3
Shared Docs
3
Same-Page
4 / 3
Mentions
ate 0 Moving from another state to permanently establish a residence in Florida Visiting from another state and establishing a to wrndry address in Ronda El Oiler (please desaibe): Otto of Oopiou10. Da* of Snivel: we be permanently leaving donde to maintain his immanent residence in die us swgin wa
fficer Name: Phone. ( ) Cc my Out of State Travel information (Complete if permanent or temporary address Is out of state) 0 Permanently leaving Ronda to establish a residence in another state 0 Temporarily leaving Florida to visit another state 0 Moving from another state to permanently establish
July Aug Sept Jan, April. July & Oct Feb, May. Aug, & Nov Mar, June. Sept & Dec April, July, Oct & Jan Feb Feb. May, Aug, & Nov Mar, June, Sept & Dec April, July, Oct & Jan May, Aug, Nov & Feb Mar April May June June, Sept, Dec & Mar Oct Nov May, Aug, Nov & Feb June, Sept, Dec & Mar Dec
0 Moving from another state to permanently establish a residence in Florida 0 Visiting from another state and establishing a temporary address I Ronda 0 Other (please describe): Date of Depertire: Date of Arrival: 0m0512019 Current Permanent Address Future Permanent Address 358 El DrIllo Way
Florida Statutes} Month of Birth Jan Feb Mar April May June I must reregister In: Jan, April, July & Oct Feb, May, Aug, & Nov Mar, June, Sept & Dec April, July, Oct & Jan May, Aug, Nov & Feb June, Sept, Dec & Mar Month of Birth I must reregister In: July Jan, April, July & Oct Feb, May, Au
Registrant Information Name. JEFFREY E EPSTEIN (Fria Middle Last Suffix) 'MSclouse Ca your Social Security Number (SSN) is mandatory pursuant to Ronda law. sections 77521.943.0435. 944.607. 985.481. F.S.. and federal law. 12 USC 16901. et sec use of your SSN le for the purposes of dantication POLE
y, Aug, Nov & Feb June, Sept, Dec & Mar Month of Birth I must reregister In: July Aug Jan, April, July & Oct Feb, May, Aug, & Nov Mar. June, Sept & Dec Sept Oct April, July, Oct & Jan May, Aug, Nov & Feb Nov Dec June. Sept, Dec & Mar 14. In addition to the registration months listed above, MUST
Entities connected to both Ronda and Sept & Dec

Jeffrey Epstein
PERSON
George W. Bush
PERSONLeon Black
PERSON
Palm Beach
LOCATION
Palm Beach County
LOCATION
Tallahassee
LOCATION
Honda
ORGANIZATION
Vicky Ward
PERSONChristopher Steele
PERSON
Kenneth Marra
PERSONJane Doe
PERSON
Chevrolet
ORGANIZATIONDHSMV
ORGANIZATIONState Travel Information
ORGANIZATIONBentley
ORGANIZATION
Scarlett Johansson
PERSON
St Thomas
LOCATION
Oates
PERSON
Jane Fonda
PERSONHorne
LOCATION