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tion Name: Authorized Signature: Colonial Bank Print . Name: Jeffrey Decmond 3.11.11.1qa 02,01) For Marital Property States Only O &tarried Spouse's Name Street Address City, State, ZIP 0 Not Married O Legally Separated Card Issuance 0 Order New Card for Must mark below to indicate the ty
Credit Rating ip Add Type Code K Delete Type Code K Add Automatic Payment Deduction '17R4 Checking Acct# K Minimum payment K Previous balance K Delete Automatic Payment Deduction K Add E-mail Address K Add Mother's Maiden Name K Add Secondary CH SS# K Add Secondary CH DOB K Add Secondary CH Daytime Phone K Add Fax Numbe
t I - j un; Business Name V 0'5 LA- Ci - FOR MARITAL PROPERTY STATES ONLY CI Married O Not Married O Legally Separated Name and Address of Spouse ACCOUNT RECORD CHANGES O Close Acct O Add Soc. Sec. No. • O Cards Returned O Cards Not Returned O Reopen Account O Remove Reissue Blodt O Add
it Rating K Add Type Code K Delete Type Code - K Add Automatic Payment Deduction T/R$ Checking Accts. K Mininnun payment K Previous balance K Delete Automatic Payment Deduction K Add E-mail Address K Add Mother's Maiden Name K Add Secondary CH SSe K Add Secondary CH DOB K Add Secondary CH Daytime Phone K Do Not Ord
Entities connected to both Spouse and K Delete Automatic Payment Deduction

Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
Joi Ito
PERSON
New York City
LOCATION
George W. Bush
PERSON
NEW YORK NY
LOCATION
Palm Beach
LOCATION
Ralph Lauren
PERSONReporting Unit
ORGANIZATIONID Dept
ORGANIZATIONReissue
ORGANIZATIONPALM BEACH OFFICE
ORGANIZATION
West Palm Beach
LOCATION
Maine
LOCATION
Richard Kahn
PERSONN (Optional
ORGANIZATIONBloomingdales
ORGANIZATIONCredit Line
ORGANIZATIONColonial Bank
ORGANIZATIONCredit Card Services
ORGANIZATION