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efta-efta01269144DOJ Data Set 10Correspondence

EFTA Document EFTA01269144

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DOJ Data Set 10
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efta-efta01269144
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EFTA Disclosure
Text extracted via OCR from the original document. May contain errors from the scanning process.
F .RSONAL ACCOUNT SIUNATURE CARD 101 INDIVIDUAL CHECKING Account Type Account Description ACCOUNT NUMBER A. Account TitletPrint or Type Last :Te4Cif e - CeSAC.An Name First) B. Namealloingirl Siena e __..—Etate Signature Date - ill 6 IOU Birth Date Binhpl Citizen/Subject of k)s A Birth Da Birthplace Citizen/Subject of lndkate Mailing Address with an " I " in Box Below Home Address of A U or B U Ell Home Address (include Zip Code) I tlitCli e i.az. kj tt_Y..)i(--- (31UPranre“— (3..1 Home Phone CONFIDENTIAL `C Name and Address of Business (include Zip Codel -T'1 etrVA A-1 - 7( S4 C.,exticpani3 \nc. ( 0 kOO Re A *t,w CDAI • —Cc \ rre=. V 1 C)9° 7-- —crirtOrnfzet , V iecit:ck 008OL Business Phone A. Mother's Maiden Name B. Mother's Maiden A. E1 Account Holder Social Security Number for 1099 Tax Reporting 8. 0 Joint Account Holder Social Security Number INo 1099 Reporting) Beneficiary. if any. INot for Checking Accounts., Name and Home Address of Beneficiary Birth Date Birthplace Chase reserves the right to check and verify references at account opening. Periodically we send valuable information to our customers about new products and services offered by or t rough Chase. If you do not wish to receive this information by mail or telephone, pieti5e check this box Ifwe acknowledge receipt of a copy of Terms and Conditions Agreement. Regulations, and Fee Schedule applicable to this/these accountls) and agree to be bound by these Terms and Regulations. AUTOMATIC TRANSFER Yes No Please arrange to transfer from my Statemen Savings Account Number the amount necessary to Cover any overdraft in my checkin account. Naapeeaand Address of Bank Reference nd Account No. Erg &lin Craeg race 421.4 1 • (we i acknowledge receipt of the Account ditions and R a an- Regulations applicable to1mewcount and tee tc be bound by them. Maunder penalty of perjury. I certify that. (I) The number on this form 4 my ccnect taxpayer Wei numb. (or lam waiting for a number to be issued to me). or (2) I am not subtect to back-up withholding because: (a) I am (we are) exempt from back-vp withholding or (b) I (we) have not been notified by the Internal Revenue Service that I am (we we) subject to back-uf wehnolding as result of failure to report an interest or dividends. or (o)d* IRS has notified me (us) that I am (we are) no loage' subject to back-up yneteolding (If you are alibied to back-up withholding aces out the words that state you are not Sec separate Insvutoon sheet for details ) Account holder Social Security Number for 1009 Tax Reporting. MB By chocking this box the account °wrier represents and warrants that haishe is not a US ;even for purposes of US federal income tax and that he/she Is not sang for or on behalf of a US person. Arabs statement or insrepresentsbon of Ls satin by a US person could lead to penalties under US law. If your tax status changes and you become a US citizen o resident, you must notify to within 30 days. (Provide the appropriate We form to the customer for completion.) If the account holder fails to check either the W9 or We statement end does not provide the Form W4 o€ Form WE you must rely on the presumption rules set forth in the account agreement. ...A. Sig Customeds) ertification of Social Security Number Date 4 , Sig Initial Deposit B. •ignature Date CONFIDENTIAL SDNY_GM_O0O13297 FirstBankPR000460 EFTA_00123940 EFTA01269144 U S. VIRGIN ISLANO. DOUCE DEPARTME DRIVER'S LICE* . • CONFIDENTIAL I SDNYGM_000 13298 CONFIDENTIAL FirstBankPR000461 EFTA 00123941 EFTA01269145 The Secretary of State of the United States of America hereby requegf all whom it may concern so permit the citizen/ national of she United