the Social Security Administration
ORGANIZATIONFederal Bureau of Investigation - New York
ORGANIZATION4
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. Marital Status 18.a. Country Single O Married O Divorced O Widowcd LovAiz. I 12. Have you previously filed Form 1-765? OYes ENo 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? @Yes O No NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. I
Page Number 7.b. Part Number 7.c. Item Number 7.d. Form 1-765 12/26/19 Page 7 of 7 EFTA00173147 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. Tel:l-800-262-DCJS Micha
your father's birth name. 16.a. Family Name (Last Name) 16.b. Given Name (First Name) Mother's Name Provide your mothers birth name. 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? 0 NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. If you ans
7.c. Item Number 7.d. Form 1-765 12/26/19 1111 DirfirMISKIVOMMVERNMIIIII Page 7 of 7 EFTA01731234 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. Tell-800-262-DCJS xecuti
your father's birth name. 16.a. Family Name (Last Name) 16.b. Given Name (First Name) Mother's Name Provide your mothers birth name. 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? 0 NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. If you ans
7.c. Item Number 7.d. Form 1-765 12/26/19 1111 DirfirMISKIVOMMVERNMIIIII Page 7 of 7 EFTA01684019 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. Tell-800-262-DCJS xecuti
arital Status 18.a. Coun Eraingle K Married K Divorced K Widowed 12. Have you previously filed Form I-765? 18.b. Country ❑Yes E'No 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? ErYes K No NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14.
6.c. Item Number 74. Form I-765 12/26/19 RONIMEMOIStiftifttliSMUMIIIII Page 7 of 7 EFTA01699773 Additional Inquiry Response ORI: NYFBINY00 Federal Bureau of Investigation - New York New York State Division of Criminal Justice Services Alfred E. Smith Building, 80 South Swan St. Albany, New York 12210. 'Fel: I -800-262-DCJS Mi
Entities connected to both the Social Security Administration and Federal Bureau of Investigation - New York
Albany
LOCATIONNew York State Division of Criminal Justice Services
ORGANIZATIONthe NYS Division of Criminal Justice Services
ORGANIZATION
Michael C.Green
PERSON
Jeffrey Epstein
PERSON
United States
LOCATION
New York City
LOCATION
Department of Justice
ORGANIZATION
Homeland Security
ORGANIZATIONLeon Black
PERSON
Department of Homeland Security
ORGANIZATIONNew York Field Office
LOCATIONMonitoring Case
ORGANIZATIONMonitoring Group
ORGANIZATIONFederal, State
ORGANIZATIONPreparer
ORGANIZATIONContact Information, Certification
ORGANIZATIONParole and Law Enforcement Programs Unit
ORGANIZATIONRequesting Law Enforcement Agency
ORGANIZATIONFBI
ORGANIZATION