Epstein Secrets

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

ddiyyyy): Part 2 — Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the following country/countries: Country of Tax Residence: US Virgin Islands If the Account Holder has additional countries of tax residence, please attach a statement to Ibis form containing the required

ty to sign. Internal Use Only Account Number(s): Authorized Signature WM167633 023495.031516 Page 2 of 2 35266976, 35269691, 680519, N4G024968 Jeffrey Epstein EFTA01478118

2 35266976, 35269691, 680519, N4G024968 Jeffrey Epstein EFTA01478118

ge 2 of 2 35266976, 35269691, 680519, N4G024968 Jeffrey Epstein EFTA01478118

dd/yyyy): Part 2 — Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the following country/- countries: Country of Tax Residence: If the Account Holder has additional countries of tax residence, please attach a statement to this form containing the required information outli

half of an individual who lacks capacity to sign. Internal Use Only Account Number(s): Authorized Signature WM167633 023495.031516 Page 2 of 2 Jeffrey Epstein EFTA01478136

ure WM167633 023495.031516 Page 2 of 2 Jeffrey Epstein EFTA01478136

d Signature WM167633 023495.031516 Page 2 of 2 Jeffrey Epstein EFTA01478136

dd/yyyy): Part 2 — Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the following country/- countries: Country of Tax Residence: If the Account Holder has additional countries of tax residence, please attach a statement to this form containing the required information outli

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

: 1/20/1953 Part 2 - Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the following country/countries: Country of Tax Residence: US Virgin Islands If the Account Holder has additional countries of tax residence, please attach a statement to this f orm containing the requir