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mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-3534537. Payment cancellation
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
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
. 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
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
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
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellati
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
imated tax, and the financial institution to debit the entry to this account This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1.888-353-4537. Payment cancellati
6 or 210%62 Health savings account deduction. Attach Form 8889 Moving expenses. Attach Form 3903 Deductible part of self-employment tax. Attach Schedule SE Self-employed SEP, SIMPLE, and qualified plans Self-employed health insurance deduction Penalty on early withdrawal of savings Alimony paid b
Entities connected to both the U.S. Treasury Financial Agent and Schedule SE

Joi Ito
PERSON
U.S. Treasury
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONC-EZ
ORGANIZATIONERO Signature
ORGANIZATION
United States
LOCATIONMaria Farmer
PERSONSpouse
ORGANIZATIONUtilities
ORGANIZATIONYonkers
LOCATIONConservation Reserve
ORGANIZATION
New York State
LOCATIONConservation Reserve Program
ORGANIZATIONJurat/Disclosure
ORGANIZATIONFiler
PERSON
FinCEN
ORGANIZATIONINTERNAL REVENUE SERVICE CENTER
ORGANIZATIONCombine Ines 4a
ORGANIZATIONQualifying widow(er
ORGANIZATION
George W. Bush
PERSON