To find out if you have an FBI file(or any federal agency) and to obtain a copy of it, fill out the information below, have this form notarized (you must sign it in front of a notary and provide the notary sufficient identification), and mail to the FBI (or other agency). A request should be sent to each field office that might have files as well as FBI Headquarters. Make a copy
of your signed and notarized form for your records. Please note that it is a criminal offense to represent yourself as another in attempt of obtaining information.

To:________________________________________________________

This letter constitutes my formal request for information pursuant to the provisions of the Freedom of Information and Privacy Acts, 5 USC 552. I am requesting copies of all information maintained by your agency that pertain to myself as described below:

Full Name:

Current Address:

Social Security No.:

Date and Place of Birth:

Former Addresses (use reverse if more space needed):

Date:____________ Signature:__________________________

I, __________________________ a Notary Public in and for the county
(city) and state of __________________________ hereby certify that
on the ____ day of _______, year 200__, before me personally appeared
__________________________, who is known by me to be the identical
person whose name is subscribed to, and who signed and executed the
foregoing instrument. In witness thereof, I have hereunto set my hand
and official seal this day and year above.

My commission expires:____________Signature of

Notary:___________________

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LIST OF ADDRESSES TO SEND TO

P O Box 366269 San Juan PR 00936

JFK Federal Bldg Rm 900 Boston MA 02203

150 Court St Fifth Fl New Haven CT 0651

1 Gateway Market St 22nd Fl,Newark NJ 07101

26 Federal Plaza New York NY 10278

James F Foley Bldg. 5th Fl 445 Broadway Albany NY 12201

111 W Huron Buffalo NY 14202

P O Box 1315 Pittsburgh PA 15213

William Green Bldg Sixth Arch St 8th Fl Philadelphia PA 19106

DC Field Office 1900 Half St SW Washington DC 20305 B

Headquarters D J Edgar Hoover Bldg 10th Pennsylvania Ave Washington DC 20535

7142 Ambassador Rd Baltimore MD 21207

111 Green Court Rd Richmond VA 23228

O Box 3828 Norfolk VA 23514

6010 Kenley Ln Charlotte NC 28217

Box 137 BColumbia SC 29202

77 Forsyth St SW Atlanta GA 30303

220 E Bryan St Savannah GA 31401

Box 8928 Jacksonville FL 32239

16320 NW 2nd Ave Miami FL 33169

Box 172177 Tampa FL 33672

2121 Bldg #1400 Birmingham AL 35203

P O Box 2128 Mobile AL 36652

710 Locust St #600 Knoxville TN 37902

Clifford Davis Fed Bldg #841 167 N Main<BR>Memphis TN 38103

100 W Capitol #1553 Jackson MS 39269

600 Martin Luther King Jr Pl Louisville KY 40202

1240 E 9th Rm 3005 Cleveland OH 44199

Box 1277 Cincinnati OH 45201

Box 1186 Indianapolis IN 46206

P O Box 2118 Detroit MI 48231

Box 2058 MMilwaukee WI 53201

111 Washington St #1100 Minneapolis MN 55401

P O Box 3007 Butte MT 59702

219 S Dearborn St #905 Chicago IL 60604

P O Box 3646 Springfield IL 62708

1520 Market #2704 Saint Louis MO 63103

811 Grand #300 Kansas City MO 64106

P O Box 541090 Omaha NE 68154

1250 Poydras #2200 New Orleans LA 70113

P O Box 21470 Little Rock AR 72221

P O Box 54511 Oklahoma City OK 73154

1801 N Lamar #300 Dallas TX 75202

2500 E T.C. Jester Houston TX 77008

Box 1630 San Antonio TX 78296

7000 E San Antonio #C600 El Paso TX 7990

P O Box 1229 Denver CO 80201

125 S State #3203 Salt Lake City UT 84138

201 E Indianola #400 Phoenix AZ 85012

301 Grand NE Albuquerque NM 87102

700 8th Charleston Blvd Las Vegas NV 89104

11000 Wilshire #1700 Los Angeles CA 90024

880 Front St #6S31 San Diego CA 92188

450 Golden Gate Ave San Francisco CA 94102

P O Box 13130 Sacramento CA 95813

300 Ala Moana #4307 Honolulu HI 96850

P O Box 709 Portland OR 97207

915 2nd Ave #710 Seattle WA 98174

Box 100560 Anchorage AK 99510