EFTA Document EFTA01821878

To: From: Jeffrey Epstein Sent: Sun 1/17/2010 11:59:52 PM Subject: Re: A B C l) E F (S I Financial Statement ) 3 Applicant: Offer Amount: 4 Co-Applicant: Property: 5 6 The following is being submitted as an accurate sta omen of the financial condition of the undersigned o the day of . 2007. 7 8 ASSETS LIABILITIES 9 Applicant Co -Applicant Applicant Co-Applicant It) Cash in banks $0 SO Notes Payable: SO SO I I Money Markets Funds SO SO To Banks SO SO 12 Contract Deposit $0 SO To Rotative SO SO 13 Investments: Bonds & Stocks $0 $0 To Others SO SO 14 Investment in Own Business $0 $0 Installment Accounts Payable SO SO 15 Real Estate Owned (see schedule) 50 SO Automobile SO $0 16 Automobiles (1994 Isuzu) 50 SO Other SO $0 (7 Personal Property & Furniture SO $0 Other Accounts Payable SO SO Is Life Insurance $0 SO Mortgages Payable on Real Estate SO $0 I 9 Retirement Funds/IRA SC SO Unpaid Real Estate Taxes SO SO 20 401K $0 $0 Unpaid Income Taxes SO SO 2I KEOGH SO $0 Outstanding Credit Card Loans SO SO 22 Profit Sharing/Pension Plan SO Other Debts SO $0 23 Other Assets TOTAL LIABILITIES 24 TOTAL ASSETS SC NET WORTH SO SO 25 COMBINED ASSETS SO COMBINED SO 26 27 SOURCE OF INCOME CONTINGENT LIABILITIES 28 Applicant Co-Applicant 29 Base Salary 50 50 N/A 30 Overtime Wages SO $0 Alimony Payments (Annual) NA 31 Bonus & Commissions SO SO Child Support NIA 32 Dividends & Interest Income $0 $0 Are you a defendant in any legs: action no 33 Real Estate Income 50 SO Are there any unsatisfied judgments? no PROT4 PROT0 34 SO SO Have you ever taken bankruptcy? no 35 Explain. 36 so SO 37 COMBINED INCOME SCI 38 39 FINANCING PROJECTED EXPENSES/MONTHLY 40 4 I Amount Financing 0% Maintenance SO 42 Down Payment 0% Financing SO 43 Interest Rate (estimated, Monthly Credit Card !.I.n,mum SO 44 Duration of Loan Other Mortgages SO 45 Interest Only Bank Loans SO 46 Credit Score Auto Loans SO 47 Other Monthly Debt SO 48 DEBT TO INCOME RATIO TOTAL SO 49 LIQUID ASSETS AFTER CLOSE S 50 x years of monthly payments 0 51 52 GENERAL INFORMATION 53 54 Personal Bank Accounts at 55 Savings & Loans Accounts at 56 Purpose of Loan 57 58 59 SCHEDULE OF BOND & STOCKS 60 Marketable Non-Marketable 61 Amount of Shares Description (Extended Valuation in Column) Value Value 62 63 64 65 66 67 68 69 PROT5 PROT1 70 71 TOTAL 72 SCHEDULE OF REAL ESTATE 73 74 Description & Location Cost Acti is Mortgage Blance Maturity MONTHLY 75 Date Maintenance, 76 Monthly Payment Common Charges. 77 Real Estate Taxes 78 79 80 81 82 83 84 85 86 87 88 89 90 SCHEDULE OF NOTES PAYABLE 91 Specify any assets pledges as collateral, including the liabilities they secure 92 93 To Whom Payable Date Amount Due Interest Pledged as 94 Security 95 96 97 98 99 100 101 102 103 104 The foregoing statements and details pertaining therto, both printed and written. have been carefully PROT6 PROT2 read and the 105 undersigned hereby solemnly declares and certifies that the same is a full and correct exhibit of my/our financial condition. financial 106 condition. 107 108 Date 2007 Signature 109 1 10 Signature I I I On Sun, Jan 17, 2010 at 6:50 PM, cz > wrote: broker said she can't accept an offer unless I submit my financials with it, and that the seller is very firm on 5499. They don't want to accept a contract, if they don't think the board will approve the tenant. I can't open the offer form because i don't have a mac and my "unstuff it" is not installed. I asked her to send a pdf. What's next? The information contained in this communication is confidential, may be attorney-client privileged, may constitute inside information, and is intended only for the use of the addressee. It is the property of Jeffrey Epstein Unauthorized use, disclosure or copying of this communication or any part thereof is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by return e-mail or by e-mail to ihT es jacatiotSgI mail com, and destroy this communication and all copies thereof, including all attachments. PROT7 PROT3