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ICE. WE WILL THEN TRANSMIT YOUR FORM TO THE FINCEN. 700397 040147 EFTA00792087 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FinCEN Form 114 Check her
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
2 mentions1 same-page
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UR OFFICE. WE WILL THEN TRANSMIT YOUR FORM TO THE FINCEN. 04 0t .7 EFTA00792177 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FInCEN Form 114 Check here if this report
40, line 17; or Form 1041, line 5) b Adjustment for net income or loss derived in the ordinary course of a ncri.section 1411 trade or business e Combine Ines 4a and 4b 5a Net gain or loss from disposition of property from Fenn 1040. combine lines 13 and 14; or from Form 1041. combine lines 4 and 7 b Net
2 mentions1 same-page
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T YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS EFTA00791999 FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FinCEN Form 114 Check her
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
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Mutual Connections (108)
Entities connected to both Foreign Bank and Combine Ines 4a
the Foreign Earned Income Tax Worksheet
ORGANIZATION3 w/ Foreign·4 w/ Combine
Qualifying widow(er
ORGANIZATION3 w/ Foreign·4 w/ Combine
U.S. Treasury
ORGANIZATION4 w/ Foreign·3 w/ Combine
Conservation Reserve Program
ORGANIZATION3 w/ Foreign·4 w/ Combine
Spouse
ORGANIZATION4 w/ Foreign·3 w/ Combine
Utilities
ORGANIZATION3 w/ Foreign·4 w/ Combine
SS
Schedule SE
PERSON3 w/ Foreign·4 w/ Combine
FBAR S gnature
ORGANIZATION4 w/ Foreign·3 w/ Combine
the Foreign Bank and Financial Accounts Report
ORGANIZATION4 w/ Foreign·3 w/ Combine
BSA Efiling
ORGANIZATION4 w/ Foreign·3 w/ Combine
Preparer
ORGANIZATION4 w/ Foreign·3 w/ Combine
FinCEN
ORGANIZATION4 w/ Foreign·3 w/ Combine
FI
Filer
PERSON4 w/ Foreign·3 w/ Combine
Conservation Reserve
ORGANIZATION3 w/ Foreign·4 w/ Combine
Empire State
LOCATION3 w/ Foreign·3 w/ Combine
the U.S. Treasury Financial Agent
ORGANIZATION3 w/ Foreign·3 w/ Combine
the New York State Tax Department
ORGANIZATION3 w/ Foreign·3 w/ Combine
Women's Cancers Education and Prevention Fund
ORGANIZATION3 w/ Foreign·3 w/ Combine
NY City
LOCATION3 w/ Foreign·3 w/ Combine
the New York State Department of Taxation and Finance
ORGANIZATION3 w/ Foreign·3 w/ Combine