0. Who will pay for your trip to and stay In Russia? SELF 17. MarItal status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21

al status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21. Your lather's ha name PAULA EPSTEIN SEYMOUR EPSTEIN . I 23. Hove

for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21.

gle (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21. Your father's full name SEYMOUR EPSTEIN "22. Your mothers full name PAULA EPSTEIN

y for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh

ver married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh "21. Your father's full name SEYMOUR EPSTEIN n22. Your mother's full name PAULA EPSTEIN 2

termination of the accounts in 2020 and the lack of access to the underlying documents. We have therefore had to rely on information provided by the Spouse which we can confirm is consistent with our conclusions 6 See appendices to this report. 7 6IPage EFTA00065787 24. We have reviewed informatio

termination of the accounts in 2020 and the lack of access to the underlying documents. We have therefore had to rely on information provided by the Spouse which we can confirm is consistent with our conclusions 6 See appendices to this report. At the bail hearing on July 14, 2020, the Government desc

st Name) Given Name (First Name) Full Middle Name (/lappheable) 2. Date of Birth (Month/Day/Year) and Name 3. Date of Mamap (Month/Day/Year) 4. Spouse's Social Security Number / 5. Nome Address - Street Number Apartment Number City State ZIP Code 1 SDNY GM 00000722 runs N.4007Rev—OX3 I/01)N

onsumer when requesting services. a b C d e f g h k Inquiry Subscriber number and password Consumer's name Social Security number (SSN) Spouse's name and SSN Current address Telephone number Driver's license number Previous address Year of birth Type of terms and amount Employment 2

Law subsequently came to stay with my family in the UK in A 2018. When my husband, I and our daughter were all staying with them in August 2017, her Spouse's ex- wife came and had dinner at the house with us. It was a wonderful example of divorced parents making sure that the children's welfare is put b

termination of the accounts in 2020 and the lack of access to the underlying documents. We have therefore had to rely on information provided by the Spouse which we can confirm is consistent with our conclusions 6 See appendices to this report. 7 6IPage EFTA00154563 24. We have reviewed informatio

is a corporation, partnership. estate, or trust) Phone number of taxpayer on line la or 2a I (336) 688-5882 Signature (see instructions) Date Spouse's signature Date For Privacy Act and Paperwork Reduction Act Notice, see page 2. Cat. No. 37667N Wolters Kluwer Financial Services Form 4506-T (

d.] FM Membership Plan Sept 2005 - April 2009 FM Membership Plan May 2009 - Dec 2010 FM Membership Plan Effective 1/1/2015 Founding Member and Spouse — waived for 5 years then same as Regular Members. 52.500 for Founding Member and Spouse subject to overall annual increases in lockstep with othe

married O simple (never married) [:l aborted Enseparated n widowed O. ie. Sousa fun name (nerarotoir sersaled euseistassailassamespet era) I,9. Spouse's date of birth birth 20.Spouays place of SEYMOUR EPSTEIN ,PAYarrg5stu-Pgill ...„„,„ ^21. Your lather's full awns 23. Have you ever bee

termination of the accounts in 2020 and the lack of access to the underlying documents. We have therefore had to rely on information provided by the Spouse which we can confirm is consistent with our conclusions 6 See appendices to this report. At the bail hearing on July 14, 2020, the Government desc

ondary phone Best time 10 cal I authorize the person listed above to discuss and provide information to the IRS about this notice. ABnatue 0hte. Spouse's *maw Getz EFTA00313234 1111 hi§ • 011447 IRS Noti e (P2000 Tax Year 2011 Notice date Social Security number Page 7 of 8 2013 IRS

Law subsequently came to stay with my family in the UK in A 2018. When my husband, I and our daughter were all staying with them in August 2017, her Spouse's ex- wife came and had dinner at the house with us. It was a wonderful example of divorced parents making sure that the children's welfare is put b

or your trip to and stay In Russia? Independently 17. Marital status married J single (never married) X divorced separated I widowed J 18. Spouse's full name Winced a separatat pleasSeale resift remellamictu) N A 119. Spouse's date of birth (0,..w) NA 20. Spouse's place of birth 1 A. "21.

d.] FM Membership Plan Sept 2005 - April 2009 FM Membership Plan May 2009 - Dec 2010 FM Membership Plan Effective 1/1/2015 Founding Member and Spouse — waived for 5 years then same as Regular Members. 52.500 for Founding Member and Spouse subject to overall annual increases in lockstep with othe

d.] FM Membership Plan Sept 2005 - April 2009 FM Membership Plan May 2009 - Dec 2010 FM Membership Plan Effective 1/1/2015 Founding Member and Spouse — waived for 5 years then same as Regular Members. 52.500 for Founding Member and Spouse subject to overall annual increases in lockstep with othe

20_, ending 10 Your first name and initial Last Name Your social security number If a joint return spouse's first name and initial Last Name Spouse's social security number Mailing Address City, town, state, and ZIP code PART I . K 100% U.S. Income. Check this box if 100 percent of your inco

termination of the accounts in 2020 and the lack of access to the underlying documents. We have therefore had to rely on information provided by the Spouse which we can confirm is consistent with our conclusions 6 See appendices to this report. At the bail hearing on July 14, 2020, the Government desc