# CREDIT CARD UNDERWRITING WORKSHEET Applicant Jeffrey Epstein Beacon Score 698 NES, LLC Co-Applicant___ Beacon Score___ INCOME: DEBT:
Gross Monthly:Mortgage/Rent:
Equity Line/Loan:
Other:___ Auto Loan:___ Total Income(A)___ Installment Pymts:___ BANKING: ___Yes___No Revolving Pymts:___ (5% of bal from credit report) Checking___ Savings___ Alimony/Child Support:___ Other:___ Other:___
Proposed Payment:
EMPLOYMENT(5% of credit limit)
Verified on:___ Total Expenses(B)___ Verified with:___ (B) $ \underline{___} divided by (A) $ ___= Visa $ \checkmark $ Visa Gold ___ MC___ NES,LLO Business Credit Limit: $ 25,000.00 Refe. Office Overdraft Protection: ___Yes___ No Auto P Approved By: ___ Date: ___ Approved By:___ Date:___ Exceptions to policy: NO financial st or business tax returns Justification:___ EFTA00186431 SA BUSINESS CREDIT CARD APPLICATION CREDITOR: PALM BEACH NATIONAL BANK & TRUST CO. BRANCH #___ REFERRED BY:_
OWNERSHIP STATUS:MONTHLY MORTGAGE/RENTAL PAYMENTHOME TELEPHONE NUMBER
☐OWN ☐RENT ☐OTHER:$()
POSITION WITH COMPANY:% OF OWNERSHIPTIME WITH COMPANY:OFFICE TELEPHONE NUMBER()
3. BANKING & OTHER CREDIT CARD RELATIONSHIPS
PRIMARY BANKBUSINESS CHECKING ACCOUNT #OTHER ACCOUNTS
Chase BankLOANSAVINGS ACCT CREDIT CARD
OTHER BANK:TYPE(S) OF ACCOUNT(S): Personal account of Guarantor
Palm Beach BankCHECKING ACCOUNTLOANSAVINGS ACCOUNTCREDIT CARD
AMERICAN EXPRESSACCOUNT NUMBER:DATE OPENED:BALANCE:
CORPORATE CARD? YES NO$
VISA BUSINESS ORACCOUNT NUMBER:DATE OPENED:BALANCE:
CORPORATE CARD? YES NO$
MASTERCARD BUSINESS ORACCOUNT NUMBER:DATE OPENED:BALANCE:
CORPORATE CARD? YES NO$
NAME (PRINT)SOCIAL SECURITY #SIGNATURECASH ADVANCE ACCESS?CREDIT LIMIT
Shannon Pascuzzi□YES ×NO$ 10,000.00
Emmy Tayler□YES ×NO$ 10,000.00
Jonitha Mackenzie□YES ×NO$ 5,000.00
□YES □NO$
TOTAL CORPORATE CREDIT LIMIT REQUESTED: $ 6. SIGNATURE Applicant represents that this information is true and complete, and authorizes creditor to verify the information and obtain additional information concerning Company’s credit standing, and to furnish such credit information to others. Company agrees to be bound by and obligated according to the creditor's VISA Business Card Regulations. Applicant represents and warrants that the credit card account will be used primarily (50% or more) for other than personal, family household or agricultural purposes. Applicant understands that this representation is to confirm that no disclosures are required under the Federal Truth-In-Lending law. Applicant requests establishment of an account for each authorized user designated above or on the attached list, as may be amended in writing from time to time by Applicant. Each such designated person is an authorized user and shall have the authority to use the account designated for such authorized user until the creditor is notified to the contrary in writing by the Company. DATE: ___ 8 101 PRINT NAME: JEFFLEY EPSTEIN CORPORATE TITLE: MEMBER