EFTA Document EFTA01480243

The Morgan Account Application: Personal Information i. Pipiiiknna. organ Private Bank 05 - ti'l I olo 7 0 70g MORGAN USE ONLY US900 5102 Tide SPN JE05152 FFREY E EPSTEIN 14 Primary CAS Ranker/Investor Rleth Mary C _Aj ACCOUNT INFORMATION Ink of Account JEFFREY E EPSTEIN Account Type El Individual K Joint OTWROS) O Tenants in Common O Other' a O O Tenants by the Entirety Community Property Transfer un Dead, ill PRIMARY ACCOUNTHOLDER Nanw JEFFREY E. EPSTEIN E-mail Address Current Mailing Address Cie Meld SAP tIggeti THEWEEMID7113119fti Ctr&-a ixe_ ' ' 457 MADISON AVENUE 4th Floor Telephone Fax 212-750-9790 City State NEW YORK NY Zip Code Country 10022 UNITED STATES Dale of Birth Mother's Maiden Name/ Password Social Security Number 090443348 State at lxeal Residence NY Citizenship la LIS. O Other I linen-US. Ciliten K Resident Alien O Non-Resident Alien* *Please complete International Client Application ADDITIONAL ACCOUNTHOLDER O Please refer to numbed pagers) for Additional Accountholder information. 2 i BUSINESS INFORMATION FOR PRIMARY ACCOUNTHOLDER Type of Business Business Tekphone Business Fax Name of Finn ePcateitre-ee—C____ Occupation/Posinon Since PRIVATE CLIENT ADVISOR Addeo, City Sow Tip Code ,LI FINANCIAL INFORMATION PLEASE COMPLETE THIS SECTION WITH TOTALS FOR ALL ACCOUNTHOLDERS OR ATTACH A CURRENT FINANCIAL 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 ACCOUNT ACCESS I would like toaccess my aCeounl tea: 0 Morgan Online O I am a omen) user of Morgan Online; please add this account to by access. My User In isr K 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 K Internal transfers with my Morgan Online nee.. 900 Confidential Treatment Requested by JPMorgan Chase CONFIDENTIAL JPM-SDNY-00002344 SDNY_GM_00271542 EFTA01480243