4
Shared Docs
4
Same-Page
4 / 4
Mentions
cluding without limitation all accounts held jointly with someone okra and all accounts Guarantor may open in the future, excluding. however. a IRA, Keogh and trust accounts. MISCELLANEOUS PROVISIONS. The following miscellaneous provisions area part of this Guaranty; Amendments. This Guaranty constitu
tPla OW% Woe* oz . ad a .lie letweenfir a Prue Teat rotesaladonieolIteelltorooseuel IlterreaUdetion Ce Pie elearloos For Perceive% P &tarried Spouse's Name Street Address Coy. Scare. ZIP Ca al Ise Corder ow Card for *nun atara bele. , to onstecoe she Send Cards ry Stereo Only 10. Nei Marr
Individual Retirement Account Moving Expenses Self-employment Tax Deduction 11,457. 11,457. Self-employment Health Insurance 19,388. 19,388. Keogh Contributions Alimony 66,000. 64,561. 1,439. Forfeited Interest Foreign Housing Deduction Other Adjustments -16,848. 16,848. Capital Gains
1 -NR/PY. Failure to do so will delay the processing of your return. SCOTT G BORGERSON la. Date of birth 2. Federal adjusted gross income 4 lb. Spouse's date of birth lc. Family size 3 2 484192 3. Indicate the time period that you were enrolled in a Minimum Creditable Coverage (MCC) health insu
uding without limitation al accounts held jointly with someone else and all acknnUnIS Guarantor may open in the future, excluding, however, all IRA. Keogh and trust accounts. MISCELLANEOUS PROVISIONS. The following miscellaneous provisions are a part of this Guaranty: Amendments. This Guaranty constit
Fiequest .,rear; 1:2. Business Name V es LI- FOR MARITAL PROPERTY STATES ONLY O Married O Not Married O Legally Separated Name and Address of Spouse ACCOUNT RECORD CHANGES O Close Acct O Add Soc. Sec. No. _ - ____• _- O Cards Returned O Cards Not Returned O Reopen Account O Remove Reissue Blo
y No. Act. No. Section 179 Carryover Chatitil310 Conutot10.18 3094 804474 Chamoble Contdbullons 3016 3090474 Choltot4o COntrbullom 2016 Keogh Payments SEP Payments IRA contreosane Other Portfolio ncome (loss' elver Ncopornollo Novato* income Jnrecaptured Section 1250 Gain In
ts instructions is at www.irs.govIlorm8879 . 2015 Submission Identification Number (SID) Taxpayer's name OHISLAINE MAXWELL Social securi number Spouse's name Spouse's social security number art Tax Return Information - Tax Year Ending December 31, 2015 (Whole Dollars Only) 1 Adjusted gross incom
Entities connected to both Keogh and Spouse

United States
LOCATION
Jeffrey Epstein
PERSON
Ghislaine Maxwell
PERSON
George W. Bush
PERSON
United Kingdom
LOCATION
U.S. Treasury
ORGANIZATION
New York
LOCATION
Eric Holder
PERSON
Joi Ito
PERSONthe District of Columbia
LOCATION
Madison
LOCATIONthe State of New York
LOCATION
New York City
LOCATION
the Internal Revenue Service
ORGANIZATION
Samantha Power
PERSON
Norway
LOCATION
NEW YORK NY
LOCATION
Eric Trump
PERSON
Wisconsin
LOCATION
Julie K. Brown
PERSON