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U.S. PASSPORT RENEWAL APPLICATION FOR ELIGIBLE INDIVIDUALS¶
OWB APPROVAL NO. 1405-0020 EXPIRATION DATE: 12-31-2013 ESTIMATED BURDEN: 45 MIN¶
Please Print Legibly Using Black Ink Only¶
9776-0775988900000¶
https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display doc all?p_hash=CF15C41… 2/24/2020¶
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DB-82 12-2010¶
https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41… 2/24/2020¶
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PASSPORT NO. 922 16th Avenue South 204 New York NY 10003 Tel: (123) 775-8970 Fax: (123) 616-2268 Unauthorized¶
Letter of Authorization¶
To: The US Passport Office¶
Passport Rush, LLC. to submit my passport and collect it when issued.¶
The following visas are required prior to my departure:¶
Thank you for your prompt attention to this matter.¶
For my son/daughter¶
Prohibited¶
https://ccdi.state.osis.gov/pls/PPT/rpt_passport_images.display_doc_all?p_hash=CF15C41… 2/24/2020¶
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EFTA00099209¶