ebelow) Your date of birth Immdcartry) Your social seamy number GHISLAINE MAXWELL Spouse's first name All SAO last negro Spouse's due o both trttorldiforl Spouse's Social Wintry number Mailing address (see InstructiOnS. page 13) Inumlow and street co PO be, ) Apayment nurnixe New Yak State county of residence