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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.
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
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.
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
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
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
Entities connected to both Jeffrey Epstein and CORO PPT BK
Darren Indyke
PERSONLeon Black
PERSONJane Doe
PERSON
Philadelphia
LOCATION
the Internal Revenue Service
ORGANIZATION
Birth
PERSONU.S. Embassy
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONPassport Records
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONPassport Services
ORGANIZATIONCity & Country
ORGANIZATION