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ued by the Social Security Administration (other than a card stating it is not valid for employment) 2. Certification of Birth Abroad issued by the Department of State (Form FS.545 or Form DS. 1350) 3. Original or certified copy of a birth certificate issued by a state, county. municipal authority or outlying p
icant's obligations hereunder and that such obligations are a condition to the consideration by NES, Epstein or any of the Epstein Companies of the Applicant's employment or engagement, and to any employment or engagement that the Applicant may obtain, and the Applicant hereby agrees as follows: Section
ial transactions of its customers when it becomes aware of them as required under applicable law. For guidance on suspicious activities consult with the U.S Department of the Treasury's FINCEN website at http://www.fincen.gov/. 13. No Guarantee of Tax Incentives. Applicant agrees that the University of the Virgin
control and mechanisms for change in control; Check if Attached. Appendix 1 (X) 2.1.2. A categorized list of states and jurisdictions in which the Applicant has offices, holds property or conducts business; Check if Attached. Appendix 2 (X) 2.1.3. A copy of the most recently obtained good standing cert
s no withholding allowances; providing fraudulent information may subject you to penalties. Routine uses of this information include giving it to the Department of Justice for civil and criminal litigation; to cities states, the District of Columbia, and U.S. commonwealths and possessions for use in administering the
icant's obligations hereunder and that such obligations are a condition to the consideration by NES, Epstein or any of the Epstein Companies of the Applicant's employment or engagement, and to any employment or engagement that the Applicant may obtain, and the Applicant hereby agrees as follows: Section
Entities connected to both Department of Justice and Applicant

Jeffrey Epstein
PERSON
United States
LOCATION
Woody Allen
PERSONDarren Indyke
PERSON
U.S. Virgin Islands
LOCATION
Richard Kahn
PERSONthe State of New York
LOCATIONInternal Revenue
ORGANIZATIONErika Kellerhals
PERSONReview of Agreement
ORGANIZATIONthe Classified Parties
ORGANIZATIONClassified Party
ORGANIZATIONU.S. Coast Guard Merchant
ORGANIZATIONthe Epstein Companies
ORGANIZATIONNES, Epstein
ORGANIZATIONthe Handbook for Employers (M-2741
ORGANIZATION