Epstein Secrets

egal, valid and binding obligation of the Investor, enforceable in accordance with its terms. If the Investor lives in a community property state in the United States, either (i) the source of the Investor's Capital Contribution will be the Investor's separate property and the Investor will hold the Interest as it

inimis Exemption set forth in item (4) of Part B above. If this item is applicable to the Investor, please answer the applicable items set forth in Pan C below. (12) None of the above items in this Part A is applicable with respect to the Investor. If the investor did not initial item (4) or ite

ted in P.B. County. O O D. The parent is employed on low rent housing located In P.B. County. O O E. The parent is in the uniformed services of the United Slates. O O If E. is YES, is the parent on active duty? Check service below: 0 Air Force O Army II Coast Guard MI Marines O National Guard O New (11

inical reasoning or evidence for exemption: DOE Code 3 I cestift that the physical condition of this child Lt nth that immenitatiomNat indicated in Pan C above is medically caltraindicated. Physician or Clinic Name: (flint or stamp) Address: D44 610, 1196. dada= la (4Omo (SIM Maher 574.11O:MX1106)

ocated in P.B. County 0 3 D. The parent is employed on low rent housing located n P B. County 0 o E. The parent is in the uniformed services of the Unted States ic) NICSCIOOL CulOL.NICNT iNrCRAJAMON pj Place an X by each program attended Als5 indicate with an asterisk C) the program you chid was in the lo

nical reasoning or evidence for exemption. DOE Code 3 1 cent that the physical condition of this child is such that immunization(s) as indicated in Pan C above is medically contraindicated. Physician or Clinic Name: (Print or stamp) Physician Signature: Address: DH 680, 8/2000, obsoktm tallitt