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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
ts have been received and any identification issues resolved. [For the FBI: Coordination has also been effected with appropriate member agencies of the Intelligence Community] 4. Copies of all database screens on the person named above, including negative responses, have been identified and forwarded to U.S. Immigration
l Status gs) Single 0 Married 0 Divorced K Widowed 18.a. Country 12. Have you previously filed Form I-765? 18.b. Country Oyes JNo 13.a. Has the Social Security Administration (SSA) ever officially issued a Social Security card to you? @Yes 0 No NOTE: If you answered "No" to Item Number 13.a., skip to Item Number 14. I
ts have been received and any identification issues resolved. [For the FBI: Coordination has also been effected with appropriate member agencies of the Intelligence Community] 4. Copies of all database screens on the person named above, including negative responses, have been identified and forwarded to U.S. Immigration
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
ts have been received and any identification issues resolved. [For the FBI: Coordination has also been effected with appropriate member agencies of the Intelligence Community.] 4. Copies of all database screens on the person named above, including negative responses, have been identified and forwarded to U.S. Immigration
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
ts have been received and any identification issues resolved. [For the FBI: Coordination has also been effected with appropriate member agencies of the Intelligence Community] 4. Copies of all database screens on the person named above, including negative responses, have been identified and forwarded to U.S. Immigration
Entities connected to both the Social Security Administration and the Intelligence Community

Jeffrey Epstein
PERSON
United States
LOCATION
Department of Justice
ORGANIZATION
Homeland Security
ORGANIZATION
Kansas
LOCATION
Department of Homeland Security
ORGANIZATION
Colorado
LOCATION
Prince Andrew
PERSON
Woody Allen
PERSON
Virginia Giuffre
PERSON
Eric Trump
PERSON
Ghislaine Maxwell
PERSON
Cincinnati
LOCATION
Kentucky
LOCATION
Minnesota
LOCATIONLeon Black
PERSON
Idaho
LOCATION
Maine
LOCATION
Oregon
LOCATION
George W. Bush
PERSON