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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
Part III I Tax Computation Using Maximum Capital Gains Rates ***_**.= Page 2 Complete Part Ill only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251. line 30. If you are filing Form 2555 or 255.5•EZ, enter the amount from line 3 of the work
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
YA SIROOCHENKO Page 2 Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 255SEZ, enter the amount from line 3 of the worksh
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
ANASTASIYA SIROOCHENKO Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. ***-**-9816 Page 2 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 2555•EZ, enter the amount from
Entities connected to both BSA Efiling and the Foreign Earned Income Tax Worksheet

U.S. Treasury
ORGANIZATIONSpouse
ORGANIZATIONSchedule SE
PERSON
Joi Ito
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONC-EZ
ORGANIZATIONConservation Reserve Program
ORGANIZATIONFiler
PERSON
United States
LOCATIONUtilities
ORGANIZATION
FinCEN
ORGANIZATIONERO Signature
ORGANIZATIONConservation Reserve
ORGANIZATIONJurat/Disclosure
ORGANIZATIONQualifying widow(er
ORGANIZATIONCombine Ines 4a
ORGANIZATIONFBAR S gnature
ORGANIZATIONPreparer
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONForeign Bank
ORGANIZATION