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stor) If a limited partner in a partnership is not a "United States person," the partnership must withhold from such a limited partner and remit to the Internal Revenue Service taxes with respect to certain transfers of property and with respect to the limited partner's allocable share of the Fund's effectively connected t
ial Security No. (both if jointly held) or Tax I.D. No. Name(s) and Capacity of Person(s) Exercising Investment Discretion for Subscriber Date of Birth (both if jointly held) or Date of Formation Residence (Individuals) or Principal Place of Business (Entities) Full Mailing Address (Exactly as it
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
linppltants who have prevously 1. Name Last K D L O ri DP DOTS Code. End. # Exp. EPSTEIN First Middle .4Zie741 JEFFREY EDWARD 2. Date of Birth (mm/ddlyyyy) 01 20 5. Social Security 3. Sex IA F x 6. Email Address 4. Mace of Birth (City & State N in the U.S.. of City & Country as it i
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
lidlyperiod. and is recommended [ncialcarts who have prevausly required the addden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sox IA F X Middle ED Ho DIM DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City &
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013 Page 1 of 2 EFTA00296116 Name of Applicant (Last. First & Middle) Date of Birth (mmfddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. Employer or Schoo
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
lidlyperiod and is reeemmended Ic ppleares who have prevously required the addrion el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex F x Middle K D L O DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City &
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
ity period. and is recommended lOnspicarts who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex PA F x Middle DO Ljo r: DP DOTS Code. End. g Exp. EDWARD 4. Place of Birth (
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
dlyperiod. and is recommended ic peltards oho have previously required the addeban of visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sex kt F X Middle ED [Jo D DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City
ocessing delays or denial of the passport application. Failure to provide your Social Security number may also subject you to a penalty enforced by the Internal Revenue Service. as described in the Federal Tax Law section of the instructions to this form. Your Social Security number will be provided to the Department of the
idlyperiod. and is recommended [flppltares who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddlyyyy) 01 20 1953 3. Sex IA F X Middle ED Lc) 1- 1, DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & Stare if in the U.S
Entities connected to both the Internal Revenue Service and Birth

Jeffrey Epstein
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Paul Morris
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Federal Reserve
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United States
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NEW YORK NY
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