EFTA00309025.pdf

To: US Regional Passport Agency From Jeffrey Epstein Date: April 8, 2019 Letter of Authorization Date: April 8, 2019 Name of Applicant: Edward Epstein, Jeffrey Edward Last: Epstein First: Jeffrey Middle: Edward DOB: January 20, 1953 Place of Birth: Brooklyn, NY I authorize to submit my passport application to a US Passport Agency, and to accept delivery of the passport on my behalf. Under the provisions of the Privacy Act of 1974 (Public Law 93-579) no information may be released from US Government files without prior written consent of the individual in question. Consequently, an employee of the US Passport Agency cannot discuss the details of your passport application with without your permission. Please choose one of the following: I authorize the US Passport Agency to discuss any problems which may arise with my passport application with I want the US Passport Agency to contact me directly should a problem arise with my passport application which concerns matters other than the date on which the passport will be ready for pick up. Original Signature EFTA00309025