Epstein Secrets

482 Page 14 of 22 EFTA00138414 requesting attorney with the proper inmate consent. However, all other subpoenaed records will be provided to the United States Attorney's Office for a determination of whether to release the documents, pursuant to the Touhv regulations, 28 C.F.R. § 16.21 et seq. 2. Medica

eight: Bd. Sleight: Be. Color of Eyes: Of. Color of Hair: 9. Place of Birth (City, State, County), (List city, county and country if outside the U.S.A) 10. The above listed information is true and correct. Applicant's Signature 1 C;i1 . Date PRIVACY ACT NOTICE Authority for Collecting Informatio

: E. Race: Page 3 of 10 Revised 2/01/08 SDNY_00015494 EFTA00138426 3. A. Present Residential Address: B. Length of time at this address: C. Home telephone number: D. List all residential addresses (including street and number, city and state) for the last five (5) years and dates you resided

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) 3. A. Present Residential Address:_ B. Length of time at this address: ___ ...;l:..:.l---=-Vvt~Mw..t.:..;~.:..;S ________ _ ~b)(6); (b)(7)(C) C. Home telephone number: __ --1l ________ _j1-------- I D. List all residential addresses (including street and number, city and state) for the last five

.511 8d. Weight: 51S1 Be. Color of Eyes: 1:34.44! 8f. Color of Hair: Mil 9. Place of Birth (City, State, County), (List city, county and country U.S.A) Uzi) • if outside the 10. The above listed information is true and correct. Applicant's Signature %ty4le 10a. Date /afrb PRIVACY ACT NOTICE

X-IMO, Page 3 of 10 Raba, 210141 EFTA00043250 3. A. Present Residential Address: BeaA- i41.Nairi- B. Length of time at this address: 1Lfan. C. Home telephone number: D. List all residential addresses (including street and number, city and state) for the last five (5) years and dates you resided