Passport Renewal Application

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1 Instructions to Renew a Passport (Adult) Have You Completed Passport Renewal Application Do You Have Download DON'T FOGRET TO SIGN IT Use BLUE INK DO NOT Use WHITE OUT If You Make A Mistake CROSS IT OUT Sign the Forms the way Old Passport was Signed Most Recent Passport Do You Have In Good Condition If you have more than 6 months remaining on your current passport include a quick letter explaining why you want to renew your passport early. Click HERE for an example letter. Authorization Letter Do You Have Download It HERE 2 Passport Photos Requirements

2 Do You Have Proof Of Travel Do You Have Requirements RushPassport.com Order Form Download Order Form Here Government Fees Passport Fee $127 One check / money order payable to "U.S. Department of State" RushPassport.com Fees Prices available upon request. Please call again the same day you come in to confirm prices, they are due to change due to gov't restrictions and policy change. Pick up Your Passport In Person For More Info Click Here

3 $26Return Shipping M-F $36Return Shipping Sat. Shipping fees can be included with service fee in the Money Order Almost Done... Send It To: Enclose The Sealed Envelope Rushpassport.com Order Form Rushpassport.com Fees Return Shipping IF YOU ARE NOT SURE ABOUT SOMETHING CALL US TO CONFIRM IT This will Save you Time and Money RushPassport 875 6th Avenue Suite #1606 New York, N.Y (212) Now Relax our experienced expeditors will hand process your request in time for your trip

4 DUE ON: Rush Passport, Inc th Ave. Suite # 1606 New York, NY Tel: (212) Fax: (212) FIRST TIME: Adult Child RENEWAL LOST/STOLEN MUTILATED ADD PAGES RE-APPLICATION: Name Change Correction Extension DATE OF TRAVEL TIME DESTINATION NAME AS ON APPLICATION: (First Name) (Middle Name) (Last Name) D.O.B. HOME ADDRESS HOME PHONE WORK PHONE CELL PHONE ADD L CONTACT Who referred you? SIGNATURE U. S. Passport Order Form DATE FOR OFFICE USE ONLY 2 Passport Photos (2X2) Fees Copy of Itinerary/Ticket Birth Certificate Completed Form (DS-11, 64, 82, 3053, 4085, 5504) Nat. Certificate Expired Passport Drivers License Divorce Decree Marriage Cert Add l Supplemental Documents RushPassport.com acts only as an agent on behalf of the applicant. We do not accept responsibility for the services of the Passport Agency, Consulate or Embassy regarding the granting of passport or visas, nor for any delays, loss of passports or other materials or documents occasioned by such services of by any delivery services.

5 Rush Passport, Inc th Ave, Suite # 1606, New York N.Y tel fax Letter of Release and Authorization New York Passport Agency Dear Passport Representative, I, authorize your office to discuss the status of and release my passport to: any representative of Rush Passport, Inc., my agents in expediting my passport. Thank You. Sincerely, Signature Name of Child (under 14 years old) Date Applicants Date of Birth Rush Passport, Inc. is only the legal entity of the above. Rush Passport. Inc may not be reproduced or reprinted without the written consent of Rush Passport, Inc.; not responsible for delays in processing which may occur due to heavy volume and workload at the passport agency.

6 Rush Passport, Inc th Ave, Suite # 1606, New York N.Y tel fax Letter of Release and Authorization New York Passport Agency Dear Passport Representative, I, authorize your office to discuss the status of and release my passport to: any representative of Rush Passport, Inc., my agents in expediting my passport. Thank You. Sincerely, Signature Name of Child (under 14 years old) Date Applicants Date of Birth Rush Passport, Inc. is only the legal entity of the above. Rush Passport. Inc may not be reproduced or reprinted without the written consent of Rush Passport, Inc.; not responsible for delays in processing which may occur due to heavy volume and workload at the passport agency.

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