4
Shared Docs
4
Same-Page
4 / 4
Mentions
lders who are individuals. If you are an Account Holder but you are not an individual (for example, you
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
lders who are individuals. If you are an Account Holder but you are not an individual (for example, you
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
f-Certification Form Part 1 - Individual Account Holder Information Jeffrey Epstein 1. Account Holder N
: 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
f-Certification Form Part 1 - Individual Account Holder Information 1. Account Holder Name: Jeffrey Eps
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
Entities connected to both Eric Holder and Country of Tax Residence