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U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS c""°""m°1-N° 14136C2D OMB EXPIRATION OA1L 12d1-2Ulb Please Print Legibly Using Slack Ink Only ESTIMATED BURDEN 40 MIN Att
N 40 MIN Attention Read WARNING on page I of instructions Please select the document(s) for which you are applyiN: (20 U.S. Passport Book El U.S. Passport Card LJ Both ThaUS perspen card is a vaid for ranmanonal Pr ISM. Pa more remnant See race 1 of emir:tem I23 28 Page Book (Standard) CI 52 Page Book (
U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the
t The U.S. passport CI 28 Page Attention: Read WARNING on page I of instructions select the document(s) for which you are applylmr Book El U.S. Passport Card LJ Both card is gal valid lor irdernalkinal a travel. Fe, more information see page t ol instructions Book (Standard) fl 52 Page Book (Non•Stand
U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the
N:40 MIN Attention: Read WARNING on page I of instructions Please select the document(s) for which you are applybig: NI U.S. Passport Book 0 U.S. Passport Card LJ Both The U.S. passport card is gat valid kw international air travel. Fee more interniaten see page 1 el instructiens CI 28 Page Book (Standard
U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS Date of Application: CAN I USE THIS FORM? Complete the checklist to determine your eligibility to use this form I can su
28 Page Book (Standard) Note: The 52 option is for those who Read WARNING on page I of instructions document(s) for which you are applyln 0 U.S. Passport Card LJ Both for iniernalanal air travel. For mere information see page 1 of instruetiees. la 52 Page Book (Non•Standarcl) frequently travel abroad du
U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS PLEASE DETACH AND RETAIN THIS INSTRUCTION SHEET FOR YOUR RECORDS Date of Application: CAN I USE THIS FORM? Complete the
:40 MIN Attention: Read WARNING on page I of instructions Please select the document(s) for which you are applybig: [XI U.S. Passport Book 0 U.S. Passport Card LJ Both The U.S. passport card is raj valid kr international of travel. For mace infermatsan see page I el a-ritualises. 0 28 Page Book (Standard)
Entities connected to both U.S. PASSPORT RENEWAL APPLICATION and Passport Card

Jeffrey Epstein
PERSONJane Doe
PERSON
Birth
PERSONLeon Black
PERSONTHE U.S. PASSPORT CARD
ORGANIZATION
Philadelphia
LOCATIONDarren Indyke
PERSONU.S. Embassy
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONPassport Records
ORGANIZATIONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATIONPassoon Services
ORGANIZATION