Commercial credit card application form for an Epstein-linked LLC

EFTA00186557¶

Metavante Corporation Credit Card Services¶

COMMERCIAL CARD PRODUCTS – INDIVIDUAL ACCOUNT INFORMATION¶

Please indicate Commercial Card Product type:¶

• ☐ VISA
• ☐ MasterCard
• ☐ Purchaser

Company Name: NES LLC Company Number: Corporate Account:¶

SECTION 1 - AUTHORIZED USERS¶

Name	Credit Line	Cash Advance Capability (“D” or % of Limit)	Reporting Unit (Optional)	General Ledger # Assigned *	Taxable Y/N*	MEA Y/N*
Branakmana L. Melilla	3,000	Pin Y/N	Div. ID	Div. Name	Dept. ID	Dept. Name

Mothers Maiden Name (Optional) | Social Security Number | Home telephone # (Optional) | Account Number (Metavante Use) |¶

Cardholder billing address: 457 Madison Ave, Fourth Floor | City | New York | NY | ZIP Code | 10022¶

Special Handling Instructions: □ Federal Express¶

Plastic address if different from Cardholder billing address:¶

City | State | ZIP Code¶

Name	Credit Line	Cash Advance Capability (“D” or % of Limit)	Reporting Unit (Optional)	General Ledger # Assigned *	Taxable Y/N*	MEA Y/N*
Mothers Maiden Name (Optional)	Social Security Number (Optional)	Home telephone # (Optional)	Account Number (Metavante Use)

Cardholder billing address¶

City | State | ZIP Code¶

Special Handling Instructions: □ Federal Express¶

Plastic address if different from Cardholder billing address:¶

City | State | ZIP Code¶

Name	Credit Line	Cash Advance Capability (“D” or % of Limit)	Reporting Unit (Optional)	General Ledger # Assigned *	Taxable Y/N*	MEA Y/N*
Mothers Maiden Name (Optional)	Social Security Number (Optional)	Home telephone # (Optional)	Account Number (Metavante Use)

Cardholder billing address¶

City | State | ZIP Code¶

Special Handling Instructions: □ Federal Express¶

Plastic address if different from Cardholder billing address:¶

City | State | ZIP Code¶

• Visa Purchasing Card Options

Y=Yes, N=No, D=Default to Company Set-up (if yes, indicate % of limit available for cash)¶

Financial Institution Name: Authorized Signature:¶