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TION DATE: 12-31.2016 Please Print Legibly Using Black Ink Only LSTiMATED BURDEN: 40 MIN Attention: Re
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
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ION DATE: 12-31.20113 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: al) MIN Please El U
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
2 mentions1 same-page
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ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only [STRIATED BURDEN:40 MIN Attention: Rea
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
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ATION DATE: 12-31.20M Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
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
2 mentions1 same-page
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DON DATE: I2-3I -20I6 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: 40 MIN Attention: Re
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
2 mentions1 same-page
Page ?Same page
ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
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
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2 mentions1 same-page
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TION DATE: 12.31.2016 Please Print Legibly Using Black Ink Only [STARTED BURDEN:40 MIN Attention: Read
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
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Mutual Connections (33)
Entities connected to both Leon Black and System of Records
Jeffrey Epstein
PERSON10,461 w/ Leon·7 w/ System
DI
Darren Indyke
PERSON1,339 w/ Leon·7 w/ System
JD
Jane Doe
PERSON529 w/ Leon·7 w/ System
Philadelphia
LOCATION227 w/ Leon·7 w/ System
the Internal Revenue Service
ORGANIZATION83 w/ Leon·7 w/ System
Birth
PERSON22 w/ Leon·7 w/ System
BERMUDA
ORGANIZATION13 w/ Leon·7 w/ System
U.S. PASSPORT RENEWAL APPLICATION
ORGANIZATION12 w/ Leon·7 w/ System
U.S. Embassy
ORGANIZATION12 w/ Leon·7 w/ System
Passport Records
ORGANIZATION9 w/ Leon·7 w/ System
the Federal Claims Collection Standards
ORGANIZATION9 w/ Leon·7 w/ System
STATE DEPARTMENT FACILITY
ORGANIZATION9 w/ Leon·7 w/ System
National Passport Processing Center
ORGANIZATION9 w/ Leon·7 w/ System
Overseas Citizen Services Records
ORGANIZATION9 w/ Leon·7 w/ System
THE U.S. PASSPORT CARD
ORGANIZATION8 w/ Leon·7 w/ System
ME
MERWIN
PERSON11 w/ Leon·4 w/ System
A U.S. PASSPORT ISSUED
ORGANIZATION8 w/ Leon·7 w/ System
THE TRADITIONAL PASSPORT BOOK
ORGANIZATION8 w/ Leon·7 w/ System
INTERNATIONAL AIR TRAVEL
ORGANIZATION8 w/ Leon·7 w/ System
OVFRNIGHT
ORGANIZATION7 w/ Leon·7 w/ System