4
Shared Docs
4
Same-Page
4 / 4
Mentions
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
Requested To Do So IRA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792090 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
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
Requested To Do So LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792180 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
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
Requested To Do So INA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792002 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
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
Requested To Do So LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00025657 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
Entities connected to both FinCEN and Jurat/Disclosure

United States
LOCATIONFiler
PERSON
New York City
LOCATION
U.S. Treasury
ORGANIZATION
New York
LOCATIONMaria Farmer
PERSON
Joi Ito
PERSONSpouse
ORGANIZATIONConservation Reserve Program
ORGANIZATIONERO Signature
ORGANIZATIONConservation Reserve
ORGANIZATIONC-EZ
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONFOREIGN BANK AND FINANCIAL
ORGANIZATIONForeign Bank
ORGANIZATIONBSA Efiling
ORGANIZATIONPreparer
ORGANIZATIONFBAR S gnature
ORGANIZATION