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m 15) employer's (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN **_*** 26. Preparers ignature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
arm partnerships. Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C. lin
rs (item 15) employer's (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN 26. Preparers signature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
arm partnerships, Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C, lin
5) employers (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN **-***2756 26. Preparers ignature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
d farm partnerships, Schedule (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K-1 (Form 1065), box 20. code Z 2 Net profit or (loss) from Schedule C. l
Entities connected to both FBAR S gnature and Conservation Reserve
Filer
PERSONConservation Reserve Program
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSpouse
ORGANIZATION
FinCEN
ORGANIZATIONSchedule SE
PERSON
U.S. Treasury
ORGANIZATIONC-EZ
ORGANIZATIONJurat/Disclosure
ORGANIZATIONERO Signature
ORGANIZATIONBSA Efiling
ORGANIZATIONPreparer
ORGANIZATIONUtilities
ORGANIZATIONForeign Bank
ORGANIZATION
Joi Ito
PERSON
United States
LOCATIONQualifying widow(er
ORGANIZATIONCombine Ines 4a
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATION