SDNY GM 00004181EFTA_00118255
Key Points:
  • EFT Enrollment Form
  • Payee/Company Information
  • Financial Institution Information
  • Citibank, N.A.
  • Cathrine R. Reinecke
Full Text Transcription:
ELECTRONIC FUNDS TRANSFER (EFT) PAYEE/COMPANY/VENDOR EFT ENROLLMENT FORM USA DISTRICT: ADORESS 1: ADDRESS 21 CITY, STATE ZIP CONTACT PERSON: PHONE NUMBER: PAYEE/COMPANYAND ORMATION NAME: Citibank, N.A. ADORESS 1: 701 E. 60th St., N.; MC1251 ADDRESS 21 CITY, STATE ZIP Sloux Falls, SD 57117 E-MAIL ADDRESS: TAXPAYER ID #: 13-5266470 CONTACT PERSON: Cathrine R. Reinecke FINANCIAL INSTITUTION INFORMATION BANK NAME: Citibank NA BANK ADDRESS: 701 P. 60th St., N., Sioux Falls, 557117 PHONE NUMBER: NINE-DIGIT ABA ROUTING TRANSIT NUMBER: 021000089 DEPOSITOR ACCOUNT NUMBER: 30997235 ACCOUNT ABOVE IS A CHECKING ACCOUNT ACCOUNT ABOVE IS A SAVINGS ACCOUNT TYPE OF ACCOUNT: X CONFIDENTIAL
Image Classification
Category
document_scan
Subcategory
form
Quality
medium
Redacted
Yes
Redaction
Portions of the form are blacked out, including fields for USA District, Address 1, Address 2, City, State Zip, Contact Person, Phone Number, Payee/Company Name, and Phone Number.
Scene Analysis
Setting
indoor
Location Type
office
Identified Location
Unknown
Atmosphere
formal
Time of Day
unclear
Season/Weather
unclear
Sensitivity Assessment
Level
moderate
Description
The document contains financial and personal information, including bank account details and taxpayer ID, which could be misused if exposed.
Private
Yes
Exploitation Risk
low
Categories
financial_exposureidentity_exposure
Full Image Description
The image shows a scanned document, specifically an Electronic Funds Transfer (EFT) Enrollment Form. The form is partially filled out, with some sections redacted (blacked out). The visible sections include the title of the form, fields for Payee/Company Information, and Financial Institution Information. The Payee/Company Name is listed as 'Citibank, N.A.' with an address in Sioux Falls, SD. The Taxpayer ID is '13-5266470', and the Contact Person is 'Cathrine R. Reinecke'. The Bank Name is 'Citibank NA' with an address also in Sioux Falls, SD. The Nine-Digit ABA Routing Transit Number is '021000089', and the Depositor Account Number is '30997235'. The 'Type of Account' is marked as a checking account. The document has a 'CONFIDENTIAL' watermark at the bottom and reference numbers 'SDNY_GM_00004181' and 'EFTA_00118255'. The image quality is medium, with some blurriness. The redactions obscure portions of the form, making it impossible to determine the full context without the complete document.
Text in Image
Content
ELECTRONIC FUNDS TRANSFER (EFT)PAYEE/COMPANY/VENDOREFT ENROLLMENT FORMUSA DISTRICT:ADORESS 1:ADDRESS 21CITY, STATE ZIPCONTACT PERSON:PHONE NUMBER:PAYEE/COMPANY ANDORMATIONNAME:Citibank, N.A.ADORESS 1:701 E. 60th St., N.; MC1251ADDRESS 21CITY, STATE ZIPSloux Falls, SD 57117E-MAIL ADDRESS:TAXPAYER ID #:13-5266470CONTACT PERSON:Cathrine R. ReineckeFINANCIAL INSTITUTION INFORMATIONBANK NAME:Citibank NABANK ADDRESS:701 P. 60th St., N., Sioux Falls, 557117PHONE NUMBER:NINE-DIGIT ABA ROUTING TRANSIT NUMBER: 021000089DEPOSITOR ACCOUNT NUMBER: 30997235ACCOUNT ABOVE IS A CHECKING ACCOUNTACCOUNT ABOVE IS A SAVINGS ACCOUNTTYPE OF ACCOUNT: XSDNY GM 00004181CONFIDENTIALEFTA_00118255
Type
printedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprintedprinted
Language
English
Significance
The document is an Electronic Funds Transfer (EFT) Enrollment Form, which is used to set up direct deposit payments. The 'CONFIDENTIAL' watermark indicates the sensitive nature of the document.
Raw Analysis JSON click to expand
Themes
Financial transactions/money flowLegal matters/litigation
Organizations 2
Citibank, N.A.Citibank NA
Locations 1
Sioux Falls, SD 57117
Financial Entities 1
Citibank
File Info
File Name
EFTA01265314_p4_i0.png
Dataset
dataset_10
Type
Image
Model
gemini-2.0-flash-001
Processed
2026-02-07T18:45:23.443357
DOJ Source
View on DOJ