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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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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
a passport fee charge to your credit card. the Department of State will take action to collect the delinquent fees from you under 22 CFR Part 34 and the Federal Claims Collection Standards (see 31 CFR Parts 900-904). In accordance with the Debt Collection Improvement Act (Pub.L. 104.134). if the fees remain unpaid after 180 days and no
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
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 fee charge to your credit card. the U.S. Department of State will take action to collect the delinquent fees from you under 22 C.F.R. Part 34. and the Federal Claims Collection Standards (see 31 C.F.R. Parts 900.904). In accordance with the Debt Collection Improvement Act (Pub.L. 104-134), if the fees remain unpaid after 180 days and
Entities connected to both U.S. PASSPORT RENEWAL APPLICATION and the Federal Claims Collection Standards

Jeffrey Epstein
PERSON
Birth
PERSONLeon Black
PERSONJane Doe
PERSON
Philadelphia
LOCATIONPassport Records
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONDarren Indyke
PERSONU.S. Embassy
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONFiledtoun
PERSONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATIONPassoon Services
ORGANIZATION