Epstein Index›Documents›EFTA01377442
⚡IMPACT LEVEL 3 — NOTEWORTHY

Epstein File EFTA01377442: Holder, Minor and US Virgin Islands (DS10)

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This document is an Individual Self-Certification Form signed by Jeffrey Epstein on April 28, 2016, establishing his tax residency status in the US Virgin Islands. The form includes account holder information and tax compliance declarations, with a checkbox option for signing as a legal guardian for a minor.

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📋 Key Excerpts5

PersonKeyword
Excerpt 1
Jeffrey Epstein Print Name Authorized Signature 4-28-2016 Date (mm-dd-yyyy) Check this box if you are signing as a legal guardian for a **minor** or on behalf
Excerpt 2
Tax Residency and Tax Compliance Status For the purposes of taxation, I am a tax resident of the following country/countries: Country of Tax Residence: **US**
Excerpt 3
**Virgin** **Islands** If the Account Holder has additional countries of tax residence, please attach a statement to this form containing the required information

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