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$500 penalty enforced by the IRS. All questions on this matter should be directed to the nearest IRS office. NOTICE TO CUSTOMERS APPLYING OUTSIDE A STATE DEPARTMENT FACILITY If you send us a check. it will be convened into an electronic funds transfer (EFT). This means we will copy your check and use the account informa
d and understood the warning on page one of the instructions to the application form. Applicant's Legal Signature FOR ISSUING OFFICE ONLY O PPT BK CORO PPT BK SM O PPT CD CM O PPT CD Sal 0 Marriage Certificate Date of MarriagelPlace Issued: o Court Order Date Filedtoun: From To' O Other 0 Atta
$500 penalty enforced by the IRS. All questions on this matter should be directed to the nearest IRS office. NOTICE TO CUSTOMERS APPLYING OUTSIDE A STATE DEPARTMENT FACILITY If you send us a check. it will be convened into an electronic funds transfer (EFT). This means we will copy your check and use the account informa
nd understood the warning on page one of the instructions to the application form. X AprAlcant's Legal Signature FOR ISSUING OFFICE ONLY K PPT BK CORO PPT BK SIR K PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Court Order Date Filedtoun: From To' 0 Other. K
$500 penalty enforced by the IRS. All questions on this matter should be directed to the nearest IRS office. NOTICE TO CUSTOMERS APPLYING OUTSIDE A STATE DEPARTMENT FACILITY If you send us a check. it will be convened into an electronic funds transfer (EFT). This means we will copy your check and use the account informa
d and understood the warning on page one of the instructions to the application form. Applicant% Legal Signature FOR ISSUING OFFICE ONLY El PPT BK CORO PPT BK SIR 0 PPT CD C/R 0 PPT CD SfR O Marriage Certificate Date of MarriagelPiace Issued: O Cowl Order Date Filedtoun: From Toe 0 Other O
Entities connected to both STATE DEPARTMENT FACILITY and CORO PPT BK
National Passport Processing Center
ORGANIZATION
Philadelphia
LOCATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATION
Jeffrey Epstein
PERSONthe Federal Claims Collection Standards
ORGANIZATIONJane Doe
PERSON
Birth
PERSONLeon Black
PERSONTHE U.S. PASSPORT CARD
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONFiledtoun
PERSONOVFRNIGHT
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATIONPassport Services
ORGANIZATIONPassoon Services
ORGANIZATION