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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
CENTER P.O. BOX 37009 HARTFORD, CT 06176-7009 Siglit 06-15.1T ♦ DETACH HERE • Fe,. 4868 Dapartmonfolth? Ineaboy Iniunal Ficyno Sqrvico t991 Application for Automatic Extension of Time To File U.S. Individual Income Tax Return Fcr taxwela 7017 ar nibs tar ' ,gar Mooring 2017, anaino 201■ Part I I Identification 1 War. nanael
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
E CENTER P.O. BOX 37009 HARTFORD, CT 06176-7009 718711 06.15.17 • DETACH HERE • .4868 Dapartmon1 t'A TIBOSisy Intganal Finc.ILA Sqrvice SKS Application for Automatic Extension of Time To File U.S. Individual Income Tax Return Ft, <Macau pia. 7017 ar iffisr fa. year bnqnring anaing 2017 Part I I Identification Part II I Indivi
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
15 1.1 EFTA00026287 518711 05.12.15 ♦ DETACH HERE • Fo m 4868 Department of Ina Treastoy inward Revenue Senna 1991 (Part 1 YCkr narralS) Application for Automatic Extension of Time To File U.S. Individual Income Tax Return Fo cawaAr •?.i MI5 cr cfnur tax yam bAgnring 0Ii, andiro 2015 I Identification GHISLAINE MAXWELL C/
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