# 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 PAYMENT | HOME TELEPHONE NUMBER |
| ☐OWN ☐RENT ☐OTHER: | | $ | () |
| POSITION WITH COMPANY: | % OF OWNERSHIP | TIME WITH COMPANY: | OFFICE TELEPHONE NUMBER() |
| 3. BANKING & OTHER CREDIT CARD RELATIONSHIPS |
| PRIMARY BANK | BUSINESS CHECKING ACCOUNT # | OTHER ACCOUNTS |
| Chase Bank | | | LOAN | SAVINGS ACCT CREDIT CARD |
| OTHER BANK: | TYPE(S) OF ACCOUNT(S): Personal account of Guarantor |
| Palm Beach Bank | CHECKING ACCOUNT | LOAN | SAVINGS ACCOUNT | CREDIT CARD |
| AMERICAN EXPRESS | ACCOUNT NUMBER: | DATE OPENED: | BALANCE: | |
| CORPORATE CARD? YES NO | | | $ | |
| VISA BUSINESS OR | ACCOUNT NUMBER: | DATE OPENED: | BALANCE: | |
| CORPORATE CARD? YES NO | | | $ | |
| MASTERCARD BUSINESS OR | ACCOUNT NUMBER: | DATE OPENED: | BALANCE: | |
| CORPORATE CARD? YES NO | | | $ | |
| NAME (PRINT) | SOCIAL SECURITY # | SIGNATURE | CASH 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