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Date Receipt Remarks 26 Federal Plaza City or Town (ILSPI VP rode Lank -A Apt. Ste. Flr. Number 0 0 El State ZIP Code NY New York 6. Daytime Telephone Number 7. Fax Number 102711 Form 1-914. Supplement B Edition 12/C0/21 Page I EFTA00156636 Part 2. Agency Information (continued) 8. Agency Type El
Office of Certifying Official 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town (ILSPI VP rode Lank -A Apt. Ste. Flr. Number 0 0 El State
nd every instruction and question on the form, as well as the answer to each question. Signature Print Your Name Date Firm Name (if applicable) Daytime Telephone Number (Area Code and Number) Address Fax Number (Area Code and Number) E-Mail Address IIIIIIIIIII11111111111111 1111111 1 1111 1 Form 1-539 (10/07!11)
ber City or Town Minsk Coun ry RP S' State or Province Minsk Zip/Postal Code 220053 For USCIS (Ice Only Returned Date Resubmitted Date Reloc Sent Date Reloc Reed Date K Applicant Interviewed on Date Receipt K Extension Gn rated to (Date): Change of Status/Edension Granted New Class
Date Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town New York IMPS ZIP Co* Loging2 Apt. Ste. Flr. State NY 6. Daytime Telephone Number 7. Fax Number Number ZIP Code 10278 Form 1-914. Supplement B Edition 12/02/21 Page EFTA01653122 Part 2. Agency Information (continued) 8. A
icial 'New York Field Office 5. Agency Mailing Address Street Number and Name For USCIS Use Only Returned Date Date Resubmitted Date Date Reloc Sent Date Date Reloc Rec'd Date Date Receipt Remarks 26 Federal Plaza City or Town New York IMPS ZIP Co* Loging2 Apt. Ste. Flr. State NY 6.
Entities connected to both Daytime Telephone Number and Reloc Sent
U.S. Citizenship and Immigration Services
ORGANIZATION
Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSONFBI
ORGANIZATIONU.S. Social Security
ORGANIZATIONDivision/Office of Certifying
ORGANIZATION
Birth
PERSONDelaration of Law Enforcement
ORGANIZATIONVTVPA
ORGANIZATION
United States
LOCATIONItem A.
PERSON