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and 67 through 73. These are your total payments Ito 74 547,000. Refund 75 If line 74 is more than
line 36 from line 22. This is your adjusted gross Income 37 Last name (2)Orneridenre Serial security number O.04endenEs relatkentalp 10 you Boxes aced on Ea and Ea No of children thig 6c ho. min age 17 p lend with you 1004019 NI hr4 did not Ma with grardt you due tO Ovate a Separatio
MOW all thee trenuictkar on ram 8949. Issue tits Ito thank and as to Ilno Et Bb Totals for all tr
ndents social way numb. (310ependenrs m you asonsuo to IAm o Al Mid iallUil fleichl iaw 17 wow SON X d Total number of exemptions claimed Boxes checked en Ca and (1b No. of children on 6c who: * Ned with you • did nettle., with you OA to &KW9 Cr separation lane rtstructmal Oroenclant
015I 35 EFTA00026323 Form 4797 Deparbrienl a Ito Troosmy Internal ROvOnue Service NamerS}Sn0wn o
ttach Schedule D if required. If not required, check here Other gains or (losses). Attach Form 4797 IRA distnbutians 1 151 I b Taxable amount Boxes checked on 6a and Etc No 01 children o 6c tio. *Pad with you %did not We with you due to OlvOrCe a Separation InStructiathl Dapanden% on 6c
Entities connected to both Joi Ito and Boxes

Jeffrey Epstein
PERSON
Lesley Groff
PERSON
George W. Bush
PERSON
Ghislaine Maxwell
PERSON
Woody Allen
PERSON
United States
LOCATIONLarry Visoski
PERSON
U.S. Treasury
ORGANIZATION
Eric Holder
PERSON
Adriana Ross
PERSONSpouse
ORGANIZATIONUtilities
ORGANIZATIONSchedule SE
PERSONFiler
PERSONColumn
PERSON
FinCEN
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATION
NELSON
PERSONC-EZ
ORGANIZATION