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Home / Epstein Files / Court Records / Government of the United States Virgin Islands v. JPMorgan Chase Bank, N.A., No. 1;22-cv-10904 (S.D.N.Y. 2022)
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← Back to Government of the United States Virgin Islands v. JPMorgan Chase Bank, N.A., No. 1;22-cv-10904 (S.D.N.Y. 2022)

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EXHIBIT FILED UNDER SEAL Case Document Filed Page of Case Document Filed Page of Confid ntial QCHASE PERSONAL SIGNATURE CARD AND APPLICATION JPMorgan Chase Bank BRANCH COPY Account Tiile Primary Customer Information Accouilts with mulple owners att Jolut payable to either owner or the survivor Home Ph OO OOX Account Account Type Account An SS TIN CHASE EXTRA SAVINGS ACCOUNT INDIVIDUAL TIN Date Opened Opened By Deposit Amt PHILLIP WALTERS Th i Account Is Not Transferable ease activate Check Coverage for the account listed above I1we authori2e you to Integrate and use as the Protecting Account the account identified above on t/.1Is application I/we agree to the tenns and cond i tions as conta i ned in the Deposit Account Agreement and i sclosures I/we agree that I/we have reviewed the i nfonnation contained in this Peisonal Signature Card and App li cation and find ii accurate on this date In the payment of funds and i the transaction of all other business re ative to th i account I/we agree that you are authorized to rely upon the slgnature wrten be ow and on the reverse skle 1/we..have recelved and agcee toJhe ter,ms and conditions of the slt Account Agreement and i sc osures urrenUy I effect ana as ay be amended i U1t1 lype oraccour,Ca efJ..:os ve sefo above If I/we do a ve a Chase Bank i ng Card I/we will be issued one/two and all eligible accounts will be linked to it/them These llnked accounts whether singly or Jointly owned c;an be acc:essed by the Chase Banking Card or by telephone Du ri ng the review of tny our applica ti on you may obtain a consumer report on me/us and if the application Is approved you may at any time in the ful Jre obta i addi ti ona consumer reports to review my our account I/we have the right to ask for the name and address of the consumer re rtin a en wh i ch ave the consumer re Ott on By i gn i ng below I certify under penalties of perjury that The number hown on this fonn Is my correct taxpayer identification number and I am not sub ect to backup withhold i ng beeause a I have not been notified by the lntema Re enue SefVice IRS that I am subject to backup i thhold i ng as a result of a failure to report all interest or ividends or the I RS has notified tha I am no longer subject lo backup withholding and I am a person includ ng a resident alien I Check here if you are subject to backup withholding for fail re to report I nteres or dividends Check here if you are not a U.S erson or a resident alien and com the a ro riate Form rt Applicant Signature hec tatement authorize you not to return pal with my our account statements If I/we selected the Check Imaging op on I/we clilree to receive Images front only of my our paid checks IM/e agree that the account statemen will conta i I nformation about each check paid includ i ng check numbe dollar amount and date pa i thereby enabling a proper reconcil i ation of the account uest hotoco ies of checks will be rovided You will not retain ort inal checks doses Then end i Uona reternlon of five ye81 JPM-SDNY LI Case Document Filed Page of Confidential POWER OF ATTORNEY INFORMATION DATE POWER OF ATTORNEY RECEIVED __ __ __ P0 ER OF A TTORNEV NAME ADDRESS Street and Number CllY BENEFICIA.RY INFORM ATION POWER OF ATTORNEY SIGNATURE STATE ZIP CODE ADDITIONAL ACCOUNT SIGNERS For Eatate and Trust accounts as needed Una out unused Signature boxe PRINT NAME TITLE SIGMA TURE VERll-lCATION Primary Applicant 1D PP ID ChcxS srems Approved SS TU Override CDE:B FPH Override A Joint Applicant ID St Exp ID St Exp ChexSystems Code SSN-ST YR TU COE FPH NOTARY INFORMATION For Worldwide Consumer Bank STATE OF __ COUNTY OF SS On the day of before me personally came to me known and known to me to be the ind ivi dua described i and who executed the foreg oi ng I nstrument and he acknowledged to me that he executed the same THE ABOVE I NFORMATION ANO NO __ SIGNATURE POA ANO ADDITIONAL SIGNl:RS WERE VERIF I ED 8Y Pl1n1Name lni als De No Stock Order FORM PM-SDNY LI
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