EFTA01481212.pdf

The Morgan Account 1,3PIVIorgan Private Bank Application: Personal Information MORGAN USE ONLY US900 5/02 Title JEFFREY E EPSTEIN CA (0 0 70K SPN 14(15152 Primary CAS Banker/Investor Rieth Mary C A j ACCOUNT Title of Account Account Type Individual I Tenants by the Entirety INFORMATION JEFFREY E EPSTEIN u Joint (JTWROS) Community Property Tenants in Common u Transfer on Death u Other * B PRIMARY Name E- mail Address ACCOUNTHOLDER JEFFREY E. EPSTEIN Current Mailing Address cNE )100 51g 11 Telephone Fax TFIENcIEECWWZRISE-Ci_ r 457 MADISON AVENUE 4th Floor City State Zip Code Country NEW YORK NY 10022 UNITED STATES Date of Birth Mother's Maiden Name/ Password EFTA01481212  Social Security Number State of Legal Residence NY Citizenship If non-U.S. Citizen U.S. El Other LJ Resident Alien u Non-Resident Alien* *Please complete International Client Application C ADDITIONAL ACCOUNTHOLDER Please refer to attached page(s) for Additional Accountholder information. 0 I BUS] NESS Type of Business Business Telephone Business Fax INFORMATION FOR PRIMARY ACCOUNTHOLDER Name of Firm Occupation/Position Since EPSTBN-8reet---(' PRIVATE CLIENT ADVISOR Address City Slate Zip Code E FINANCIAL PLEASE COMPLETE THIS SECTION WITH TOTALS FOR ALL ACCOUNTHOLDERS OR ATTACH A CURRENT FINANCIAL INFORMATION STATEMENT: Annual Income* Liquid Net Worth (Investable Assets) Net Worth Excluding Primary Residence . Alimony, child support, or separate maintenance income need not be revealed for consideration as a basis for repaying a loan extended under a line of credit. F MORGAN ONLINE I would like to access my account via: u Morgan EFTA01481213 OnLine ACCOUNT ACCESS am a current user of Morgan OnLine; please add this account to my access. My User ID is: Lill Morgan OnLine: I do not currently have Morgan OnLine access. My Choices for an Internet access Login ID: (Internet Access Login ID choices should be Alpha-Numeric with a minimum of 6 characters and a maximum of 16 characters.) 1" Choice ri Choice 3'j Choice My Email Address is: For eligible accounts, I would like the capability to execute: El External wires 0 Internal transfers with my Morgan OnLine access. 900 EFTA01481214