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ority. Part lA I Entity Account Holder The 2007 Jeffrey E. Epstein Insurance Trust #3 Legal Name of Entity
h Controlling Person below. Please continue on a separate sheet if necessary (and attach to this form) First Name Last Name Jeffrey 01/20/1953 Epstein Controlling Person Type/Role yrustor Date of Birth Controlling Person Country/Countries of Tax Residence US Virgin Islands Is Controlling Pers
ority. Part lA I Entity Account Holder The 2007 Jeffrey E. Epstein Insurance Trust #3 Legal Name of Entity US Virg
ority. Part lA I Entity Account Holder The 2007 Jeffrey E. Epstein Insurance Trust #3 Legal Name of Entity
Account Holder is an entity, and not an individuai. If in fact the Account Holder Is an individual, the individual should complete and provide the Individual Self-Certification Form which you can obtain by contacting your Deutsche Bank Wealth Management Americas Relationship Manager. Please note that a branch of an entity
Individual Self-Certification Form Part 1 - Individual Account Holder Information 1. Account Holder Name: Jeffrey Epstein 2. Date of Binh (mtrilddiyyyy): Part 2 — Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the follow
der Information 1. Account Holder Name: Jeffrey Epstein 2. Date of Binh (mtrilddiyyyy): Part 2 — Tax
ount Holder Information 1. Account Holder Name: Jeffrey Epstein 2. Date of Binh (mtrilddiyyyy): Part
Individual Self-Certification Form Part 1 - Individual Account Holder Information 1. Account Holder Name: Jeffrey Epstein 2. Date of Binh (mtrilddiyyyy): Part 2 — Tax Resid
de details of each Controlling Person below. Please continue on a separate sheet if necessary (and attach to this form). 1 First Name Last Name Jeffrey Date of Birth 953 Epstein Controlling Person Type/Role ^ Owner Controlling- Person - Country/Countries of Tax Residence US Virgin Islands Is Co
ng Person below. Please continue on a separate sheet if necessary (and attach to this form). 1 First Name Last Name Jeffrey Date of Birth 953 Epstein Controlling Person Type/Role ^ Owner Controlling- Person - Country/Countries of Tax Residence US Virgin Islands Is Controlling Person a non-US B
you to determine who the non-US Beneficiaries and non-US Beneficial Owners are. Mort, Inc. Legal Name of Entity to which this Appendix 2 relates Jeffrey Epstein Non-US Beneficiary/Non-US Benefdai Owner Name 01/20/1953 Date of Birth/Dale of incorporation (mm/dd/yyyy) Part 2 Tax Residency Country/Countrie
Account Holder is an entity, and not an individual. If in fact the Account Holder is an individual, the individual should complete and provide the Individual Self-Certification Form which you can obtain by contacting your Deutsche Bank Wealth Management Americas Relationship Manager. Please note that a branch of an entity
ontrolling Person below. Please continue on a separate sheet if necessary (and attach to this form). First Name jgffrgy Date of Birth Last Name Epstein Controlling Person Type/Role Owner 01/20/1953 Controlling Person Country/Countiies of Tax Residence US Virgin Islands is Controlling Person a
who the non-US Beneficiaries and non-US Beneficial Owners are. Jeepei^, Inc. EFTA01478366 Legal Name of Entity to which this Appendix 2 relates Jeffrey Epstein Non-US Beneficlary/Non-US Beneficial Owner Name 01/20/1953 Date of Birth/Oale of Incorporation (mm/dd/yyyy) Part 2 Tax Residency Country/Countr
Name of Entity to which this Appendix 2 relates Jeffrey Epstein Non-US Beneficlary/Non-US Beneficial Own
Account Holder is an entity, and not an individual. If in fact the Account Holder is an individual, the individual should complete and provide the Individual Self-Certification Form which you can obtain by contacting your Deutsche Bank Wealth Management Americas Relationship Manager. Please note that a branch of an entity
ntrolling Person below. Please continue on a separate sheet if necessary (and attach to this form). First Name jgff,.gy Date of Birth Last Name Epstein Controlling Person Type/Role Trustor/Trustee/Beneficiary ; 01/20/1953 Country/Countries of Tax Residence Controlling Person US Virgin Islands
to determine who the non-US Beneficiaries and non-US Beneficial Owners are. The Haze Trust Legal Name of Entity to which this Appendix 2 relates Jeffrey Epstein Non-US Beneficiary/Non-US Beneficial Owner Name 01/20/1953 Date of Birth/Date of Incorporation (mm/dd/yyyy) Part 2 Tax Residency EFTA01478377
