EFTA00084044¶
The Morgan Account Application: Morgan Premier Bank¶
JPMorgan Private Bank¶
MORGAN USE ONLY US840 0401 Title JEFFREY EPSTEIN SPN MMIA No. Primary CAS Checking Acct. No. JPMorgan Representative (sent) THOMAS A. RICE (not named)¶
A¶
| INFORMATION | SCAN |
|---|---|
| SPN # | JEFFREY EPSTEIN |
| ACCT # |
Entity Type Individual Tenants by the Entity ☐ Joint (JTWROS) Community Property ☐ Tenants in Common UTMA/GMA ☐ In Trust For (Payable On Death for Texas residents) ☐ Transfer on Death (TOD)¶
B¶
| Effective Data | ☐ Checking Account ☐ Checking with Interest Account ☐ Premier Checking Account |
|---|---|
| ☐ Military Mutual Investment Account ☐ CD (Certificate of Deposit); Investment features will be obtained by JPM Representative |
C¶
| PRIMARY ACCOUNTHOLDER INFORMATION | Name |
|---|---|
| Jeffrey Epstein | Current Mailing Address |
| City NEW YORK NY | |
| Telephone Fax | |
| Date of Birth | Mother’s Maiden Name/ Password |
| Citizenship U.S. Other | If non-U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien* *May have to complete International Client Application |
| BUSINESS INFORMATION | Type of Business |
| Name of Firm | Occupation/Position Since |
| Address | City State Zip Code |
D¶
| SECONDARY ACCOUNTHOLDER INFORMATION (For Joint Accounts) | Name |
|---|---|
| Jeffrey Epstein | Current Mailing Address |
| Telephone Fax | |
| City State Zip Code | |
| Date of Birth | Mother’s Maiden Name/ Password |
| Citizenship U.S. Other | If non-U.S. Citizen ☐ Resident Alien ☐ Non-Resident Alien* *May have to complete International Client Application |
840¶
Confidential Treatment Requested by JPMorgan Chase¶
JPM-SDNY-00002391¶
EFTA00084045¶
| BUSINESS INFORMATION FOR SECONDARY ACCOUNTHOLDER | Type of Business | Business Telephone | Business Tax |
|---|---|---|---|
| Name of Firm | Occupation/Position | Since | |
| Address | City | State | |
| Zip Code | Zip Code | ||
| E BENEFICIARY/MINOR INFORMATION (IRRUPTER FOR USMA UTWA, TIF(POD, TOD) | Name | Address | |
| State | Zip Code / Country | ||
| F ADDITIONAL ACCOUNTHOLDER(S) | Please send me the Additional Accountholder Form for more than one Additional Accountholder. | ||
| G CHECKS | Check Style (JPMorgan exclusive check sticker): | Wallet (single check) | |
| Newport Desk Book (spiral binder, 3 checks per page) | Business-Style book (ring binder, 3 checks per page) | ||
| Computer Checks (not software) | Other* | ||
| Other check styles may occur additional fee Check Imprint: Checks will be imprinted with Title of Account as it appears on this Application, and address as listed in the primary accountholder information section of this application, or on file. Please omit my address from the check request. | |||
| H CHECKCARD I ATM CARD | I wish to add a □ JPMorgan Private Bank Visa/Mikh Check Card or □ JPMorgan Private Bank ATM Only Card to my account. | ||
| I ALTERNATE CHECK AND CARD DELIVERY ADDRESS | Alternate Check and Card Delivery Address: | ||
| Name | Company | ||
| Address | City | ||
| State | Zip Code | ||
| J CHECK IMAGING | Reduced size images of the front and back of each check will be returned with statements unless otherwise indicated. Truncate checks and do not return | ||
| K ACCOUNT LINKING | Note: Linking Agreement is contained in Subdivision M of this application. | ||
| Link for Presentation: To maintain combined average monthly balances and avoid certain transaction fees as listed on my current fee schedule. Link my following Checking, Money Market Investment Account, Certificate of Deposit, and applicable JPMorgan Money Market Funds** | |||
| Account Number for lead Checking Account to be billed any monthly maintenance charges: | |||
| Link for Statementing: Combine summary and detailed information for account with the same title in one consolidated statement. Link my following Checking, Money Market Investment Account, Certificate of Deposit Account with the same title. | |||
| Link for Coverage Now: Coverage Now is a service offered by JPMorgan that automatically transfers available funds from one account (Checking or Money Market Investment Account) to your Checking Account in order to cover a negative balance. Use the account listed below as an automatic source of funds if accidentally overdraw my Checking account Checking Account Number | |||
