EFTA01480243.pdf

i. The Morgan Account Pipiiiknna. organ Private Bank Application: Personal Information MORGAN USE ONLY US900 5102 05 - ti'l I olo 7 0 70g Tide FFREY E EPSTEIN SPN JE05152 14 Primary CAS Ranker/Investor Rleth Mary C _Aj ACCOUNT Ink of Account Account Type El Individual a Tenants by the Entirety INFORMATION JEFFREY E EPSTEIN Joint OTWROS) O Community Property ❑ O Tenants in Common O Transfer un Dead, O Other' ill PRIMARY Nanw E-mail Address ACCOUNTHOLDER JEFFREY E. EPSTEIN Current Mailing Address Cie Meld SAP tIggeti Telephone Fax THEWEEMID7113119fti Ctr&-a ixe_ '' 212-750-9790 457 MADISON AVENUE 4th Floor City State Zip Code Country NEW YORK NY 10022 UNITED STATES Dale of Birth Mother's Maiden Name/ Password Social Security Number State at lxeal Residence 090443348 NY Citizenship I linen-US. Ciliten la LIS. O Other ❑ Resident Alien O Non-Resident Alien* *Please complete International Client Application ADDITIONAL O Please refer to numbed pagers) for Additional Accountholder information. ACCOUNTHOLDER 2 i BUSINESS Type of Business Business Tekphone Business Fax INFORMATION FOR PRIMARY ACCOUNTHOLDER Name of Finn Occupation/Posinon Since ePcateitre-ee—C____ PRIVATE CLIENT ADVISOR Addeo, City Sow Tip Code ,LI FINANCIAL PLEASE COMPLETE THIS SECTION WITH TOTALS FOR ALL ACCOUNTHOLDERS OR ATTACH A CURRENT FINANCIAL INFORMATION Annual Income liquid Net Worth (Investable Akers) Net WOW' Excluding Primary Residence S $ S • Ahinony. child %unpin. Or separate maintenance income need not be revealed for consideration as a basis for repaying a loan extended under a line of credit. ll MORGAN ONLINE I would like toaccess my aCeounl tea: 0 Morgan Online ACCOUNT ACCESS O I am a omen) user of Morgan Online; please add this account to by access. My User In isr ❑ Morgan OnLine. I do not currently have Morgan Online access. My Choices for an Inland access Login ID' (Internet Access Login II) chokes %bourn be Alpha-Numeric with a minimum of 6 characters and a nuximuni of 16 characters.) I' Choice 2id Choice r i Choice My Email Address is: For eligible accounts. I would like the capability to execute O External wires ❑ Internal transfers with my Morgan Online nee.. 900 Confidential Treatment Requested by JPM-SDNY-00002344 JPMorgan Chase CONFIDENTIAL SDNY_GM_00271542 EFTA01480243