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ther 1111111 11111 Date DS-82 08-2013 Page 1 of 2 EFTA00296116 Name of Applicant (Last. First & Middle) Date of Birth (mmfddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. GRAY BLUE 15. Occupation 16. Employer or School (if applicable) BANKER 17. Additio
travel abroad during the passport validly period. and is reccounerrded Ic pplcaNs who have prevously required the Mt, el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Dale of Birth (mm/ddryyyy) 01 20 1953 5. Social Security Number 3. Sex IA F X Middle K D [_] O r! DP DOTS Code. End. #
eeded) A. B. 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EPSTEIN Most recent passport book number Issue date (mm/ddlyyyy) 469911707 05/27/2010 Most recent passport card number Issue date (mm/dd/yyyy) 11. Nam
Mt, el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Dale of Birth (mm/ddryyyy) 01 20 1953 5.
ocial Security Number 3. Sex IA F X Middle K D [_] O r! DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address to.g.. my [email protected]) 7. Primary Contact Phone Number [email protected] S. Ma
EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296128 Name of Applicant (Last. First & Middle) Date of Birth (mmiddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color set llin. GRAY BLUE 15. Occupation 16. Employer or School (if applicable) BANKER 17. Ad
travel abroad during the passport validlyperiod and is reeemmended Ic ppleares who have prevously required the addrion el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex F x Middle K D L O DP DOTS Code. End. # Exp.
eeded) A. B. 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EPSTEIN Most recent passport book number Issue date (mrn/dd/yyyy) 469911707 05/27/2010 Most recent passport card number Issue date (mm/dd/yyyy) 11. Na
ion el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5.
53 5. Social Security Number 3. Sex F x Middle K D L O DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State N in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address (e.g.. my [email protected]) 7. Primary Contact Phone Number 8. Mailing Address: Line 1:
Postage Other )S S213 S2 DS-82 08-2013 Page I of 2 EFTA00298142 Name of Applicant (Last First & Middle) Date of Birth (mmtddiyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. 1.11.n. GRAY BLUE 15. Occupation 16. Employer or School (if applicable) BANKER SOUT
avel abroad during the passport validlyperiod. and is recommended ic peltards oho have previously required the addeban of visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sex kt F X Middle ED [Jo D DP DOTS Code. End. # Exp
eeded) A. B. 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EPSTEIN Most recent passport book number Issue date (mmrddryyyy) 05/27/2010 Most recent passport card number Issue date (mmiddlyyyy) 11. Name Change In
ban of visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5.
5. Social Security Number 3. Sex kt F X Middle ED [Jo D DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 6. Email Address (e.g.. my [email protected]) 7. Primary Contact Phone Number El MI ■ 8. Mailin Address:
stage Other. DS SIB S2 DS-82 08-2013 Page 1 of 2 EFTA00298136 Name of Applicant (Last. First & Middle) Date of Birth (mni/ddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color Sit. llin. GRAY BLUE 15. Occupation 16. Employer or School (if applicable) BANKER 17.
ravel abroad during the passport validlyperiod. and is recommended [flppltares who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddlyyyy) 01 20 1953 3. Sex IA F X Middle ED Lc) 1- 1, DP DOTS Code. End. # Exp. EDWARD 4. Place of
eeded) A. B. 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EDWARD EPSTEIN Most recent passport book number Issue date (mm/dckyyyy) 05/31/2016 Most recent passport card number Issue date (mm/dd/yyyy) 11. Name Change In
den el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddlyyyy) 01 20 1953 3.
dlyyyy) 01 20 1953 3. Sex IA F X Middle ED Lc) 1- 1, DP DOTS Code. End. # Exp. EDWARD 4. Place of Birth (City & Stare if in the U.S.. or City & Country as it is presently known.) NEW YORK, NY 5. Social Security Number 6. Email Address (o.g.. my [email protected]) ■ 8. Mailing Address: Line I: Str
sa pages. 7a4bitIle Vat32 -4-Knot Note: The 52 page option linppltants who have prevously 1. Name Last K D L O ri DP DOTS Code. End. # Exp. EPSTEIN First Middle .4Zie741 JEFFREY EDWARD 2. Date of Birth (mm/ddlyyyy) 01 20 5. Social Security 3. Sex IA F x 6. Email Address 4. Mace of B
eeded) A. B. 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EDWARD EPSTEIN Most recent passport book number Issue date (mm/dd/yyyy) 547017616 05/31/2016 Most recent passport card number Issue date (mm/dd/yyyy) 11. Nam
e. End. # Exp. EPSTEIN First Middle .4Zie741 JEFFREY EDWARD 2. Date of Birth (mm/ddlyyyy) 01 20 5
WARD 2. Date of Birth (mm/ddlyyyy) 01 20 5. Social Security 3. Sex IA F x 6. Email Address 4. Mace of Birth (City & State N in the U.S.. of City & Country as it is presently known.) 1953 NEW YORK, NY Ki-4*.e14 i'MriTI2S1 Number top.. my emaiWomain.com) 7. Primary Contact Phone Number JEEVACATION
rechiPhIly raver aerpiel axing the pampa v014dy pen* 3114 feCOM1104044 rya npvnarne who have pronoun" rorprnrd ti WOW) °Into P.)155 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (nunaktlYYYY) 01 20 1953 5. Social Security Number Middle EDWARD no Clo OOP DOTS Code Cott Exp. 3. Sex 4
needed) A. 8 10. Passport Book and/or Passport Card Information Your name as printed on your most recent U.S. passport book and/or passport card JEFFREY EPSTEIN Most recent passport book number Issue date (nmAidNyyy) 516923892 06/30/2014 Most recent passport card number Issue date (enrevdcONYY) 11. Nam
WOW) °Into P.)155 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (nunaktlYYYY) 01 20 1953 5.
01 20 1953 5. Social Security Number Middle EDWARD no Clo OOP DOTS Code Cott Exp. 3. Sex 4. Place of Birth (City & Slate if in the U.S., or City & Country as it is presently known ) M F X NEW YORK, NY S. Email Address (o 0. my_omededomein com) 7. Primary Contact Phone Number 090 44 3348 JEE
nformation of a person not traveling with you to be contacted in the event of an emergency. Name Address: Street/RFD # or P.O. Box Apartment/Unit JEFFREY EPSTEIN 9 E 71ST ST City State Zip Code Phone Number Relationship NEW YORK NY 10021 212-750-9895 EMPLOYER 20. Travel Plans Date of Trip (mmfdd/y
Street/RFD # or P.O. Box Apartment/Unit JEFFREY EPSTEIN 9 E 71ST ST City State Zip Code Phone Number
ddress: Street/RFD # or P.O. Box Apartment/Unit JEFFREY EPSTEIN 9 E 71ST ST City State Zip Code Phon
rst Middle zee+ Z•IC - taczct— 2. Date of Birth (mm/ddryyyy) 5. Social Security Number 3. Sex 4. Place of Birth (City & State if in the U.S.. or City & Country as it is presently known.) 14 X 6. Email Address (e.g. 7. Primary Contact Phone Number 8. Mailing A ress: ins nee; . . Box, or URB. 9 E. 71S
Entities connected to both Jeffrey Epstein and City & Country
Darren Indyke
PERSONLeon Black
PERSON
United States
LOCATIONJane Doe
PERSON
Philadelphia
LOCATION
the Internal Revenue Service
ORGANIZATION
Birth
PERSONU.S. Embassy
ORGANIZATIONMERWIN
PERSONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONPassport Records
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATION