EFTA00304526.pdf

Send to: 433 Visas & Passports m 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 me. 20 ram 1953 Frill Name: Ode of Metes SerViCei Second Valid Passport (Book Ore Proceming Spat D MINS COW PT: OEmiedlbl LISetael Vali Passport (Book and Cady Cedar Laid Sortsla& sato • Ode dUS Oandlit ANTICIPATED 7/__/2014 I magi mvs my mannnoSatin 7_J2014 Other Am orreasamt wets Ines* Nttet Name: DARREN K 'NOVICE I Company: DARREN K INDYKE PLLC Conte end (rtmnite4 Oratlem Rom 63 Ordowartitaisc WA nims DARREN K. INDYKE. ESO Company. DARREN K. INDYKE, PLLC StantrOinag 575 LEXINGTON AVENUE, 4TH FLOOR Grr: NEW YORK Star NY 2/04:00a 10022 Othtlene Male: &Iota Phone: Pair** ii!istriation Total Fees from Applicable Fees Page Li Credit Ceid plank °Approved Bating Tarns FEE a Travelers TOTAL enroll.Ned Of SWIM OAS US Government Fee' 170. X For Payment Via Credit Card G3 Service Fee X Visa/MasterCard: CrEC CCEC CLS Fe 00 Xi Return Delivery Fee 00 bp. Date: 11 / 15 Sally CodeRN i Subtotal $545 00 I Add 5% tor credit card convenience lee 0Rafitarl WassDEE k E MEIE-01100 I Total Payment Enclosed s57 —iins_ Esp. Date: f_ &of* Coat 11111 1 aN as k appears on the card: i :DARREN K. INDYKE II Bang Addivec 1,575 LEXINGTON AVENUE, 4Th FL Cte [WV' YORK INY EFTA00304526  CONCIERGE LEVEL SERVICE VISAS SECOND VALID PASSPORT /3 & PASSPORTS US Ganomment Fees kw Passport Processing secondVaildPasspsrt(Book — Only) x $170.00 Second Valid Passport Book and Passport Card $200.00 Service Type Mcsion Oitkai 2 Business Dan Priority C., Busmess 1 Expedited I C: s 7F,S3!i Sand Valid Passport lia$275.00 08195.00 $110.00 IA condone Sag 0entae (IX-$) $9500 lati7iind) OM& baxest Saws 519.00 Fedb First Obgernight $84.00 2 Business Day Delivery De:otery Next Business Day by 8,30AN1 OftdEx Standard Omar $29.00 Feder Saturday Darer $44.00 Del very Nen Business Day by 3PM Delivery by 3PM OSame Day Derery Pada Interradional Delivery' Delivery op Fear or Please ladingPun Rico Please Call CommercialMilne Delivery Times Vary by Location Fedic or UPS Accent Number Provided JFedEs or UPS Rehm Akbil Included 55.00 No Charge k556-9274-1 'These services may act t* available for au delivery locations. III 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 www.g3visas.com a EFTA00304527  • ‘, e *1 t ‘." 1101411714 07 NUMWM; autAn • r4Dv. 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 /OmniIv daier•••• 213...11111953 OW be lyre Was •Lane owe* ilkoslug C NEW YORX.U.SA M ClOs d law 411b/me rlaastataima* bawl I Arsciad —2ThangtO thated3bRes• an Opostaine from/ qsI eerie Deportment 0? Stole 24 Mey 2020 in/plain Wehrle elbseas,Wassedite; SEE PAGE 27 USA EP<USAEPSTEIIKCIEFFREY<EDWARD<<<“<<<<<<“<<< 4699117078USAS301207M2005261237925690<506S58 EFTA00304528  •— . eres, opCc • (61.r Woe . Tir.fritygq, r fa" , a: 1. : ,^re ostrivied =HAMM; Ana/ 14 NAM PASSPORT PASS-RPM U.11117- P Mu. wrrw.tocoo Immo, 10 VIE= Ofralritailk 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 P<USAEPSTEIN<<JEFFREY<EDWARG<<“<<“<<<<<<<< 4846526465 US A 5301207141306145191533326< 701168 EFTA00304529  ilt, U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS csa°3" ThamCAM 0148531PIPATCOS bar ° 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 neeix 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 OD DO ❑ DP DOTS Code EPSTEIN Beet Exo. - -- Middle JEFFREY EDWARD 2. Date of Birth (ratraldggyy) 3. Sex 4. Place of Birth (City .5 State IfIn the U.S., or City 8 Country as It is prasentty known.) 0 1 2 0 1 9 5 3 X NEW YORK, NY 5. Social Security Number 6. Email Address (e.g my emaq.8dornstn.com) 7. Primary Contact Phone Number 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 ?Ineeded) 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 Issue date (mrrVdcVyyyy) 484652646 06/15/2011 Most recent passport card number Issue date (rnalidei*M) 11. Name Change Information CampaefeIfname 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 :iniloG 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 FOR ISSUING OFFICE ONLY ePC., ,e. 0 twat yr USK =pm sx sit 0 Pin co capon co se r (0 —tes14 O Marriage Cardficale Date of ktarrlagMblece LI Court Order Date Fle&Dsurt: From To' Other. L IER!!!!!!!!mil ❑ Amend. For Issuing Mks Oats —• Unto CA Fee EF Postage— Other__ DS-62 os-tots Petit of 2 EFTA00304530 Mims of Applicant (Last, First 6 Attie) Date of Birth (innVicityyyy) EPSTEIN, JEFFREY EDWARD 01/20/1953 It Height 13. Hair Color H. Eye Coktr 15. Occupation 111Employer or School pYapphcablet 6ft. 014. GRAY BLUE BANKER SOUTICIMIN TROST COMPAII, ISC. 17. Arklitforuti Contact Phone limbos 140fMt 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 contactedin the event of an emergency Name Address: Street/RFD 0 or.. Box Assail-a ',Wirt Slate Zip Code Phone Number Relationship N/A 20. Travel Plans Departure Date (retnrcid/Wyy) Return Date (wn/deinI le/Y) Countries to be Vsited 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 Ipick authorize the company stated below to submit my passport application to a passport agency and up the passport from a U.S. passport agency on my behalf. El Idocumentation authorize the passport agency to disclose to the company listed below any requests for further 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: Date: 06/25/2014 (Area Code40000C00 (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 documentation I authorize the passport agency to disclose to the company listed below any requests for further 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 El 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 Date: 06/252014 (Area Code-XXX-XXXX) (Mtvl/DD/YrrY) Courier Company Name: G3 VlsasA Passports, I 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) 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. 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