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linppltants who have prevously 1. Name Last K D L O ri DP DOTS Code. End. # Exp. EPSTEIN First Middle .4Zie741 JEFFREY EDWARD 2. Date of Birth (mm/ddlyyyy) 01 20 5. Social Security 3. Sex IA F x 6. Email Address 4. Mace of Birth (City & State N in the U.S.. of City & Country as it i
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
lidlyperiod. and is recommended [ncialcarts who have prevausly required the addden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sox IA F X Middle ED Ho DIM DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City &
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013 Page 1 of 2 EFTA00296116 Name of Applicant (Last. First & Middle) Date of Birth (mmfddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. Employer or Schoo
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
lidlyperiod and is reeemmended Ic ppleares who have prevously required the addrion el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex F x Middle K D L O DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City &
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
.._ -,/ -aliZW 1. Name Listed Passport: Last VP1 O VP2 DOTS Cods s-SeM as on End. 8 Exp. ..-.- -- . - First Middle r:.- - • 2. Date of Birth (MM1ddeyyyy., 3. Sex 4. Place of Birth (City & State if in the U.S.. or City 8 Country as it is presently known.) INI 5. Social Security Number
losed documents. Passport Services recommends using trackable mailing service when submitting your application. MAIL FORM TO: FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90106 Philadelphia. PA 19190-0106 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9090
page rat:ph:arts who have prevausly required 1. Name Last LID I :O ri DP DOTS Code. End. X Exp. First Middle zee+ Z•IC - taczct— 2. Date of Birth (mm/ddryyyy) 5. Social Security Number 3. Sex 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) 14 X
assport Services. Please visit our website at travel.state.gov for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
ity period. and is recommended lOnspicarts who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex PA F x Middle DO Ljo r: DP DOTS Code. End. g Exp. EDWARD 4. Place of Birth (
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
dlyperiod. and is recommended ic peltards oho have previously required the addeban of visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sex kt F X Middle ED [Jo D DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
idlyperiod. and is recommended [flppltares who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddlyyyy) 01 20 1953 3. Sex IA F X Middle ED Lc) 1- 1, DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & Stare if in the U.S
assport Services. Please visit our website at lravel.state.aoy for details and information. WHERE DO I MAIL THIS APPLICATION? FOR ROUTINE SERVICE: National Passport Processing Center Post Office Box 90155 Philadelphia, PA 19190-0155 FOR EXPEDITED SERVICE (Additional Fee): National Passport Processing Center Post Office Box 9095
Entities connected to both Birth and National Passport Processing Center

Jeffrey Epstein
PERSONLeon Black
PERSONJane Doe
PERSONDarren Indyke
PERSON
Philadelphia
LOCATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONU.S. Embassy
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATION
the Internal Revenue Service
ORGANIZATION
George W. Bush
PERSONPassport Services
ORGANIZATIONPassoon Services
ORGANIZATION