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n $400, you dont owe selfemployment tax:don't file this schedule unless you have an amount on line 1 b ► Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions 5 Self-employment tax. If the amount on Me 4 is: • $127.200 or less, multiply line 4 by 15.3% (0.153). Enter
le. if not reporting a personal account 46 Dattlate wlepa Mn the HMO le aottonelIteignel Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Check LJ if selfomployedp0096 51 TIN 2062 51a TIN type I XI PTIN 0 SSNATIN Foreign 52 Contact phone no. 212-
n $400, you dont owe selfemployment tax;don't file this schedule unless you have an amount on line 1 b ► Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions 5 Self-employment tax. If the amount on line 4 is: • $127.200 or less, multiply line 4 by 15.3% (0.153). Ent
sonal account 146 Date (MWDD Ma date will auto.I N Men the FBAR is ay.t.tionaiit ore, Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 M 50 Check if self -employed x 51a TIN type I I PTIN SSNATIN Foreign 52 Contact phone no. sza Ext. 53 Firm's name
an $400, you dont owe selfemployment tax;don't file this schedule unless you have an amount on Nne 1 b ► Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line lb, see instructions 5 Self-employment tax. If the amount on Me 4 is: • $127.200 or less, multiply line 4 by 15.3% (0.153). Enter
ing a personal account 146 Date (MM/DD Ma date will auloitnneMn the nswisaanuol el gnea Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Checks I if so-mow/3O)00962062 51 TIN 51a TIN type I XI PTIN SSNATIN Foreign 52 Contact phone no. 212-695-577
Entities connected to both Conservation Reserve Program and WEISS

United States
LOCATIONMaria Farmer
PERSON
NEW YORK NY
LOCATION
Joi Ito
PERSON
New York City
LOCATIONConservation Reserve
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
U.S. Treasury
ORGANIZATIONSchedule SE
PERSONUtilities
ORGANIZATION
New York
LOCATION
FinCEN
ORGANIZATIONCombine Ines 4a
ORGANIZATIONQualifying widow(er
ORGANIZATIONJurat/Disclosure
ORGANIZATIONFiler
PERSONERO Signature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONSpouse
ORGANIZATIONC-EZ
ORGANIZATION