| Source Account Number I am aware that Federal regulations limit the number of pre-authorized transactions such as these from Money Market Investment Accounts (AMIA) to six (or three checks) per statement cycle. | |||
| L Link for Automatic Dollar Transfers (ADT): ADTs are pre-established, in-gained fixed or variable funds transfers between JPMorgan accounts that facilitate the control and management of funds held in multiple collections and/or disbursement accounts. Use the accounts listed below as an automatic source of funds | |||
840¶
Confidential Treatment Requested by JPMorgan Chase¶
JPM-SDNY-00002392¶
EFTA00084046¶
L ONLINE ACCOUNT ACCESS¶
You more information regarding online access, contact your JP Morgan Private Bank Representative.¶
I am a current user of Morgan OnLine/Chase OnLine; please add this account to my access. My User ID is: ___JEJEJEJE¶
☐ I would like to access my account via Morgan OnLine (User IDs must contain 8-32 characters. They cannot be the same as your password or SSN. They may not include special characters such as &, %, *, etc.)¶
My Choices for an Internet access Login ID: 1st Choice ___ 2nd Choice ___¶
3rd Choice ___ My Email Address is:¶
☐ I am a current user of Morgan OnLine/Chase Online; please add this account to my access. My User ID is:¶
☐ I would like to access my account via Morgan OnLine (User IDs must contain 8-32 characters. They cannot be the same as your password or SSN. They may not include special characters such as &, %, *, etc.)¶
My Choices for an Internet access Login ID: 1st Choice ___ 2nd Choice ___¶
3rd Choice ___ My Email Address is:¶
M ADDITIONAL STATEMENT RECIPIENTS¶
Additional Statement Recipients (Individuals to receive duplicate copies of statements): Name of Additional Statement Recipient: Address¶
City State Zip Code Country¶
Name of Additional Statement Recipient: Address¶
City State Zip Code Country¶
Name of Additional Statement Recipient: Address¶
City State Zip Code Country¶
Name of Additional Statement Recipient: Address¶
City State Zip Code Country¶
THIS APPLICATION MUST BE COMPLETED BEFORE MORGAN WILL BE ABLE TO PROVIDE FINANCIAL SERVICES. IF ANY SECTION IS INCOMPLETE, YOU MAY CONTACT ME TO OBTAIN ADDITIONAL INFORMATION. I MUST ALSO NOTIFY YOU OF ANY FUTURE CHANGES TO THE INFORMATION IN THIS APPLICATION. ABSENT NOTIFICATION, THE INFORMATION CONTAINED IN THE APPLICATION WILL BE DEEMED ACCUMULATE AND COMPLETE.¶
N PLEDGE AGREEMENT¶
I agree that this account is an account under The General Terms for Accounts and Services and is pledged as collateral for all of my obligations and is subject to the security interest provisions in The General Terms for Accounts and Services, the terms of which are incorporated by reference. The General Terms for Accounts and Services together with this application are the security agreement under Article 9 of the Uniform Commercial Code, as amended from time to time.¶
840¶
Confidential Treatment Requested by JPMorgan Chase¶
JPM-SDNY-00002393¶
EFTA00084047¶
Q LINKING AGREEMENT¶
You pay no monthly fee, provided that you maintain the combined average monthly balances with JPMorgan Private Bank as listed on my current fee schedule.¶
By linking my multiple non-interest bearing Checking accounts, I can use the combined account balances to avoid or minimize interest charges. By linking my multiple non-interest bearing Checking accounts, I can reduce interest charges due to overdraft, but does not prevent them themselves. Each day, the calculated amount of all linked accounts are added together. If the net balance is negative, overall interest charges will be calculated on that negative balance.¶
I understand that linking Checking Accounts as described above may have legal, tax, or other ramifications under applicable U.S. or other laws or rules (for example, different legal entities and incurring or paying charges on behalf of each other or having their assets offset against each other). By signing below, I represent that I and the other account owners have consulted with my legal, financial, tax, or other advisers on these matters, accept the linkage of JPMorgan Private Bank and each of its affiliates, officers, directors, agents and other representations against any liability relating to any way in the provision of account linking services to myself or the owners of the linked Checking Accounts.¶
