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TION DATE: 12-31.2016 Please Print Legibly Using Black Ink Only LSTiMATED BURDEN: 40 MIN Attention: Re
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00296115 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE IND
ION DATE: 12-31.20113 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: al) MIN Please El U
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00296121 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE IND
ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only [STRIATED BURDEN:40 MIN Attention: Rea
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00296109 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE IND
ATION DATE: 12-31.20M Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00296127 .4.. 4 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGI
DON DATE: I2-3I -20I6 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: 40 MIN Attention: Re
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00298135 r• .. 4, . V tir U.S. PASSPORT RENEWAL APPLICAT
ATION DATE: 1241.2016 Please Print Legibly Using Black Ink Only ESTIMATED BURDEN:40 MIN Attention: Rea
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00296103 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE IND
TION DATE: 12.31.2016 Please Print Legibly Using Black Ink Only [STARTED BURDEN:40 MIN Attention: Read
urden estimate and/or recommendations for reducing it. please send them to: U.S. Department of State. Bureau of Consular Affairs. Passport Services. Office of Program Management and Operational Support. 2201 C Street NW. Washington. D.C. 20520. DS-82 08.2013 Instruction Page 4 of 4 EFTA00298141 U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE IND
Entities connected to both Leon Black and Office of Program Management and Operational Support

Jeffrey Epstein
PERSONDarren Indyke
PERSONJane Doe
PERSON
Philadelphia
LOCATION
the Internal Revenue Service
ORGANIZATION
Birth
PERSON
BERMUDA
ORGANIZATIONU.S. Embassy
ORGANIZATIONU.S. PASSPORT RENEWAL APPLICATION
ORGANIZATIONOverseas Citizen Services Records
ORGANIZATIONNational Passport Processing Center
ORGANIZATIONthe Federal Claims Collection Standards
ORGANIZATIONSTATE DEPARTMENT FACILITY
ORGANIZATIONPassport Records
ORGANIZATIONA U.S. PASSPORT ISSUED
ORGANIZATIONTHE TRADITIONAL PASSPORT BOOK
ORGANIZATIONTHE U.S. PASSPORT CARD
ORGANIZATIONINTERNATIONAL AIR TRAVEL
ORGANIZATIONMERWIN
PERSONFiledtoun
PERSON