Epstein Secrets

for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21.

gle (never married) X divorced separated widowed i 18. Spouse's full name fl imsier separated. please nikale maiden name if applicable) 19. Spouse's date of birth (darnmlyy) 20. Spouse's place of birth "21. Your father's full name SEYMOUR EPSTEIN "22. Your mothers full name PAULA EPSTEIN

6/2014 OF STATE Valid until (dowiwy) 29/06/2016 US DEPARTMENT 12. Type of passport diplomatic official tourist X other please specify 13. Russian Institution or organization to be visited? (bburial - on end rode ance rumbar of the host Wild =levy. fsr bushessmsn - name of the host alginates and men. {or ma

al status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21. Your lather's ha name PAULA EPSTEIN SEYMOUR EPSTEIN . I 23. Hove

0. Who will pay for your trip to and stay In Russia? SELF 17. MarItal status mailed O single (never monied) 0 din:ward EFseparsted n „mind 10. Spouse's fun name (resserlerreprons peasenseisadawieseinelicare) 19. Spouse's date of birth (arunvy) no s 20. Spouse's place of birth 7 -212y regs gi —21

469911707 Dote of Issue Warown) issued by US DEPARTMENT OF STATE Valid until (earn 12. Type of passport dpiernabc other 0 please specify 13. Russian Institution or organization to be visited? Orr wive - Mee lel Nene* reetercres Mallailitcoroasylor basoessren - Lk". a ee ?WU ',gammonad Lamar pre organ-tai nam

ver married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh "21. Your father's full name SEYMOUR EPSTEIN n22. Your mother's full name PAULA EPSTEIN 2

y for your trip to and stay In Russia? Independently 17. Marital status married single (never married) X divorced separated widowed , 18. Spouse's full name (il dinorced or separated. please iidioste maiden name if applicable) 19. Spouse's date of bIrth (ddimmyy) 20. Spouse's place of bInh

sued by US DEPARTMENT OF STATE Valid until (ssymbyy) 29/06/2016 12. Type of passport diplomatic official tourist X other please specify 13. Russian Institution or organization to be visited? (for tourists -nuns and reference rumter ol the host tourist company. for businessmen - name ol the host organization

or your trip to and stay In Russia? Independently 17. Marital status married J single (never married) X divorced separated I widowed J 18. Spouse's full name Winced a separatat pleasSeale resift remellamictu) N A 119. Spouse's date of birth (0,..w) NA 20. Spouse's place of birth 1 A. "21.

y US DEPARTMENT OF STATE Valid until (datnnfiy) 29/06/2016 12. Typo of passport diplomatic I olacial . tourist __. other please specify 13. Russian Institution or organization to be visited? (rar tett -a sedatives:stutterer Peron WV swan. Icr buseesserm - earnest's, hastorotrmstosaid bal. lorry/ale more- us