📄 Extracted Text (198 words)
Is this DDR being used for multiple entities? r Yes 6 No
Last Name:
First Name:
Middle Name/Initial:
Previous Last Name(s):
Title:
Business Name:
(To Record Individual's Ownership Or Employer)
it Primary Address Business Address
Addresses
(Legal address on account) (Other than Primary Address)
Name: Ms.
Attention:
Address Line 1:
Address Line 2:
City:
State:
Province:
Postal/Zip Code:
Country: UNITED STATES
Legal Entity: Individual / Joint
Industry Code:
NAIC Code:
Citizenship: To be confirmed
Date of Birth:
(Use 4-digit year)
Gender: Female
Tax ID # :
Remember to collect W-8's or other applicable tax forms for each jurisdiction.
Passport/Drivers
License #:
Home Phone: (212)-000-0000
Introduction Information
Introduction Type: Related Client NC
Specific Information: Jeffrey Epstein
Met With Principal? r Yes (3 No
If you did not meet the Principal, give an indication of why you haven't met the individual and when you will.
Mary will meet with her as soon as possible. She has met several times with Jeffrey Epstein.
What form of goverment issued identification document did you obtain for the files?
Other
If Other ,Please Describe: not yet supplied
Financial Information
Occupation, Business or Employer
of the Client:
Confidential Treatment Requested by JPMorgan Chase JPM-SDNY-00062381
EFTA01582808
ℹ️ Document Details
SHA-256
44aa105ba9c646b3de3a383ebcde9019f71aadab4a7b03cba9097981d60551a3
Bates Number
EFTA01582808
Dataset
DataSet-10
Document Type
document
Pages
1
Comments 0