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lost (Replacement requested) Late receiving missing required account information Unable to obtain joint spouse signature in time Unable to access BSA Efiling system Other (please provide explanation below) 773151 05-21-17 EFTA00792088 FinCEN Form 114 REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Do
2. Exemption (see instructions) 3. Line 1 less line 2 (estimated taxable business income) 4. Tax • enter 4% of line 3(see instructions) 5a. Business Tax Credit (00 ) (Check applicable box below and enter credit amount) Tax on line 4 is $3,400 or less. Your credit is the entire amount of tax on line 4. Tax
lost (Replacement requested) Late receiving missing required account information Unable to obtain joint spouse signature in time Unable to access BSA Efiling system Other (please provide explanation below) 773151 05-21-17 EFTA00792178 FinCEN Form 114 REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Do
ORDS • 1. Net income from business expected in 2018 (see instructions) 1. 2. 3. 4. Tax • enter 4% of line 3(see Instructions) 4, 5a. Business Tax Credit (00 ) (Check applicable box below and enter credit amount) Tax on line 4 is $3,400 or less. Your credit is the entire amount of tax on line 4. Tax
lost (Replacement requested) Late receiving missing required account information Unable to obtain joint spouse signature in time Unable to access BSA Efiling system Other (please provide explanation below) 773151 05-21-17 EFTA00792000 FinCEN Form 114 REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Do
2. Exemption (see instructions) 3. Line 1 less line 2 (estimated taxable business income) 4. Tax • enter 4% of line 3(see instructions) 5a. Business Tax Credit (00 ) (Check applicable box below and enter credit amount) Tax on line 4 is $3,400 or less. Your credit is the entire amount of tax on line 4. Tax
Entities connected to both BSA Efiling and Business Tax Credit
DOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONFiler
PERSON
FinCEN
ORGANIZATIONthe Commercial Rent Tax Return
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSONMaria Farmer
PERSONFBAR S gnature
ORGANIZATIONComplete Address
PERSONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONForeign Bank
ORGANIZATIONPreparer
ORGANIZATION
New York
LOCATIONthe New York State Tax Department
ORGANIZATIONSpouse
ORGANIZATIONNY City
LOCATIONWEISS
ORGANIZATION
New York City
LOCATION