EFTA01478130.pdf

4/21/2016 Jeffrey Epstein 6100 Red Hook Quarters Suite 3B St. Thomas, VI 00802-1348 Your account(s) XXX976 Jeffrey Epstein, XXX691 Jeffrey Epstein, XXX475 JEGE LLC, XXX694 THE 2007 Jeffrey E Epstein Insurance, XXX017 Mort Inc, XXX324 Gratitude America Ltd, XXX251 Gratitude America Ltd, XXX519 Jeffrey Epstein, XXX935 Jeepers Inc, XXX943 The Haze Trust, XXX968 Jeffrey Epstein Dear Mr. Epstein, Deutsche Bank AG and its affiliates (collectively, "Deutsche Bank") collect certain information, including tax related information, from their clients. Deutsche Bank collects this information to comply with certain local and international regulatory requirements that are designed, among other things, to foster and support a tax compliant environment. Although these requirements are not necessarily imposed by all countries, Deutsche Bank, as a global bank that strives to achieve consistency in its practices among all of its regions, nonetheless requires this information be provided by clients even if not required by regulation of the country where your account is maintained. Accordingly, Deutsche Bank is sending you the enclosed Self-Certification form. This initiative is being completed in two phases: the first phase addresses Individual accounts and the second phase addresses Legal Entity accounts. Therefore, if you have multiple account types with Deutsche Bank, you may receive multiple requests to provide this Self-Certification. We would kindly ask you to return the completed Self-Certification to the address provided below within 30 days of receipt of this letter to ensure smooth continuation of our valued relationship. Alternatively, you may return the Self-Certification form by fax, email, or via DocuSign. Deutsche Bank 345 Park Avenue 25th Floor New York, New York 10154 Once we have reviewed your completed Self-Certification, we will contact you if additional information is required. If we do not receive your completed Self-Certification, we will send you a reminder notice. While Deutsche Bank does not provide tax advice, you may contact your Relationship Manager if you have questions concerning the Self-Certification process. If you have questions about how to provide the information required in the attached Self-Certification form or determine your tax residency status, we encourage you to reach out to your tax adviser. We thank you in advance for your understanding and timely cooperation with this matter. Yours sincerely, Paul Morris EFTA01478130 Deutsche Bank Wealth Management WM167632 023494.031516 EFTA01478131