3
Shared Docs
3
Same-Page
3 / 3
Mentions
e Se ember 3 2013 Social Security numbe AUR control number To contact us Phon Fa Page 5 of 8 37860972620111 iIill Feed here Response form Complete both sides of this form, and send it to us in the enclosed envelope so we receive it by October 3, 2013. Use the attached address sheet and be sur
ondary phone Best time 10 cal I authorize the person listed above to discuss and provide information to the IRS about this notice. ABnatue 0hte. Spouse's *maw Getz EFTA00313234 1111 hi§ • 011447 IRS Noti e (P2000 Tax Year 2011 Notice date Social Security number Page 7 of 8 2013 IRS
imated tax penalty (see instructions) Third Party Do you want to allow another person to discuss this return with the IRS (see instructions ? IV Yes Complete below. L_I No Designee F'12,7"10.DAVID WEISS Phtta kb. n r Personal Klaudicabon number (PI% Sign Unit! PrabiS Of [MU% I &CUMIN' I hiwparno
Information. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Social security number ***4**4. Spouses name Spouse's social secure num er . . liPart rl Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only) 1 Adjusted gross income (F
ore than $200 in the reporting period? Did you hold any reportable positions on or before the date of filing in the current calendar year? If Yes, Complete and AttacY PART VIII If Yes. Complete & Attach PART IIIA land/or IIIBI Do you have any reportable agreement or arrangement with an outside entity?
art I. Name of Income Source Address (City, State) Type of Income Amount Example JP Computers Wash DC Example Salary Example 515.000 MCI (Spouse) Arlington, VA Example Salary Example Over 51.000 1 2 3 4 5 6 7 8 9 10 11 12 13 EFTA_R1_01522034 EFTA02444837 Reporting Wive:wa
Entities connected to both Complete and Spouse

Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
George W. Bush
PERSONLeon Black
PERSON
Julie K. Brown
PERSON
United States
LOCATION
Joi Ito
PERSONDarren Indyke
PERSON
New York City
LOCATION
Condoleezza Rice
PERSON
Palm Beach
LOCATION
Virginia Giuffre
PERSON
Richard Kahn
PERSONMaria Farmer
PERSON
Alan Dershowitz
PERSON
Samantha Power
PERSON
NEW YORK NY
LOCATION
Vicky Ward
PERSON
U.S. Treasury
ORGANIZATION
Eric Trump
PERSON