EFTA00098593Set 9
2017-01-05119p52,990w
Name' Pl,nne ( )
Canty
Out of State Travel Information (Complete If permanent, temporary, or transient address Is out of state)
O Permanently leaving Florida to establish a residence in another ... County Paint Beach
Dates you will be at this address: From: 071262012 To:
Transient Addresses Q I do NOT have a transient address
1.
Parer address or button) (City) (State ... Officer Name' Phone ( )
County
Out of State Travel Information (Complete if permanent, temporary, or transient address Is out of state)
Permanently leaving Florida to establish a residence in another state/country
https://www.justice.gov/epstein/files/DataSet%209/EFTA00098593.pdf