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travel abroad during the passport validlyperiod. and is recommended [ncialcarts who have prevausly required the addden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5. Social Security Number 3. Sox IA F X Middle ED Ho DIM 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 (mmiddlyyyy) 469911707 05/27/2010 Most recent passport card number Issue date (rnm/dckyyyy) 11. Na
EF Postage Other. DS-82 08-2013 Page I of 2 EFTA00296110 Name of Applicant (Last. First & Middle) Date of Birth (mmiddlyyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 12. Height 13. Hair Color 14. Eye Color 5ft. 1.1.1.n. GRAY BLUE 15. Occupation 16. Employer or School (if applicable) BANKER 17.
den el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mmiddryyyy) 01 20 1953 5.
UING OFFICE ONLY El PPT BK CM 0 PPT BK SM 0 PPT CD C/R 0 PPT CD Sal O Marriage Certificate Date of MarriagelPlace Issued: o Court Order Date Filedtoun: From To: El Other: O Attached: 1111111 11111 Dale 111III 111{111,111 111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Po
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.
ING OFFICE ONLY EI PPT BK CM 0 PPT BK SIR 0 PPT CD C/R O PPT CD SIR O Marriage Certificate Date of Marriage+Place Issued: O Court Order Date Filedtoun: From To' 0 Other. K Attached: For Issuing Office Only —0 , Bk Fee Cd Fee. EF Postage Other 1111111 11111 Date DS-82 08-2013
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.
ISSUING OFFICE ONLY K PPT BK CM 0 PPT BK SIR K PPT CD C/R O PPT CD SfR O Marriage CerMicate Date of MarriagelPiace Issued: O Court Order Date Filedtoun: From To: O Other O Attached: 1111111 11111 Date IIUIIII~IIIHI 111I111 111 11 For Issuing Office Only —0 , Bk Fee Cd Fee. EF Pos
ee EF Postage Other DS-82 08-2013 Page I of 2 EFTA00296104 Name of Applicant (Last. First & Middle) Date of Birth (nmiddlyyyy) 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 SOUTHERN TR
vel abroad during the passport validity period. and is recommended lOnspicarts who have previously required the midden el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5. Social Security Number 3. Sex PA F x Middle DO Ljo r: DP DOTS Code. End. g
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 passpon book number Issue date (inm/ddlyyyy) 469911707 05/27/2010 Most recent passpon card number Issue date (mm/dd/yyyy) 11. Name
den el visa pages. 1. Name Last EPSTEIN First JEFFREY 2. Date of Birth (mm/ddlyyyy) 01 20 1953 5.
ISSUING OFFICE ONLY 0 PPT BK CM 0 PP7 BK SAR K PP7 CD C/R O PP7 CD SIR O Marriage Certificate Date of MerriagelPiece Issued: ID Court Order Date Filedtoun: From To' 0 Other K Attached: 1111111 11111 Date 111,111 DSS2 3(s_ 111 11 For Issuing Office Only Bk Fee _ Cd Fee EF Postage O
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.
SUING 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 Attached: 1111111 11 1 11 Date 111101111111111 1111111 111 11 For Issuing Office Only —to 8k Fee_ Cd Fee. E
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.
UING 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 Attached: 1111111 11111 Date 111101111111111 1111111 111 11 For Issuing Office Only —le Bk Fee Cd Fee EF Po
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
R 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 Attached: 1111111 11111 Date !)111 SS' gft 111 11 For Issuing Office Only —0 , Bk Fee _ Cd Fee EF Postage
Entities connected to both Jeffrey Epstein and Filedtoun
Darren Indyke
PERSONLeon Black
PERSONJane Doe
PERSON
Philadelphia
LOCATION
the Internal Revenue Service
ORGANIZATION
Birth
PERSONU.S. Embassy
ORGANIZATIONMERWIN
PERSONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION
BERMUDA
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONPassport Records
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONPassport Services
ORGANIZATION