📄 Extracted Text (3,187 words)
"1)3216
Sr. or New von:
owsen or D.neel ,J sure Sevres
0 So..", Sea- si
Aws NY 12210
To JEFFREY EPSTEIN Apni 9. 2014
LITTLE ST JAMES Offender ID 33216
6100 RED NOOK OuARTEPS SLATE 03
ST THOMAS v100602
From Sex Offender Registry Unit NYS Division of CrImir?' Justice Sevres
RE Annual Address Vennoal on
Sex Offender Registry Annual Address Verification Form
The Sex Offender Registration Act (SORA) requires you to review. update. and sign this Annual Address
Verification Form and mail this form back to the Division of Criminal Justice Services within 10 days from receipt
of this form You must do this whether or not you have reported updated information to parole probation or a
law enforcement agency. If you attend. are enrolled at. reside at, or are employed at any institution of higher
education, you must provide that information on this form You must also report your Internet service proyoder(s):
all screen names. all e-mail addresses and all other information listed on the form If you are a level 2 Or 3 sex
offender. you must report the name and address of all employers
INSTRUCTIONS:
• Review each line of information on this form carefully.
• If you find any information that is incorrect or outdated. cross out incorrect or outdated
information with a single line.
• Enter any Corrections or any now:additional information in the blank boxes provided.
THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE INFORMATION
HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS OF RECEIPT IS A
FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST.
Please contact the Sex Offender Retstry at 518-457.3167 with any questions abo.,1:n s firm
OFFENDER INFORMATION
LAST NAME r ipsT NAME MIDDLE SSN
L 2S7E % .EFERCY E or.
OTHER NAMES
ERSTE N ,EFFREY ECWARD
Enter any aitases. nick names or other names used in the following section
EFTA_R1_02213129
EFTA02725606
1000000747916
PHYSICAL ATTRIBUTES
BIRTHDAYS HEIGHT WEIGHT HAIR EYES GLASSES
600 Griy EOLO Man :ernie, (04
SCARSIMARKS/TATTOOS
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PR MARY ADDRESS
Primary address is the address where you live most of the We
NI.JVISERISTREEVAIT COY
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EFTA_R1_02213130
EFTA02725607
10:33216
- )73O747916
SECONDARY ADDRESS
Secondary A.tldress ro the address where you live some of the ti
NUMEVASTNEETLIPT CITY
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PO BOX ADDRESS
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PO Box Address is allowed if mail cannot be delivered tO the primary address PO Box Address must
be
approved by the Post Master and Law Enforcement
Enter any PO BOX Information in the following section
.0 SOT CITY
11
STATE Tn COUNTY COUNTRY
EMPLOYMENT INFORMATION
IMPLOTEITS NAME IMASTASTRIEVAITT
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Enter any additional employment information in the following section
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EMPLOYER% NAME NIAISIRSTITIETIATIt
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HIGHER EDUCATION INFORMATION
Higher education includes any 2 or 4 year colleges Or any trade or vocational schools.
En er any additional education intormaton in the following section
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VEHICLE INFORMATION
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YEAR MAKE MODEL COLOR LIC PLATE STATE
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YEAR SURE MOIL COLOR UC PLATE STATE
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DRIVERS LICENSE INFORMATION
DRIVER'S LICENSE NUMBER I ISSUING STATE
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Enter any additional driver's license information •P the follOmng secflon
DRIVER'S LICENSE NUMBER ISSUING STATE
EFTA_R1_02213134
EFTA02725611
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INTERNET INFORMATION <c
SERVICE PROVIDER
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EFTA_R1_02213135
EFTA02725612
ID
000000747916 "16
SCREEN NAME
SCREEN NAME
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SNAIL ADDRESS
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EFTA02725613
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EMAIL ADDRESS
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Enter any afeltiona! Internet information in the following section
SERVICE PROVIDER SCREEN NAME EMAIL ADDRESS
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EFTA_R1_02213137
EFTA02725614
I CERTIFY THAT THE INFORMATION ON THIS FORM IS COMPLETE AND ACCURATE I HAVE
CROSSED
OUT ALL INFORMATION THAT IS INCORRECT OR OUTDATED. I HAVE ADDED ALL CORRECTION
S
AND ALL NEW INFORMATION. I UNDERSTAND THAT FAILING TO PROVIDE THIS INFORMATION OR
PROVIDING FALSE INFORMATION ISA FELONY
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Sex Offenders Signatir Sex Offender's Date
Name(print)
THIS FORM MUST BE SIGNED AND ALL PAGES RETURNED EVEN IF NONE OF THE
INFORMATION
HAS CHANGED. FAILURE TO RETURN ALL PAGES OF THIS FORM WITHIN 10 DAYS
OF RECEIPT IS A
FELONY AND MAY RESULT IN THE ISSUANCE OF A WARRANT FOR YOUR ARREST.
Return to
Division of Cnnvnal Justice Services SOP
80 South Swan St
Albany, NY 12210
EFTA_R1_02213138
EFTA02725615
ATTACHMENT TO SEXUAL OFFENDER REGISTRATION FORM
JE FFREY EPSTEIN
Autaenobiles Boa Adorer, Telephone Numbers. Entad Agates... ana 'arne Reated {nt°maton
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ℹ️ Document Details
SHA-256
3ba3a65dc5d6379f5272f2981522fec4610142990a835cff6e0338918ff96e53
Bates Number
EFTA02725606
Dataset
DataSet-11
Document Type
document
Pages
14
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