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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
Stop: enter line 11 amount on Form IT205, line 22 New York City full-year resident Individuals 12 Amount from Form IT•201. fine 49 13 Amount from Form IT-20VATT, line 32 14 Amount from Form IT-20VATT, line 33 15 Add lines 12. 13, and 14 16 Enter the lesser of line 11 or 15, and transfer the amount to Form
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
top: enter line 11 amount on Form IT-205, line 22 New York City full-year resident individuals 12 Amount from Form fT•201. line 49 13 Amount from Form IT-20VATT, line 32 14 Amount from Form IT-20VATT, line 33 15 Add lines 12. 13. and 14 16 Enter the lesser of line 11 or 15, and transfer the amount to Form
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
line 22 New York City full-year resident Individuals 12 Amount from Form IT•201. line 49 13 Amount from Form IT-201401T, line 32 14 Amount from Form IT-20VATT, line 33 15 Add Ines 12. 13. and 14 16 Enter the lesser of line 11 or 15, and transfer the amount to Form If-201•ATT, line 8 219001171019 III I
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Entities connected to both Foreign Bank and Form IT-20VATT
U.S. Treasury
ORGANIZATION4 w/ Foreign·3 w/ Form
FBAR S gnature
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the Foreign Bank and Financial Accounts Report
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BSA Efiling
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Preparer
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FI
Filer
PERSON4 w/ Foreign·3 w/ Form
Spouse
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FinCEN
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NEW YORK NY
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the Dept. of Finance
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U.B.T.
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New York
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NY State
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New York State
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Empire State
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the U.S. Treasury Financial Agent
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Conservation Reserve Program
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the New York State Tax Department
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Women's Cancers Education and Prevention Fund
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NY City
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