EFTA Document EFTA01388811

SY SIGNING BELOW CUENT ACKNOWLEDGES TUT: ill CU ENT RAS RECENED READ AND AGREES TO THE TERMS AND CONDITIONS OF NIS • ACCOUNT AGREEMENT, INCLUDING THE APPENDIX WHICH CONTAINS IMPORTANT INFOR/AATIONI AND (2) THE INFORMATION CONTAINED IN THIS ACCOUNT APPLICATION IS ACCURATE. CLIENT ACKNOWLEDGESTHATTHIS ACCOUNT AGREEMENT CONTAINS A PRE-DISPUTE ARBITRATION CLAUSE AT SECTION It PAGES, AND CLIENT AGREES TO TERMS (ALL ACCOUNT ADMEN ENT SO NAloRrES musr INITIALJ. *MO* THE INTERNAL REVENUE SERVICE DOES REWIRED TO AVOID BACKUP WITHHOLDING, PERSON AND OBTAIN A REDUCED Imporraw IMonnellon for MUSA employee certain Inforenaticri In connection with related ccrnpensation. The disclosure that you ere a fid LtIsry reesporestie tee individual or joint account (IF THIS CONFIRMATION OF TAX AND COMPLIANCE Client acimoveledgea having sire remaitiEty nmy who H connection YAW assets, CHECK A BOX BELOW ONLY IF CLIENTS CLIENTS SPECIFY INSTEAD I Tenants in gammon: or 0 Community {for m Walt! NOT REQUIRE CLIENT'S CONSErff TO MY PROVISION OF THIS COCUM E NT OTHER THAN THE CERTIFICATION AND, IF APPLICABLE THE CERTIFICATION REQUIRED TO ESTABLISH CLIENTS STATUSES A NON-U.S. RATE OF WITHHOLDING. benefit plan dents, U.S. Depenmeit of Ls Ws regulations require °BSI to disclose to a responslae plan fiduciary the arts, that DIM providas to a plan. to asst the Reticent .ri evaluating the reasonableness of DRSI's services and is readable onfra at littp.thwenpronmfaxonrartiencasicnrarisafinclosuw_pcsAtmI. By signing below. you acknoMedge the immurement ed Dears amass te the plan, you hive read the <WOW, and you understand the SaiOsure. IS A JOINT ACCOUNT, ALL ACCOUNT OWNERS MUST SIGN,: RESPONSIBILMES to Mill anYtaxobligations and ens other rotatory repOrtibg duties applicable in any tan% iuredictIon a that (notate Or tranertiOnS Si Coons accouveS) ifld business relatioruhlp vdth DRSI. DO NOT WANT JOINT TENANTS WITH RIGHTS OF SURVIVORSHIP DR TENANTS BY THE ENTIRETIES. t mtples in c Ysea ierJt a ratans SO% 'nano h the cordmunity propeny upon death et the first swum/. One7-a-q- ( I Print Name o--AcRnti 'tsprtf-c-,------- SPAN Shamus° Date . • Prim Name ISWEIN VnlInatoc Date Prtn: Name SSWEIN ee. arporation partnerrhip, trust or other andth CONFIRMATION OF TAX AND COMPLIANCE RESPONSIBILITIES Client aciatowledgea having solo rostonsilAny to fulfill any sex cesigatevs and cry other regulatory repertrig dunes applicable %Many relevant e'tiattealarte tat may ma. M oonnactipn ebb assets, income or transactions In Clont's accounts) and business reladoutio with OBSI. Eurthemlore. Chad corrErns thst the Theoesseei rforecsnon (to the best of ellent's knowledge end enwaalittles) Is made mann no I® thin annually to the relevant benetida owned.* amend* beneficiarylia0. partner NI. et. to enable such peewits( to Mt I any tototeshre tax elefgations that may arise for such personIel In connection wan peat's tininess reltutinenip with c444. • Name of Ernhy Scotian Farmer( 11C Z --- EnvIcgarr ID No ---.—_ *nowt or &ricer, Penn% 'ciliate. Aelneeree Part‘ Data 7 --. ( f — CR Rint Name/Tale Jeffrey Epstein Signature or Officer, Penner. Tnntae. Authonzed Party Date erre Nansatala Signature el Mixt. Partner, Trustee. Authorend Party WO Print Narrienitle 13-AVA1-014S 012 taSe92•13 900/80:d 7lCr, 7 PA xe.A CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) CONFIDENTIAL DB-SDNY-0092574 SDNY_GM_00238758 EFTA01388811