3
Shared Docs
3
Same-Page
3 / 3
Mentions
than on line 19) 14 b Deductible meals and 15 Insurance (other than health) 15 entertainment (see instructions) 246 16 Interest: I_ 25 Utilities 25 a Mortgage (paid to banks, etc.) lea 26 Wages (less employment credits) 26 ti Other 16b 27 a Other expenses (from tine 48) 27a 6 8
ICE. WE WILL THEN TRANSMIT YOUR FORM TO THE FINCEN. 700397 040147 EFTA00792087 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FinCEN Form 114 Check her
Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 1,159. entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) D Other 16b 27 a Other expenses (from tine 48) Legal and profess
UR OFFICE. WE WILL THEN TRANSMIT YOUR FORM TO THE FINCEN. 04 0t .7 EFTA00792177 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FInCEN Form 114 Check here if this report
Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 1,159. entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) b Other 16b 27 a Other expenses (from tine 48) Legal and profess
T YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS EFTA00791999 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FinCEN Form 114 Check her
Entities connected to both Utilities and Foreign Bank

George W. Bush
PERSONMaria Farmer
PERSON
United States
LOCATION
New York
LOCATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSON
New York City
LOCATION
NEW YORK NY
LOCATIONSpouse
ORGANIZATIONSchedule SE
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
New York State
LOCATIONYonkers
LOCATIONERO Signature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONFiler
PERSONConservation Reserve Program
ORGANIZATION
FinCEN
ORGANIZATIONC-EZ
ORGANIZATIONWEISS
ORGANIZATION