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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
END THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO. 720011 04.01.17 Rev. 10.7 May 21, 2015 EFTA00792092 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
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
END THIS RECORD TO FInCEN UNLESS REQUESTED TO DO SO. 720011 04-01.17 Rev. 10.7 May 21, 2015 EFTA00792182 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
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
SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO. 720011 0441.17 Rev. 10.7 May 21.2015 EFTA00792004 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
Entities connected to both Utilities and THE UNITED STATES TREASURY
Maria Farmer
PERSON
United States
LOCATION
New York
LOCATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSON
New York City
LOCATION
NEW YORK NY
LOCATIONSpouse
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSON
New York State
LOCATIONERO Signature
ORGANIZATIONConservation Reserve
ORGANIZATIONWEISS
ORGANIZATIONC-EZ
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONQualifying widow(er
ORGANIZATIONConservation Reserve Program
ORGANIZATIONYonkers
LOCATIONCombine Ines 4a
ORGANIZATION