4
Shared Docs
4
Same-Page
4 / 4
Mentions
ine 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Oh Jane Doe. Apt # 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have used. (Examples: Birth
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
e 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g., In Care Of - Jane Doe. Apt a 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have used. (Examples: Birth
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
e 2: Clearly label Apartment, Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apr a 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have used. (Examples: Birth
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
e 2: Clearly label Apartment. Company. Suite. Unit. Building. Floor. In Care Of or Attention if applicable. (e.g.. In Care Of - Jane Doe. Apt a 100) MERWIN DELA CRUZ City NEW YORK State Zip Code Country. if outside the United States NY 10021 9. List all other names you have used. (Examples: Birth
. citizens and non•citizen nationals abroad. More information on the Routine Uses for the system can be found in System of Records Notices State•05. Overseas Citizen Services Records and State-26. Passport Records. DISCLOSURE: Providing your Social Security number and the other information on this form is voluntary, but failure
Entities connected to both MERWIN and Overseas Citizen Services Records

Jeffrey Epstein
PERSONLeon Black
PERSONDarren Indyke
PERSON
Philadelphia
LOCATIONNational Passport Processing Center
ORGANIZATION
Birth
PERSONJane Doe
PERSONPassport Records
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONU.S. Embassy
ORGANIZATIONFiledtoun
PERSONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATION