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gning this Tax Return and Electronic Funds Withdrawal Consent, it applicable, by entering my Self-Select PIN below. Taxpayer's PIN: Date 09122018 Spouse's PIN: 719986 044)I.17 EFTA00792091 Form 114a Department of the Treasury Financial Crimes Enforcement Network (FinCEN) May 2015 Record of Au
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
Information. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Social security number ***4**4. Spouses name Spouse's social secure num er . . liPart rl Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only) 1 Adjusted gross income (F
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
ormation. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Spouses name Social security number ***4 "4-9816 Spouse's social security number IPartI Tax Return Information - Tax Year Ending December 31,2017 (whole dollars only) 1 Adjusted gross income (Form 1040,
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
port of Foreign Bank and Financial Account(s) 1. Owner last name or entity's legal name NEXT MANAGEMENT LLC 2. Owner first name 3. Owner M.I. 4. Spouse last name Of jointly filing FBAR - see instiuctions below) 5. Spouse first name 6. Spouse M.I. Vwe declare that Vwe have provided information conc
not reporting a personal account 146 Date (MWDD Ihka date will auto-I N Men the HMO is asyttionaIlt signed Third Party Preparer Use Only 47 Preparer's last name PRESS 48 First name GARY 49 MI W 50 Checks I if 51 TIN self-employed 51a TIN type I XI PTIN 0 SSNATIN C Foreign Wa Ext. 53 Fi
e. K Yes K No A. B. C. D. Current Spouse's Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) Current Spouse's Previous Legal Name Family Name (Last Name) Given Name (First Name) Middle Name (if applicable) Other Names Used by Current Spouse (include nic
n, Declaration, and Signature of the Person Preparing This Application, if Other Than the Applicant (continued) Preparer's Contact Information 4. Preparer's Daytime Telephone Number 6. Preparer's Email Address (if any) A- 5. Preparer's Mobile Telephone Number (if any) Preparer's Statement 7. A. K
Entities connected to both Spouse and Preparer

Jeffrey Epstein
PERSON
United States
LOCATION
New York City
LOCATION
Joi Ito
PERSON
U.S. Treasury
ORGANIZATION
New York
LOCATION
NEW YORK NY
LOCATION
George W. Bush
PERSONFiler
PERSON
Woody Allen
PERSON
New York State
LOCATIONthe New York State Tax Department
ORGANIZATIONMaria Farmer
PERSON
FinCEN
ORGANIZATIONUtilities
ORGANIZATIONForeign Bank
ORGANIZATIONSchedule SE
PERSONYonkers
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATIONERO Signature
ORGANIZATION