Federal Bureau of Investigation - Privacy Waiver and Certification of Identity Page 1 of 1 COM0010. SIM and meh (WOW sigeolute modem US. Daparonent ofJusdce Federal Bureau ofIniresfigation Privacy Waiver and Certification of Identity Fla Nem Jeffrey E. Epstein name uses' CunzetAddrest 358 R1 Ari 1 to Way. Palm Beach, FL 33480 osioreirer 1/70/1951 Ptoei EWE Ki rigs County, New York soda soapily Meeker Oneonta ncm-44 -114R (ombnd. Not eseeseyonnyloymerie. et. which may Neil the FM biota the requested Inhandlon) I hereby mine Mifflin to ply, end I euthertte the Fano age ee any and ell Intonation Meting to me it (Nam., othlass a phone of names. or ohm designee) 20 Park P Under pinata it al nue it USW WOK re0undn0 et otnear0 on, mcedre) nol mete than $SA00. Strinelksce: http://foia.fbi.gov/waiver.htm 1000, a 02116 - 617 227 3700 abed atom and underytend owl an fahfeetion el the otelommapolehoMe mat the reel mere men $11:4000 of by Imeatemeent el AN Me Ikea hes yam. et WC end thal under the proddonotl relax U.S.C. Secien 552e (0(31ea a nesdonteener end by a ano el 15 1/4 8 Dab: 12/29/2009 EFTA00596446