States named herein to pith without delay or hindrance and in case of need to give all lawful aid and protection. Le Strritaire d'Etat des Etatt-Unit LAmirique prie par let prams:et souks autoriiir compitentes de laisser passer k thoyen Oti re:or:is:ant des Etats-Dais tilulaire du prima pamport. sans dilai ni difficult' et, en (as de brain, de lui accorder soak aide et protection lithium. CONFIDENTIAL SIGNATEHE OF PASSPORT P Assf ',CRT EARER/SIGNATIURE NOT VA SIGNED TITVI.AIRE Y. 1) 1.D' N r\`; IM ; itth\ Tspe/CA1/4' Coat c' Lcivel <Of/ <wow. CASSPOR I M' /HO IX/ PILSItOOR re* SW. <YARN-, 110708878 Sewn I Mon EPS1. JEFFREY EDWARD / Ni of et CONFIDENTIAL SDNY_GM_00013299 FirstBankPR000462 EFTA_00123942 EFTA01269146 Security Procedure Agreement for Telephone/Fax Issuance of I First Bank Payment Orders or Request for Virgin islands CLOSED International Drafts Dear Valued customer: Date: /O-02/7 By reading, signing and returning this document to us. or by issuing payment orders or requests for international drafts to us subsequent to your receipt, you agree to the terms of this letter. ISSUANCE OF INSTRUCTIONS If you issue a payment order to us, or request the issuance of an international draft, by telephone or telecopier (fax), then the condition of our Transfer Application, a copy of which Is attached to this letter, will apply. If you issue instructions by fax, we ask that you transmit to us the face of the Transfer Application, property completed and signed. A supply of Transfer Applications may be obtained from any branch office. If you issue instructions by telephone, you authorize us to complete the Transfer Application n accordance with the instructions received by us. REPETITIVE PAYMENT ORDERS You may make arrangements with us, if you desire, for the processing of repetitive orders, i.e. payment orders in which your account to be debited, the name and ABA routing number of the beneficiary's bank (and intermediary bank, if applicable) and the name and account number of the beneficiary are preestablished, and in which only the dollar amount and the date of execution are variable. This pre-established information must be supplied to us in writing. SECURITY PROCEDURE As a general matter, we shall verify the authenticity of payment orders or requests for international drafts Issued in your name as part of your Bank relationship, which exceed dollar thresholds from time to time established by us. by call-back to you (or a designated signer on your account) at the telephone number in our records or as provided below. We shall be authorized to accept confirmation, which we believe to be genuine. Telephone number changes for call-backs must to provide to us fn writing. We may, but we shall not be obligated to, record telephone calls or call-backs. MISCELLANEOUS We may from time to time provide you with opening procedures or Instructions for use of our services. The terms under which we provide such services; including any operating procedures, aro subject to amendment upon five days' prior notice to you. All services are rendered subject to the terms and conditions governing your account(s). This letter of agreement shall be governed by the laws of the territory of the U.S. Virgin Islands. Fired:rank AUTHORIZED BY: (PRINT NAME) BRANCH DATE Richard Young I Waterfront ' 2/5/2016 SIGNATURE TITLE e-41107.4/e.Aftl /7.4‘49 Fta? ECA NUMBER NAME(S) 1. Jeffrey Epstein 2. Bella Klein TELEPHONE NUMBER FOR CALL-BACKS AND PERSON(S) DESIGNATED TO AFFIRM OR DISAFFIRM PAYMENT ORDERS OR COMMUNICATIONS TELEPHONE mi(a) 3 CUSTOMER ACKNOWLEDGEMENT REVISED DATE 2/5/2016 MARK ONE BOX a NEW AGREEMENT AGREEMENT ACCOUNT TITLE (PRINT) Jeffrey Epstein PRIMARY ACCOUNT NUMBER BY: (AUTHORIZED SIGNATURE ON ACCOUNT DEBITED) ACCOffilTED_______ FustBank Viooin Islands is a Mist'', of FirsfStuik Puerto Mco 14104-2150-1102 CONFIDENTIAL SDNY_GM_000 13300 CONFIDENTIAL FirstBankPR000463 EF1'A_00123943 EFTA01269147 CLOSED DM.• .- ot-/9 CONFIDENTIAL CONFIDENTIAL SONY_GM_0001.01 FtrstBankPR000464 EFT,00123944 EFTA01269148

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