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EFTA00283044

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SWORN STATEMENT IN PROOF OF LOSS TO THE AIG Property Casualty Company Agency at: Insurance Office Central Ohio Amount S 39,611,905 Policy No. PCG 0021940015 Date of Exp. July I 5th, 2018 BY YOUR POLICY OF INSURANCE ABOVE DESCRIBED, YOU INSURED Jeffrey Epstein according to the terms and conditions therein, the below mentioned property against loss from the following cases: Property Insured as Per Policy Against Loss From "All Risk" A loss occurred on the island of Little Saint James, USVI on the days of September 6th, I9th, & 20th of 2017 about the hours of -- o'clock —M., which, upon the best of our knowledge and belief, was caused as follows: Hurricane damage and destruction of fine art from Hurricane Irma, (CAT 1744) and Hurricane Maria (CAT 1745). The actual cash value of the property described by aforesaid policy, the actual amount of loss or damage, the total insurance thereon at the time of said loss and damage as shown by annexed schedule, amount named in this policy, and the amount claimed under this policy are as follows: CASH VALUE WHOLE LOSS WHOLE INSURANCE AMOUNT NAMED IN THIS POLICY AMOUNT CLAIMED UNDER TFIIS POLICY - S 1939,131.00 S 39.611.905.00 S 39411,905.00 $1.000.000.00 Except as noted below the property described, belonged at the time of said loss to Jeffrey Epstein and no othe person or persons had any interest therein; no assignment or transfer, or encumbrance of sa d property has been made and no change in the title, use or possession of said property has occurred since the issuance of this policy, except INSURED CLAIMS and will accept IN FULL SATISFACTION AND COMPROMISE SETTLEMENT under this policy the sum of S [000,000.00 and demand no more AND HEREBY AUTHORIZE PAYMENT TO Jeffrey Epstein. In consideration of the payment to be made hereunder, We hereby assign and transfer to the said Insurers each and all claims and demands against any person, persons, corporation or property, arising from or connected with su

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