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forcement Network (FinCEN) May 2015 Record of Authorization to Electronically File FBARs (See instructions below for completion) Do not send to FinCEN. Retain this form for your records. ANASTAS20170001 The form 114a may be digitally signed Part I I Persons who have an obligation to file a Report
46 47 209,297. 1,406,667. 0. 1,406,667. 512,859. 512,859. 55 56 57 58 59 60a 60b 61 62 63 512,859. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: a El 4137 b C 8919 gip Taxes 59 Additional tax on IRAs, other qualified retirem
forcement Network (FinCEN) May 2015 Record of Authorization to Electronically File FBARs (See instructions below for completion) Do not send to FinCEN. Retain this form for your records. TM form 114a may be digitally signed Part I I Persons who have an obligation to file a Report of Foreign Bank a
. 1,407,381. 513,142. 513,142. 48 49 50 51 52 53 54 At 55 56 57 58 59 60a 60b 61 62 63 513,142. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: al= 4137 b 0 8919 Taxes 59 Additional tax on IRAs, other qualified retirement pl
cement Network (FinCEN) I May 2015 Record of Authorization to Electronically File FBARs (See instructions below for completion) Do not send to FinCEN. Retain this form for your records. ANASTAS20170001 The fomi 114a may be digitally signed Part I I Persons who have an obligation to file a Report
its 55 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- IIII• At ► 56 487,479. 57 Self-employment tax. Attach Schedule SE 57 57,897. Other 58 Unreported social security and Medicare tax from Form: a04137 608919 58 Taxes 59 Additional tax on IRAs, other qualified
n 114 and 8938 - Foreign Assets worksheet, Form 114 Filer Information section, Date Signed by Filer-Override field. Future dates are not allowed by FinCEN. (24421) • Massachusetts. For the 2017 tax year taxpayers must file and make extension payments electronically if making a payment of $5,000 or m
s been applied against the activity's current net income, if any. Any unused carryover was then applied against other passive activities. (36505) Schedule SE. Schedule SE has not been prepared for the spouse because self-employment income is less than $400.00. If Schedule SE is desired, select Mandatory
Entities connected to both FinCEN and Schedule SE

Ghislaine Maxwell
PERSON
United States
LOCATION
Samantha Power
PERSON
New York City
LOCATIONFiler
PERSON
U.S. Treasury
ORGANIZATIONMaria Farmer
PERSON
New York
LOCATION
Joi Ito
PERSON
George W. Bush
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSpouse
ORGANIZATION
New York State
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATION
Woody Allen
PERSONYonkers
LOCATIONERO Signature
ORGANIZATIONConservation Reserve Program
ORGANIZATIONConservation Reserve
ORGANIZATIONC-EZ
ORGANIZATION