Other terms applicable to my Accounts are contained in The General Terms for Accounts and Services, Account Agreements, and Appendices.¶
P MORGAN AGREEMENT¶
The General Terms for Accounts and Services and supplements along with this Application, including the Linking Agreement, the Checking Account Agreement, the Money Market Investment Account Agreement, and any additional Account Agreements, Rate and Fee Schedule, Appendices and Supplemental Forms, and all amendments and supplements to any of them in effect from time to time.¶
By signing this Application, I acknowledge that I have, or will read all the various documents including but not limited to, the General Terms for Accounts and Services, Account Agreements, Rate and Fee Schedule, and Appendices, and Supplemental Forms which comprise the Agreement between you and me (“Agreement”). I further acknowledge that I will notify you immediately if I have any issues with the Agreement. Otherwise, I will be deemed to consent with this Agreement between you and me.¶
I also agree that each of the Accounts I am applying for is included as Criterion for all of my obligations. I also acknowledge that I have read and consent to the terms of the JPMorgan Private Bank Privacy Policy, including in which my account will be used as a account holder as a result of an account being used by one or more members of the JPMorgan Private Bank family of companies (as listed in the Policy) in order to make available to me all the products and services available through the JPMorgan Private Bank. I understand that you do not give tax or legal advice, and that I am advised to consult a lawyer or tax advisor for a tax, legal, and estate-planning issue affecting my Accounts, including the way Accounts are tried.¶
Q IMPORTANT TAX INFORMATION¶
A FORGEON PERSON MAY HAVE TO COMPLETE IRS Form W/BEN OR Form W.MEMY. A “FORGEON PERSON” MEANS A FORGEONBEN ALTERN INDIVIDUAL, A FORGEON CORPORATION, A FORGEON PARTNERSHIP, A FORGEON TRUST, A FORGEON ESTATE, AND ANY OTHER PERSON THAT IS NOT AN U.S. PERSON. IT ALSO INCLUDES A FORGEON BRANCH OR OFFICE OF AN U.S. FINANCIAL, INSTITUTION OR U.S. CLEARING ORGANIZATION IF THE FORGEON BRANCH IS A QUALIFIED INTERMEDIARY.¶
I AM A FORGEON PERSON; THEREFORE, I ACKNOWLEDGE THAT YOU ADVISE ME TO READ the IRS W-4 INSTRUCTIONS (ENCLOSSED IN THIS PACKAGE) CAREFULLY AND THAT I HAVE BEEN ADVISED TO CONSULT MY TAX ADVISOR. Please sign and return the attached W8 form(s).¶
IF I HAVE NOT CHECKED THE FORGEON PERSON TAX STATUS BOX ABOVE, UNDER PENALTIES OF PREJURY, CERTIFY, AS THE ACCOUNTHOLDER SELLOW, THAT (1) THE NUMBER SHOWN ON THIS APPLICATION IS MY CURRENT TAX IDENTIFICATION NUMBER (OR I AM WAITING FOR A NUMBER TO BE USED TO ME), AND (2) THAT I AM NOT SUBJECT TO BACK-UP WITHINHOLDING because: (A) I AM EXCEPT FROM BACKUP WITHINHOLDING, OR (B) I HAVE NOT BEEN SUBMITTED IN THE INTERNAL REVENUE SERVICES (RNS) THAT I AM SUBJECT TO BACK-UP WITHINHOLDING AS A RESULT OF A FAILURE TO REPORT ALL INTEREST AND DIVIDEND, OR (C) THE RNS HAS NOT NOTIFIED ME THAT I AM NO LONGER SUBJECT TO BACK-UP WITHINHOLDING, AND (D) I AM A U.S. PERSON (INCLUDING A U.S. RESENT ALEN).¶
B UNDERSTAND that IF I HAVE BEEN NOTIFIED BY THE IRS THAT I AM SUBJECT TO BACK-UP WITHINHOLDING AS A RESULT OF DIVIDEND OR INTEREST UNDERREPORTING, and I HAVE NOT RECEIVED A NOTICE FROM THE MEETING THAT BACK-UP WITHINHOLDING IS TERMINATED, I MUST STRIKE OR CROSS OUT THE INFORMATION CONTAINED IN STEP 2 IN THE PREVIOUS PARAGRAPH. THE IRS DO NOT REQUIRE TO ANPROVID OF THIS DOCUMENT OTHER than the CERTIFICATION REQUIRED TO AVOID BACK-UP WITHINHOLDING.¶
SIGN HERE¶
ALL ACCOUNTHOLDERS ARE REQUIRED TO SIGN BELOW:¶
09/13/06 Jeffrey EPstein¶
Signature (Accountholder) Date Print Name¶
Signature (Additional Accountholder) Date Print Name¶
Deposit Accounts are with JPMorgan Chase Bank, N.A. or J.P. Morgan Trust Company, N.A. or Chase Bank USA, N.A.¶
840¶
Confidential Treatment Requested by JPMorgan Chase¶
JPM-SDNY-00002394¶