3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
en filed 45 Filer title. 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 Cont
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
if not reporting a personal 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 Ex
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
r title. if not reporting 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 pho
Entities connected to both Conservation Reserve Program and Preparer

United States
LOCATIONFiler
PERSON
U.S. Treasury
ORGANIZATION
Joi Ito
PERSONSpouse
ORGANIZATION
NEW YORK NY
LOCATION
FinCEN
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONSchedule SE
PERSONthe New York State Tax Department
ORGANIZATION
New York State
LOCATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONConservation Reserve
ORGANIZATION
New York City
LOCATIONMaria Farmer
PERSONUtilities
ORGANIZATIONYonkers
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONFBAR S gnature
ORGANIZATION