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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
above P"' Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here ► 7 8a 740. 9a 10 11 12 13 14 15b 16b 17 18 19
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
through 35 Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ ► 7 8a 755. 9a 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 1,645,828. ► 1,646,583. Adjusted Gross Income 23 24 25 26 2
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,
ets of state and local income taxes 10 1099-R if tax was withheld. 11 Alimony received 11 12 Business income or (loss). Attach Schedule C or C-EZ 12 13 Capital gain or (loss). Attach Schedule D U required. If not required, ohm* here 13 If you did not get a W-2, 14 Other gains or (los
ww.irs.gov/Form8879 for the latest Information. OMB No. 1545 0074 2017 Submission Identification Number (SID) Taxpayers name SCOTT G. BORGERSON Spouse's name GHISLAINE MAXWELL Social security number Spouse's social securi number Part I Tax Return Information - Tax Year Ending December 31,2017 (
STMT 3 $TMT 5 10 0. 1099-R if tax was withheld. 11 Alimony received 11 12 -99,490. 12 Business income or (loss). Attach Schedule C or C-EZ If you did not get a W-2, see instructions. 13 14 15a Capital gain or (loss). Attach Schedu Other gains or (losses). Attach Form IRA distri
ts instructions is at www.irs.govIlorm8879 . 2015 Submission Identification Number (SID) Taxpayer's name OHISLAINE MAXWELL Social securi number Spouse's name Spouse's social security number art Tax Return Information - Tax Year Ending December 31, 2015 (Whole Dollars Only) 1 Adjusted gross incom
dividends Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here Other gains or (losses). Attach Form 4797 IRA distnbutians
Entities connected to both Spouse and C-EZ

Ghislaine Maxwell
PERSON
Joi Ito
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United States
LOCATION
New York City
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U.S. Treasury
ORGANIZATION
New York
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George W. Bush
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LOCATIONSchedule SE
PERSONERO Signature
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONUtilities
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Woody Allen
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ORGANIZATIONFiler
PERSONPreparer
ORGANIZATIONMaria Farmer
PERSONConservation Reserve Program
ORGANIZATIONJurat/Disclosure
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