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ION DATE: 12-31.20113 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: al) MIN Please El U
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
TION DATE: 12.31.2016 Please Print Legibly Using Black Ink Only [STARTED BURDEN:40 MIN Attention: Read
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
DON DATE: I2-3I -20I6 Please Print Legibly Using Black Ink Only [STRIATED BURDEN: 40 MIN Attention: Re
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
Entities connected to both Leon Black and CORO PPT BK

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