Epstein Secrets

4C 7. Have you ever been confined in any jail, prison or penal institution? If so, complete the following: Type of Institution J acation (State, Federal, Municipal County) A/or ri Pa to 2.O Ak) Pates of Confinement Page 5 of 10 Raised 241/08 EFTA00043252 8. Have you ever been charged with a criminal offense? I

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

7. Have you ever been confined in any jail, prison or penal institution? BO If so, complete the following: Type of Institution J acation (State, Federal, Municipal County) Peoi. to 2.O Pates of Confinement Page 5 of 10 Raised 241/08 EFTA00057519 8. Have you ever been charged with a criminal offense? If yes, ple

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

4C 7. Have you ever been confined in any jail, prison or penal institution? If so, complete the following: Type of Institution J acation (State, Federal, Municipal County) A/or riParo42.0 Ak) Pates of Confinement Page 5 of 10 Raised 2101/08 EFTA00058127 8. Have you ever been charged with a criminal offense? If

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

URT 7. Have you ever been confined in any jail, prison or penal institution? If so, complete the following: Type of Institution Location (State, Federal, Municipal County) Dates of Confinement Page 5 of 10 Revised 2/01/08 SDNY_00015496 EFTA00138428 8. Have you ever been charged with a criminal offense? If yes, p

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