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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
al residence, see the instructions and list this interest first. Also, show that buyer's social security number and address ► CHASE UNICREDIT BANK AUSTRIA AG 2 Add the amounts on line 1 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract line 3 f
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
al residence, see the instructions and list this interest first. Also, show that buyer's social security number and address ► CHASE UNICREDIT BANK AUSTRIA AG 2 Add the amounts on line 1 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract line 3 f
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
al residence, see the instructions and list this interest first. Also, show that buyer's social security number and address ► CHASE UNICREDIT BANK AUSTRIA AG 2 Add the amounts on line 1 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract line 3 f
Entities connected to both the U.S. Treasury Financial Agent and AUSTRIA AG

U.S. Treasury
ORGANIZATIONSpouse
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONC-EZ
ORGANIZATION
United States
LOCATIONERO Signature
ORGANIZATIONFiler
PERSONConservation Reserve
ORGANIZATIONConservation Reserve Program
ORGANIZATIONUtilities
ORGANIZATIONJurat/Disclosure
ORGANIZATION
FinCEN
ORGANIZATION
New York State
LOCATION
Empire State
LOCATIONthe Dept. of Finance
ORGANIZATIONTaxpayer for Forms NYC-202, NYC-202S
ORGANIZATIONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATION