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💨IMPACT LEVEL 1 — MEH

Epstein File EFTA01583508: 457 Madison and Perjury (DS10)

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This document is a form related to 457 Madison Avenue, 40th Floor, New York, NY 10022, containing a certification section under penalties of perjury. The excerpt shows a partial form with fields for entity type (sole proprietor, corporation, partnership, or other exempt) and address information, but does not provide sufficient context to determine the specific purpose or parties involved beyond the address reference.

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PersonKeyword
Excerpt 1
appropriate DOE: Sole propretor X Corporat 01 Partnership Other Exempt from beckup Print or type withholding Address (number, street, and apt. or no) **457**
Excerpt 2
**MAdison** Avenue, 40 Floor Requester's name and address iptional) City state, are ZIP code New YORK NY 10022 List account numbers) here (optional) Part
Excerpt 3
Part II Certification Under penalties of **perjury**, I certify that: 1.

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