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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
46 47 209,297. 1,406,667. 0. 1,406,667. 512,859. 512,859. 55 56 57 58 59 60a 60b 61 62 63 512,859. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: a El 4137 b C 8919 gip Taxes 59 Additional tax on IRAs, other qualified retirem
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
. 1,407,381. 513,142. 513,142. 48 49 50 51 52 53 54 At 55 56 57 58 59 60a 60b 61 62 63 513,142. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: al= 4137 b 0 8919 Taxes 59 Additional tax on IRAs, other qualified retirement pl
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
its 55 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- IIII• At ► 56 487,479. 57 Self-employment tax. Attach Schedule SE 57 57,897. Other 58 Unreported social security and Medicare tax from Form: a04137 608919 58 Taxes 59 Additional tax on IRAs, other qualified
Entities connected to both BSA Efiling and Schedule SE

Joi Ito
PERSONMaria Farmer
PERSONYonkers
LOCATIONSpouse
ORGANIZATION
New York State
LOCATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
U.S. Treasury
ORGANIZATION
FinCEN
ORGANIZATIONINTERNAL REVENUE SERVICE CENTER
ORGANIZATIONFiler
PERSONC-EZ
ORGANIZATIONERO Signature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONConservation Reserve Program
ORGANIZATIONConservation Reserve
ORGANIZATIONUtilities
ORGANIZATION
United States
LOCATIONAccelerated Cost Recovery System
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATION