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n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State. Credit Card/Debit Card Authorization forms can be found on our • .dos.ny.gov. This form, alon
ions. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below, completing the signer information sect ' his form to the Department of State at the address on the reverse side of this form. Forms ma
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA. MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
ons. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below. completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this fo
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
ions. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below, completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this fo
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA, MasterCard or American Express. Checks must be payable to the 'Department of State'. Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
ions. Please note Farm Corporations must file a paper form. PAPER FILING: • Farm corporations are exempt but must notify the Department by checking the Farm Corporation Exemption Box below. completing the signer information section and mailing this form to the Department of State at the address on the reverse side of this fo
Entities connected to both American Express and the Farm Corporation Exemption

Jeffrey Epstein
PERSON
George W. Bush
PERSON
New York City
LOCATION
NEW YORK NY
LOCATIONDarren Indyke
PERSON
Prince Andrew
PERSON
Ghislaine Maxwell
PERSON
MasterCard
ORGANIZATION
New York
LOCATION
U.S. Virgin Islands
LOCATIONFBI
ORGANIZATIONthe Southern District
LOCATION
New York State
LOCATION
Apple
ORGANIZATION
Les Wexner
PERSON
Columbus
LOCATIONthe State of New York
LOCATIONNew Albany
LOCATION
Andrew Cuomo
PERSON
Foley Square
LOCATION