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EFTA00146735

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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK Jane Doe 1, individually and on behalf of all others similarly situated, Plaintiff, v. JPMorgan Chase Bank, N.A., Defendant. Case No.: 1:22-CV-10019 (JSR) OUESTIONNAIRE AND RELEASE I. GENERAL INSTRUCTIONS To participate in the class action settlement (the "Settlement") based on your claims in the action entitled Jane Doe 1 v. JPMorgan Chase Bank, N.A., Case No. 1:22-CV-10019 (JSR) (the "Litigation"), you (or your counsel, on your behalf) must complete the Questionnaire and Release' included in this document and submit it pursuant to the instructions below. You (or your counsel, on your behalf) must mail or upload online your completed and signed Questionnaire and Release by no later than 11:59 PM EDT on September 5, 2023. If you fail to timely submit the Questionnaire and Release, your claim will be rejected, and you will not receive any recovery from the Net Settlement Fund created in connection with the Settlement. You may submit your Questionnaire and Release in your preferred language. The Claims Administrator has English and Russian language versions of this form that can be found by visiting www.epsteinSSFJPM.com. If you need or want any assistance in fillip out the Questionnaire and Release, Class Counsel is available to you. Call Brittany Henderson at or email her at . Brittany Henderson has been trained at assisting survivors of sexual trauma and she is well versed in the general nature of this matter. Ms. Henderson can help you fill out the Questionnaire and Release or answer general questions about this ongoing process. Ms. Henderson will keep your conversation(s) with her, and all information provided to her confidential. The information you include on the Questionnaire and Release will be kept confidential from the public. The only information that will be shared with the Claims Administrator is the information that you choose to include on the Questionnaire and

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