EFTA00304526.pdf

m Send to: 433 Visas & Passports Attn: Passport Department 1444 Biscayne Boulevard, Suite 315 Miami, FL 331 B00.644.1642 iliMi li CONCIERGE LEVEL SERVICE SECOND VALID PASSPORT WI Name. JEFFREY EDWARD EPSTEIN Das d Ns el Frill Name: SerViCei Second Valid Passport (Book Ore LISetael Vali Passport (Book and Cady Ode of Metes me. 20 ram 1953 Proceming Spat D MINS COW PT: OEmiedlbl Cedar Laid Sorts la& sato • Ode d US Oandlit ANTICIPATED 7/__/2014 Other Am orreasamt wets Ines* Nttet Name: DARREN K 'NOVICE Conte end (rtmnite4 Oratlem Rom 63 Ordowartitaisc I magi mvs my mann no Satin 7_J2014 I Company: DARREN K INDYKE PLLC WA nims DARREN K. INDYKE. ESO Company. DARREN K. INDYKE, PLLC StantrOinag 575 LEXINGTON AVENUE, 4TH FLOOR Grr: NEW YORK Star NY Othtlene Male: &Iota Phone: Pair** ii!istriation Li Credit Ceid plank °Approved Bating Tarns enroll. Ned Of SWIM OAS For Payment Via Credit Card Visa/MasterCard: bp. Date: 11 / 15 Sally CodeRN i I k0Rafitarl WassDEE E MEIE-01100 I Esp. Date: f_ &of* Coat 11111 1 aN as k appears on the card: i :DARREN K. INDYKE I I Bang Addivec 1,575 LEXINGTON AVENUE, 4Th FL Cte [WV' YORK CrEC CCEC INY 2/04:00a 10022 Total Fees from Applicable Fees Page FEE a Travelers TOTAL US Government Fee' 170. X G3 Service Fee X CLS Fe 00 Xi Return Delivery Fee Subtotal Add 5% tor credit card convenience lee 00 $545 00 Total Payment Enclosed s57 —iins_ EFTA00304526 III / 3 VISAS & PASSPORTS CONCIERGE LEVEL SERVICE SECOND VALID PASSPORT US Ganomment Fees kw Passport Processing secondVaildPasspsrt(Book — Only) x $170.00 Second Valid Passport Book and Passport Card $200.00 Service Type Sand Valid Passport Mcsion Oitkai 2 Business Dan Priority C., Busmess 1 Expedited I C: s 7 F,S3!i lia$275.00 08195.00 IA condone Sag 0entae (IX-$) $9500 lati7iind) $110.00 OM& baxest Saws 2 Business Day Delivery De:otery 519.00 Fedb First Obgernight Next Business Day by 8,30AN1 $84.00 OftdEx Standard Omar Del very Nen Business Day by 3PM $29.00 Feder Saturday Darer Delivery by 3PM $44.00 OSame Day Derery Delivery op Fear or Commercial Milne Please Pada Interradional Delivery' lading Pun Rico Delivery Times Vary by Location Please Call Fedic or UPS Accent Number Provided 55.00 JFedEs or UPS Rehm Akbil Included No Charge k556-9274-1 'These services may act t* available for au delivery locations. Send Completed Order Form and All Required Documents To: G3 Visas & POSSpOrtS, Attn: Passport DOpartment 1444 Biscayne Boulevard, Suite 315, Miami, FL 33132 305.285.9255 Phone I 800,644.1642 Toll Free 1305.859.8007 Fax I a www.g3visas.com EFTA00304527 ‘, e t *1 ‘." 1101411714 07 NUMWM; autAn • r4 Dv. Oft /MAN • . UnitTEP 42&21111 EVILTEWS tnanysingi as414/Cptiss. Paten 61 /1. &Iva! • • • USA 489911707 EPSTEIN : otspootermatannem Ly rican EDWARD Sara y I PAWS • ISSONOW UNITED STATES OF AMERICA WOO blr. /OM do isayear /Omni Iv daier•••• 213...11111953 OW be lyre Was • Lane owe* NEW YORX.U.SA ClOs d law 411b/me rlaastataima* —2ThangtO an Opostaine from/ qsI eerie 24 Mey 2020 in/plain Wehrle elbseas,Wassedite; SEE PAGE 27 ilkoslug C M bawl I Arsciad thated3bRes• Deportment 0? Stole USA EP<USAEPSTEIIKCIEFFREY<EDWARD<<<“<<<<<<“<<< 4699117078USAS301207M2005261237925690<506S58 • EFTA00304528 • — . op Cc eres, • (61. r Woe . Tir.fritygq, r fa" , a: 1. : ,^re ostrivied =HAMM; Ana/ 14 NAM PASSPORT PASS-RPM P P<USAEPSTEIN<<JEFFREY<EDWARG<<“<<“<<<<<<<< 4846526465 US A 5301207141306145191533326< 701168 U.11117-10 VIE= Ofralritailk Immo, Mu. wrrw.tocoo Pnzepo,N0 /J. pa at rib b lysia USA 484852646 &num IMP" Aaaaaa EPSTEIN Gni" / Prima/ Owritnot JUT REY EDWARD 11.114nainy / Necralsli / Ilakvaldag UNITED STATES OF AMERICA