4
Shared Docs
4
Same-Page
4 / 4
Mentions
ATTACHMENT B EFTA00043258 NCIC CHECK cnv. U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS AUTHORIZATION FOR RELEASE OF INFORMATION NCIC (National Crime Information Center) CHECK I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understa
Uzi) • if outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le 10a. Date /afrb PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450: 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will
ATTACHMENT B EFTA00057525 NCIC CHECK =nix U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS AUTHORIZATION FOR RELEASE OF INFORMATION NCIC (National Crime Information Center) CHECK I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understa
outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le (979,yi,;\ 10a. Date /afril PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 SSC 3301 purposes end Uses: Information provided on this form will
ATTACHMENT B EFTA00058133 NCIC CHECK cnv. U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS AUTHORIZATION FOR RELEASE OF INFORMATION NCIC (National Crime Information Center) CHECK I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understa
d country if outside the U.S.A) WM • 10. The above listed information is true and correct. Applicant's Signature lOa. Date PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 CSC :303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 purposes end Uses: Information provided on this form will
8434 B2-A0660.012 YAR 97 U.S. DEPARTMENT OF JUSTICE NCIC CHECK clky. FEDERAL BUREAU OF PRISONS AUTHORIZATION FOR RELEASE OF INFORMATION NCIC (National Crime Information Center) CHECK I hereby authorize a representative of the Federal Bureau of Prisons to obtain any information on my criminal history background. I understa
y and country if outside the U.S.A) 10. The above listed information is true and correct. Applicant's Signature 1 C;i1 . Date PRIVACY ACT NOTICE Authority for Collecting Information: E.O. 10450; 5 USC 1303-1305; 42 USC 2165 and 2455; 22 USC 2585 and 2519; and 5 USC 3301 Purposes and dans; Information provided on this form will
Entities connected to both National Crime Information Center and Authority for Collecting Information

Jeffrey Epstein
PERSON
United States
LOCATIONUSC 2585
ORGANIZATIONFederal Bureau of Prisons
ORGANIZATIONFederal, Municipal County
ORGANIZATION
Prince Andrew
PERSON
Sarah Kellen
PERSONMorse
PERSONthe State of New York
LOCATIONO'Brien
PERSONthe Legal Department
ORGANIZATIONInmate Legal Activities
ORGANIZATIONSarah M. Sacks
PERSONNEW YORK STATE DEPARTMENT OF STATE
ORGANIZATIONSociety National Office
ORGANIZATIONMotel Nittalijey
ORGANIZATIONBennett M. Epstein
PERSONfarvey E.
PERSONNikolei Niftalijev
PERSONthe Mitigation Specialist/ Doctors
ORGANIZATION