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erm W-3SS Transmittal of Wage and Tax Statements 2003 Send this entire page with the entire Copy A page of Forms W-2AS, W-2GU, W-2CM, or W-21/I to the Social Security Administration (SSA). Photocopies are not acceptable, Do not send any remittance (oash, checks, money orders, etc) with Forms W-2AS, W-2GU, W-2CM, W2VI, and W-358.
92 hiergoora tirleml les 92 9 Advance EIO paymoro. 11 Nonouelified plane 13 M ay re ;W ir t MY n 14 Other 2 VI Income tax withheld 3837.00 4 Sochi' moudly lax wlthhald 2444.47 5 Medicare tax Thad ■ 71.69 ib 8.o riV4SSi ligructio‘D 12o 12d 3 15.82 U.S. Virgin Islands Wage and Tax Statem
14 Cute se dic /Os Someway dre Taste Pent ammo am* end this entire page with the entire Copy A page of Forms W-2AS, W-2131.1, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocoplos are not acceptable. o not send any remittance (cash, checks, Way ceders, etc.) with Forms W-2e4S, W-2GU, W-20M, W-2V1, and W-3S5
onty D- OM flo.114W100 o cresol weber Empwrirorrilanulon cumber 7 41.0 f Won, Ips.offercolYsothr. 48224 ..62I 6819.0C 3 Wroth tottellywago• Sochi scorn tot Aar $ * Esarl'ion Dia &Weft on! ZIP cads FINANCIAL TRUST COWAN?, INC. 6100 RED HOOK QUARTER B - 3 ST. THOMAS U.S.VIRGIN , 00802 .
V1 0 urn W- SS 'fransmittal of Wage and Tax. Statements 20014 end this entire page with the °nth* Copy A page of Forms W-2A8, W-2CM, or W-2VI ) the Social Security Administration (SSA). Photocopies are not acceptable. o not send any remittance (oash, oheoks, way orders, eta.) with Forms W-2AS, W-2GU, W-20M, W-2VI, and W-$S5,
VIRGIN ISLANDS FOUNDATION IN room or suite number) L . ) — Name at arson to Math For °facial Use Only E-ma.1 address Fox number 1 Fn. ^ TI Sochi nearby number a To fame tal number of ..,l_ 4 Porlana Inane tax erillted $ 6 Tool amount monad WM This Fcm tea $25.00Q.00 Enter an 1221 In only
Entities connected to both the Social Security Administration and Sochi

Jeffrey Epstein
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United States
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George W. Bush
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Department of Justice
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New York City
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Prince Andrew
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U.S. Treasury
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Oklahoma
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Lesley Groff
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Louisiana
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Kansas
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Marc Rich
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Colorado
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India
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Cincinnati
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