Dn d btfm I Pals ae was*/ N0* w ftrarnorlo 20 Jan Ira Floc, MTh, Ur: de rata imp ds rer.Thiento r.e. /leo T NEW YORK. USA. M Dd. 0' woo / Des de terming heat innecal Vt/ hescabit -1.5-hig40•11 --- United *tea t .oinqcontnarogbeficknonnensov. unzad OttifitrtnitniAitGiA4 lA Jun 2013 • " "••• ifenwrin thwarca ;Sat otedzepenst — SEE PAGE 27 EFTA00304529 ilt, U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS csa°3" Tham bar ° 0148531PIPATCOS CAM 12-320•10 Plow Print Legibly Using Bleck Ink Only ESTIMATED BURDEN 401•11 1- Manta: Read WARNING on page 1 of instructions Please select the docureent(s) for which you at* apply122: [X] U.S. Passport Book 0 U.S. Passport Card U Both The wt. sal ago nee ix ratmaltoral sir best Foxmare bearmasen soapy* t etbanallin 28 Page Book (Standard) D 52 Page Book (Non-Standard) lag TM 52 psgeolansteinotattno lardy Vat abroad dein tie era ay Met mar reaormoree I—fff .•!‘"It•E•104•Yr•Winse•00,40^0/`••PMt — - 1. Name Last EPSTEIN JEFFREY 2. Date of Birth (ratraldggyy) 3. Sex 4. Place of Birth (City .5 State If In the U.S., or City 8 Country as It is prasentty known.) 0 1 2 0 1 9 5 3 X 5. Social Security Number 6. Email Address (e.g my emaq.8dornstn.com) 7. Primary Contact Phone Number Middle OD DO K DP DOTS Code Beet - -- Exo. EDWARD NEW YORK, NY 8. WOMB Address: Una 1: Street/RFD., P.0. Box, or URB. 6 1 0 0 RED HOOK QUARTER Address Lirre4: Cindy labs! Afortherit Coronary, Suite, Unit. Budding, Floor. In Caro Of or Mention if applicable. (a g., In Can Of- Jane Doe, Apt * 0rh B 3 City State Zip Code County If outside the United States ST THOMAS VI 0 0 8 0 2 t. List all other names you have used. (Examples' Birth Nemec lAssiden. PrOw00341snfsge, Legal Name Change. Mach additional *nos ?I needed) A. a. 10. Passport Book setelfor Passport Card Information Your name as vatted on your most recent U.S. passport book andJor passport card JEFFREY EDWARD EPSTEIN Most tece-it passport book number 484652646 Most recent passport card number Issue date (mrrVdcVyyyy) 06/15/2011 Issue date (rnalidei*M) 11. Name Change Information Campaefe If name is different than test U S. passport book or coupon cad Changed by manage Place of Name Change (CflytSfeta) Date (rrankkityyyy) Charged ty Cast Order Atom Wank a oarterad (Photocopies are not soot CONTINUE TO PAGE 2 YOU MUST SIGN AND DATE THE APPLICATION IN THE DESIGNATED AREA BELOW I dose order penalty of palely OE of the lotiowog I) lama calms a fib; Oaten naissi of of ilia :in iloG Statuette have not, Inc. &qualm U.S. cacransfdp a nationality, personate any of the acts WWI under or Conditicets" "we or tha applcaben (unless explanatory Urethanl a atisched82) me Stalelnanis credo on the appicalion ire true and correct 3) I haw Moon* TKO) Isle* statements or mashie false documents in support or MI. waste. 1) the photograph submitted sen this applOadon • e ilowlee. ma and 5) I have road end understood The warning on page one or the InStruCall IC to appeason loon ePC., ,e. (0 — 14 twat tes FOR ISSUING OFFICE ONLY 0 yr USK =pm sx sit 0 Pin co capon co se r O Marriage Cardficale Date of ktarrlagMblece LI Court Order Date Fle&Dsurt: From To' Other. K Amend. For Issuing Mks Oats —• Unto DS-62 os-tots CA Fee EF Postage— Other__ L IER!!!!!!!!mil Petit of 2 EFTA00304530 Mims of Applicant (Last, First 6 Attie) EPSTEIN, JEFFREY EDWARD Date of Birth (innVicityyyy) 01/20/1953 It Height 13. Hair Color 6ft. 014. GRAY H. Eye Coktr 15. Occupation BLUE BANKER 111 Employer or School pYapphcablet SOUTICIMIN TROST COMPAII, ISC. 17. Arklitforuti Contact Phone limbos 140f Mt CC mew ces %en was 18. Permanent Addams: IWO Box is listed under Malmo Address gd residence