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E AND RELEASE Please Type or Print - Use Blue or Black Ink Only For Office Use Only **This Questionnai
will be rejected, and you will not receive any recovery from the Net Settlement Fund created in connection with the Settlement. You may submit your Questionnaire and Release in your preferred language. The Claims Administrator has English and Russian language versions of this form that can be found by visiti
ed Jane Doe 1 v. JPMorgan Chase Bank, N.A., Case No. 1:22-CV-10019 (JSR) (the "Litigation"), you (or your counsel, on your behalf) must complete the Questionnaire and Release' included in this document and submit it pursuant to the instructions below. You (or your counsel, on your behalf) must mail or upload o
address and telephone number of destination: Roy Black Miami, FL 33131 Purpose of Trip: prepare for
Stuart Mermeistein; Ashlie Stoken-Baring; Connie Zaguirre Subject Jane Does v. Epstein From reviewing the transcripts, it seems Dr. Kliman utilized Questionnaire's with all of your clients. I need them. Please advise of your position. I'm sure you will produce since they are EXHIBIT 3 If 9/15/2009 EFTA001
address and telephone number of destination: Roy Black 305-371-6422 201 S Biscayne Blvd. Miami, FL 3313
Stuart Mermeisteln; Ashlie Stoken-Baring; Connie Zaguirre Subject Jane Does v. Epstein From reviewing the transcripts, it seems Dr. Kliman utilized Questionnaire's with all of your clients. I need them. Please advise of your position. I'm sure you will produce since they are EXHIBIT 3 If 9/15/2009 EFTA016
Entities connected to both Leon Black and Questionnaire

Jeffrey Epstein
PERSONRoy Black
PERSONDarren Indyke
PERSON
Prince Andrew
PERSON
Alan Dershowitz
PERSON
Woody Allen
PERSON
United States
LOCATION
George W. Bush
PERSON
Barry Diller
PERSONJack Goldberger
PERSON
Bradley Edwards
PERSON
Kenneth Marra
PERSONJane Doe
PERSONMaria Farmer
PERSON
Samantha Power
PERSON
Stephen Hawking
PERSON
Scarlett Johansson
PERSON
Virginia Giuffre
PERSON
A. Marie Villafana
PERSONthe Southern District
LOCATION