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efta-efta01269144DOJ Data Set 10CorrespondenceEFTA Document EFTA01269144
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DOJ Data Set 10
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efta-efta01269144
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EFTA DisclosureText 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
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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:
/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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