is awn hone Minato Address. StreeVRFD Nor URB (No P.O. Box) ApartmeMNnit Stole 2 Cole 19. Eminency Contact - Prattle the information of a person not traveling with you to bo contacted in the event of an emergency Name Address: Street/RFD 0 or.. Box Slate Zip Code Phone Number Relationship N/A 20. Travel Plans Departure Date (retnrcid/Wyy) Return Date (wn/dein I le/Y) Countries to be Vsited Assail-a ',Wirt STOP! YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE 111110119181MIIIII 042 06-2013 Page 2 of 2 EFTA00304531 EFTA00304532 G3 VISAS & PASSPORTS Tel. 888.883.8472 passports@g3visas.com Letter of Authorization Please carefully read the information below before completing this Letter of Authorization. An individual's personal information cannot be released by the U.S. government to another patty without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent Please check all that apply: el I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. El I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the passport agency. Applicant Information (Note: All of the information below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) Applicant Name: EPSTEIN, JEFFREY, EDWARD (Last Name, Pint Name, Middle Name) Applicant Phone No: (Area Code40000C00 Date: 06/25/2014 (MM/DD/YYYY) Applicant Signature: (If the applicant is under the age of 16 the parent (s), legal guardian(s), or person legally acting in loco parentis must sign) EFTA00304533 G3 VISAS & PASSPORTS Tel. 888.883.8472 passports@g3visas.com Letter of Authorization Please carefully read the information below before completing this Letter of Authorization. An individual's personal information cannot be released by the U.S. government to another party without the written consent of the individual under the provisions of the Privacy Act of 1974 (5 USC 552a). As a result, an employee at a U.S. passport agency cannot discuss the details of your passport application with a third party without your written consent. Please check all that apply: I authorize the company stated below to submit my passport application to a passport agency and pick up the passport from a U.S. passport agency on my behalf. D I authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that that may arise in connection with my passport application, and I authorize the company to respond to such requests under my direction. El I do not authorize the passport agency to disclose to the company listed below any requests for further documentation and/or information that may arise with my passport application. I want the passport agency to contact me directly should an issue arise with my passport application that concerns matters other than the date on which the passport will be ready for pick-up from the paskaort agency. Applicant Information (Note: AU of the isforrnation below may ONLY be filled out by the applicant, parent, legal guardian, or person legally acting in loco parentis) Applicant Name; EPSTEIN, JEFFREY, EDWARD (Last Name, First Name, Middle Name) Applicant Phone No (Area Code-XXX-XXXX) Courier Company Name: G3 VlsasA Passports, I Applicant Signature: Date: 06/252014 (Mtvl/DD/YrrY) (If the applicant is under the age of 16 the parent (s), legal guardian(s), or person legally acting in loco parentis must sign) EFTA00304534 DARREN K. INDYKE DARREN K. INDYKE, PLLC 575 Lexington Avenue, 40 Floor New York, New York 10022 Telephone: June 25, 2014 U.S. Passport Office Department of State To Whom It May Concern: Jeffrey Edward Epstein is the President of Southern Trust Company, Inc., an international financial firm, and travels internationally with great frequency. As a