Epstein Secrets

ing trip. (Place a check mark) , or are not Under the Provision of the Privacy Act of 1974 (Public Law 93-579) No information may be released from U.S. Government files without the prior written consent of the individual in question. Consequently, an employee of the U.S. Passport Agency cannot discuss the det

4. Place of Birth (City & State or City & Count ' is presently known) CITY OF BIRTH, AL 6. Mailing Address: Street/RFD # or P.O. Box 2. Date of Birth (ram/dd./MT) 01 01 1970 5. Social Security Number 999 99 9999 STREET WHERE YOU LIVE City SO Zip Code (Zip + 4 if known) CITY WHERE YOU

ACCEPT DELIVERY OF THE PASSPORT ON MY BEHALF. Under the provisions of the Pnvacy Act of 1974 (Public Law 93-579,) no infomiaton may be released from U.S. Government files without prior written consent of the individual in question. Consequently, an employee of the U.S -cion t tency cannot disci .s the details o

es.display_doc_all?p_hash=42994A0... 2/24/2020 EFTA00099203 Scanned Document Collection Page 2 of 3 Name of Applicant i .1 • Fwy A Mae) Date of Birth (prortde./410 ) \1 \\\t:l. ‘ I . GIIISLAI \II \OFLI F I: ": •1 ii.6I 1111 12. Height 13. Hair Color 14. Eye Color 15. Occupation 16. Employ

pport your dependents or to pay alimony? Made any misrepresentation to obtain any public benefit in the United States? 31. Have you EVER given any U.S. Government officials any information or documentation that was false. fraudulent, or misleading? 32. Have you EVER lied to any U.S. Government officials to g

N Page I of 20 EFTA00525459 Part 2. Information About You (Person applying for naturalization) (continued) A- 3. Other Names You Have Used Since Birth (include nicknames, aliases, and maiden name, if applicable) Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) 4. Name