Name of Entity to which this Appendix 2 relates Jeffrey Epstein Non-US Beneficiary/Non-US Beneficial Own
Account Holder is an entity, and not an individual. If in fact the Account Holder is an individual, the individual should complete and provide the Individual Self-Certification Form which you can obtain by contacting your Deutsche Bank Wealth Management Americas Relationship Manager. Please note that a branch of an entity
Individual Self-Certification Form Part 1 - Individual Account Holder Information Jeffrey Epstein 1. Account Holder Name: 2. Date of Birth (mm/dd/yyyy): 1/20/1953 Part 2 - Tax Residency and Tax Compliance Status For the purposes of taxation, I
- Individual Account Holder Information Jeffrey Epstein 1. Account Holder Name: 2. Date of Birth (mm/dd
Part 1 - Individual Account Holder Information Jeffrey Epstein 1. Account Holder Name: 2. Date of Birt
Individual Self-Certification Form Part 1 - Individual Account Holder Information Jeffrey Epstein 1. Account Holder Name: 2. Date of Birth (mm/dd/yyyy): 1/20/1953 Part 2 - Ta
of Tax Residence US Is Controlling Person a non-US Beneficiary/non-US Beneficial Owner? ff: No Yes (complete Appendix 2) First Name Last Name Jeffrey 01/20/1953 Epstein Controlling Person Type/Role Qjrector EFTA01478384 Date of Birth Controlling Person Country/Counthes of Tax Residence US
Is Controlling Person a non-US Beneficiary/non-US Beneficial Owner? ff: No Yes (complete Appendix 2) First Name Last Name Jeffrey 01/20/1953 Epstein Controlling Person Type/Role Qjrector EFTA01478384 Date of Birth Controlling Person Country/Counthes of Tax Residence US Virgin isiands Is C
Account Holder is an entity, and notan individual. If in fact the Account Holder is an individual, the individual should complete and provide the Individual Self-Certification Form which you can obtain by contacting your Deutsche Bank Wealth Management Americas Relationship Manager. Please note that a branch of an entity
ect: RE: Individual Self-Certification Form [I] : Brianna Fowler Classification: For Internal use only There are a lot of accounts associated with Jeffrey. Will track them all down and attach a list. Do you have the original list of accounts that we thought were in scope for this? Want to make sure I s
From: Armen Brash Sent: 5/24/2016 2:32:04 PM To: Stewart 0ldfield I CC: Cynthia Rodriguez Subject: RE: Individual Self-Certification Form III Attachments: USO - CRP Client Outreach - PAUL MORRIS.xlsx Classification: For Internal use only Best, Armen Armen Brash Director Deut
ject: RE: Individual Self-Certification Form Ill Brianna Fowler Classification: For Internal use only There are a lot of accounts associated with Jeffrey. Will track them all down and attach a list. Do you have the original list of accounts that we thought were in scope for this? Want to make sure I s
From: Stewart Oldfield Sent: 5/24/2016 2:18:47 PM To: Armen Brash CC: Cynthia Rodriguez Subject: RE: Individual Self-Certification Form Ill Brianna Fowler Classification: For Internal use only There are a lot of accounts associated with Jeffrey. Will track them all down and at
ianna Fowler Subject: RE: Individual Self-Certification Form [I] Classification: For Internal use only There are a lot of accounts associated with Jeffrey. Will track them all down and attach a list. Do you have the original list of accounts that we thought were in scope for this? Want to make sure I s
o get on his machine in the next day or so. Thanks From: Cynthia Rodriguez Sent: Tuesday, May 24, 2016 2:22 PM To: Stewart Oldfield Subject: RE: Individual Self-Certification Form [I] He never sent me anything unfortunately. Kind regards. Cynthia Rodriguez Cynthia Rodriguez Assistant We President Deutsche Bank Trust
Entities connected to both Jeffrey Epstein and Individual Self-Certification

Richard Kahn
PERSONDarren Indyke
PERSON
Paul Morris
PERSON
Martha Stewart
PERSON
Alfredo Rodriguez
PERSON
Stewart Oldfield
PERSONHBRK Associates
ORGANIZATION
Cynthia
PERSONBebe Avdiu
PERSON
Eric Holder
PERSON
Cynthia Rodriguez
PERSONArmen Brash
PERSONINTERNAL
ORGANIZATIONDB Force
ORGANIZATIONBrianna Fowler
PERSONDeutsche Bark Wealth Management
ORGANIZATIONCountry of Tax Residence
ORGANIZATION