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sd-10-EFTA01456701Dept. of Justice

Account statement (EFTA01456701)

Financial Record

Form W (Rev. August 2013) Deportment of the Treasury Internal FleverueService -9 Request for Taxpayer Identification Number and Certification Give Form to the requester. Do not send to the IRS. 8 rb Name (as shown o your ncome tax return) Jeffrey Epstein Business namerdeuegarded entity name. it different from above LSJE, LLC Check appropriate box for federal tax classification: K Indwduai/sole proprietor K C Corporation K S Corporation K Partnership K Trust/estate K Limite

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Dept. of Justice
Reference
sd-10-EFTA01456701
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