SSN,PessporfNurnerractherrentre Identeaton numbed 15e. State of Issuance: 150. Country of issuance: 116. Ownership % N aw of • passport ',orate( Non-U.S Persons may also provides Sour Seemly Monter an Men clentekattn card number. or number and stunt& a ;nuance of any other cpvernmenaissued docurnetnt MidenCu

001535 E FTA_000 15009 EFTA00165787 W. TAX ELECT1OWDECLARATION OF TAX STATUS This Account Agreement is designed for use by both U.S. Persons and Non-U.S Persons. Please check the box next to the applicable item below. Cheat certifies That Client will notify D85I in writing immediately if the representation c

iON for alternatives/ Number re Social Security Number) JEFFREY E. EPSTEIN 1/20153 6100 RED HOOK QUARTER, B3 I • ' ST THOMAS, USVI 00802 For Non-U.S Persons. et audition to a Social Security Number or a Passport Number ‘bitn Country of ;source. an alien identification card Tweeter, or numbed arc country