ScannedDocument Collection

Page  1of 4

| Field | Value |
|---|---|
| Document | U.S. Passport Renewal Application for Eligible Individuals (Form DS-82) |
| Page | Page 1 of 2 |
| Photo | Attached (passport-style photo) |
| Applicant signature | Present |
| Full name (as entered) | [REDACTED] |
| Sex | Female (marked) |
| Date of birth | [REDACTED] |
| Place of birth | [REDACTED] |
| Social Security Number | [REDACTED] |
| Email address | [REDACTED] |
| Primary contact phone | [REDACTED] |
| Mailing address | [REDACTED] |
| Passport name as listed | [REDACTED] |
| Most recent passport book number | [REDACTED] |
| Most recent passport card number | [REDACTED] |
| Passport book issue date | [REDACTED] |
| Application signed date | [REDACTED] |
| Barcodes / tracking numbers | Present (visible barcodes and numeric codes) |
| Other visible marks | "Reproduction Prohibited" watermark; handwritten annotations/redactions visible |

https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020

EFTA00037979

Scanned Document Collection

Page 2 of 4

| Field | Value |
|---|---|
| Form | DS-82 (12-2010), Page 2 of 2 |
| Name | [REDACTED] |
| Date of Birth | [REDACTED] |
| Height | 5 ft. 8 in. |
| Hair Color | Brown |
| Eye Color | Brown |
| Occupation | CONSULTANT |
| Employer / School | SELF EMPLOYED |
| Additional Contact Phone Numbers | (none provided / blank) |
| Permanent Address (street / apt) | [REDACTED] |
| Permanent Address — City | [REDACTED] |
| Permanent Address — State | [REDACTED] |
| Permanent Address — Zip Code | [REDACTED] |
| Emergency Contact — Name | [REDACTED] |
| Emergency Contact — Relationship/Title | ASSISTANT |
| Emergency Contact — Address | [REDACTED] |
| Emergency Contact — City | [REDACTED] |
| Emergency Contact — State | [REDACTED] |
| Emergency Contact — Zip Code | [REDACTED] |
| Emergency Contact — Phone | [REDACTED] |
| Travel — Date of Trip | 04/12/2012 |
| Travel — Duration of Trip | 2 WEEKS |
| Travel — Countries to be visited | FRANCE |
| Handwritten note (red ink) | "AT H ?" (illegible) |
| Prominent instruction on page | "STOP! YOU HAVE COMPLETED YOUR APPLICATION BE SURE TO SIGN AND DATE PAGE ONE" |

https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020

EFTA00037980

Scanned Document Collection

Page 3 of4

Key information from the image:

*   Letter of Authorization for US Passport Office
*   Authorizer: Ghislaine Maxwell
*   Passport Rush, LLC is authorized to submit and collect passport.
*   Date of Birth: Blacked out.
*   Original signature provided.

https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020

EFTA00037981

Scanned Document Collection

Page 4 of 4

Key details from the U.S. Passport Renewal Application:

*   **Applicant Name:** Ghislaine Noelle Maxwell
*   **Application Type:** U.S. Passport Book
*   **Issue Date:** 12/04/200
*   **Application Date:** 4/09/12
*   Marked "Reproduction or Disclosure Prohibited"

A headshot of Ghislaine Maxwell is present.

https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41... 2/24/2020

EFTA00037982