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complete the 3rd party preparer section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018 is available. This report filed late for the following reason (Check only on
ion of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicate
2 Total tax (Form 1040, line 63; Form 1040A. line 39; Form 1040EZ, line 12; Form 1040NR. line 61) 2 584,587. 3 Federal income tax withheld from Forms W2 and 1099 (Form 1040, line 64; RIM 1040A, line 40; Form 1040EZ. line 7; Form 1040NR, lie 62a) 4 Refund (Form 1040, line 76a; Form 1040A. line 48a;
complete the 3rd party prepare, section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018 is available. This report tiled late for the following reason (Check only on
ion of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. tt applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicate
2 Total tax (Form 1040. line 63; Form 1040A, line 39; Form 1040EZ, line 12; Form 1040NR, line 61) 2 584,894. 3 Federal income tax withheld from Forms W2 and 1099 (Form 1040• line 64; Form 1040A, line 40; Form 1040€2, line 7; Form 104014R, line 62a) 4 Refund (Form 1040, line 76a; Form 1040A, line 48
complete the 3rd party preparer section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018 is available. This report filed late for the following reason (Check only on
ion of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. It applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicate
2 Total tax (Form 1040. line 63; Form 1040A, line 39; Form 1040EZ, line 12; Form 1040NR, line 61) 2 556,671. 3 Federal income tax withheld from Forms W2 and 1099 (Form 1040, line 64; Ft:10111040A, line 40; Form 1040EZ, line 7; Form 104014R, line 62a) 4 Refund (Form 1040, line 76a; Form 1040A, line
Entities connected to both U.S. Treasury and Forms W2

United States
LOCATION
New York
LOCATION
Joi Ito
PERSONMaria Farmer
PERSON
NEW YORK NY
LOCATION
New York City
LOCATION
the Internal Revenue Service
ORGANIZATION
New York State
LOCATIONUtilities
ORGANIZATIONChang
PERSON
FinCEN
ORGANIZATIONYonkers
LOCATIONSpouse
ORGANIZATIONFiler
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONPreparer
ORGANIZATIONC-EZ
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONERO Signature
ORGANIZATION