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sd-10-EFTA01372834Dept. of Justice

EFTA Document EFTA01372834

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715:2019 KYC Print One sheet must be established for EACH INDIVIDUAL PARTY in Section 2. Account Ownership Summar 3A. Individual Details (for all paites) Indrvduars Name: Jeffrey Epstein - Date of Birth: Country of Resdence: USVI Country of Citizenship: USA Address of primary residence: Lee Saint James Saint Thomas 00302 US Virgin Islands Has client resided outside of his/her country of nationality for 5 years or more' yes e No Profession/Occupation: Self Empolyed Tax ID / SSN

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Dept. of Justice
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sd-10-EFTA01372834
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