consequence, his passport is with him when he travels abroad, and he cannot obtain visas for the trips that are planned while he is out of the country, which causes undue hardships and much inconvenience. In addition, on extremely short notice, he is frequently requested to schedule international trips with itineraries to multiple destinations requiring him to obtain multiple visas at the same time, which is simply not possible on such short notice without a second passport. It was for these reasons that the U.S. Passport Office previously issued Mr. Epstein a second passport. However, that second passport expired on June 14, 2013. Mr. Epstein anticipates an extremely rigorous upcoming international travel schedule. In the immediate future, he is scheduled to travel to France in the second or third week of July 2014, and we also anticipate him being required to travel within a week thereafter to Japan and China for business matters. He will therefore need to obtain visas for these additional countries, and likely others, while traveling with his current passport in his possession, and respectfully requests that a second valid U.S. passport again be issued to him. We understand that the passport will only be valid for a limited period. If you have any questions, please feel free to call me at 212-971-1314. Should either Mr. Epstein's original 10-year passport or, if issued, his limited validity (second valid) passport be lost or stolen, he will report the circumstances immediately to the Passport Office in Washington, DC, or, if abroad, to the nearest U.S. Embassy or Consulate. Thank you for your assistance with this matter. Sincerely, Darren K. K. Indyke General Counsel to Southern Trust Company, Inc. EFTA00304535 SOUTHERN TRUST COMPANY, INC. 6100 Red Hook Quarter, 83 St. Thomas, USVI 00802 June 25, 2014 U.S. Passport Office Department of State To Whom It May Concern: I am the President of Southern Trust Company, Inc., an international financial firm, and travel internationally with great frequency. As a consequence, my passport is with me when I travel abroad, and I cannot obtain visas for the trips that are planned while I am out of the country, which causes undue hardships and much inconvenience. In addition, on extremely short notice, I am frequently requested to schedule international trips with itineraries to multiple destinations requiring me to obtain multiple visas at the same time, which is simply not possible on such short notice without a second passport. It was for these reasons that the U.S. Passport Office previously issued me a second passport. However, that second passport expired on June 14, 2013. I anticipate an extremely rigorous upcoming international travel schedule. In the immediate future, I am scheduled to travel to France in the second or third week of July 2014, and also anticipate travel within a week thereafter to Japan and China for business matters. I will therefore need to obtain visas for these additional countries, and likely others, while traveling with my current passport in my possession, and respectfully request that a second valid U.S. passport again be issued to me. I understand that the passport will only be valid for a limited period. If you have any questions, please feel free to call me at 340-775-2525. Should either my original 10-year passport or, if issued, my limited validity (second valid) passport be lost or stolen, I will report the circumstances immediately to the Passport Office in Washington, DC, or, if abroad, to the nearest U.S. Embassy or Consulate. Thank you for your assistance with this matter. Sincerely, ( Jeffrey Edward Ep ein EFTA00304536