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
the best of my knowledge and belief. it is true. correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN (enter EFIN plus 5 sell-selected numerics) Taxpayer Declarations Perjury Statem
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
the best of my knowledge and belief. it is true, correct. and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN (enter EFIN plus 5 self-selected numerics) Taxpayer Declarations Perjury Statem
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
the best of my knowledge and belief. it is true. correct. and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN 13769913349 (enter EFIN plus 5 self-selected numerics) Taxpayer Declarations P
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
the best of my knowledge and belief. it is true. correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN 044549 (enter EFIN plus 5 self-selected numerics) Taxpayer Declarations Perjur
Entities connected to both FinCEN and ERO Signature

Ghislaine Maxwell
PERSON
United States
LOCATIONFiler
PERSON
New York City
LOCATION
U.S. Treasury
ORGANIZATION
New York
LOCATIONMaria Farmer
PERSONSpouse
ORGANIZATION
Joi Ito
PERSONSchedule SE
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONC-EZ
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONJurat/Disclosure
ORGANIZATION
George W. Bush
PERSON
Adriana Ross
PERSONConservation Reserve Program
ORGANIZATIONConservation Reserve
ORGANIZATION
Woody Allen
PERSONFOREIGN BANK AND FINANCIAL
ORGANIZATION