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tate's responsibility to protect U.S. 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
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
tate's responsibility to protect U.S. 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
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
tate's responsibility to protect U.S. 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
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 System of Records and CORO PPT BK
Filedtoun
PERSONLeon Black
PERSON
Philadelphia
LOCATIONDarren Indyke
PERSON
the Internal Revenue Service
ORGANIZATIONU.S. Embassy
ORGANIZATIONJane Doe
PERSON
Birth
PERSONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONOffice of Program Management and Operational Support
ORGANIZATION
Jeffrey Epstein
PERSON
BERMUDA
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONPassport Services
ORGANIZATIONOVFRNIGHT
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONPassoon Services
ORGANIZATION