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ements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns. ERO's signature Ito. DAVID WEISS CPA, PLLC Date ► 719995 11-10.17 ERO Must Retain This Form - See Instructions Don't Submit This Form to the IRS Unless Requested To
Partnership c Corporation d U Consolidated e Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Numbs *** -** -9816 If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth MWDD/YYYY In SSNATIN a Type' Pass
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artnership c 0 Corporation d D Consolidated e Q Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Numbs 133495607 O If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth MWDD/YYYY SSNATIN a Type: Passpor
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vidual b O Partnershp c Corporation d O Consolidated e 0 Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Number If filer has no U S Identification 3a TIN type 4 Foreign identification (Complete only it item 3 is not applicable) 5 Individuals date of birth MWDD/YYYY SSN/ITIN a Type: Q Passp
Entities connected to both Joi Ito and U S Identification

United States
LOCATION
New York City
LOCATION
U.S. Treasury
ORGANIZATIONSpouse
ORGANIZATIONFiler
PERSON
FinCEN
ORGANIZATIONSchedule SE
PERSONPreparer
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONERO Signature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONConservation Reserve Program
ORGANIZATIONFOREIGN BANK AND FINANCIAL
ORGANIZATIONC-EZ
ORGANIZATIONConservation Reserve
ORGANIZATIONBSA Efiling
ORGANIZATIONForeign Bank
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONJurat/Disclosure
ORGANIZATIONSchedules C
ORGANIZATION