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en filed 45 Filer title. if not reporting a personal account 46 Dattlate wlepa Mn the HMO le aottonelIteignel Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Check LJ if selfomployedp0096 51 TIN 2062 51a TIN type I XI PTIN 0 SSNATIN Foreign 52 Cont
Requested To Do So IRA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792090 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
if not reporting a personal account 146 Date (MWDD Ma date will auto.I N Men the FBAR is ay.t.tionaiit ore, Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 M 50 Check if self -employed x 51a TIN type I I PTIN SSNATIN Foreign 52 Contact phone no. sza Ex
Requested To Do So LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792180 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
r title. if not reporting a personal account 146 Date (MM/DD Ma date will auloitnneMn the nswisaanuol el gnea Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Checks I if so-mow/3O)00962062 51 TIN 51a TIN type I XI PTIN SSNATIN Foreign 52 Contact pho
Requested To Do So INA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792002 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
Entities connected to both Preparer and Jurat/Disclosure

United States
LOCATIONFiler
PERSON
U.S. Treasury
ORGANIZATIONSpouse
ORGANIZATION
FinCEN
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONthe New York State Tax Department
ORGANIZATION
Joi Ito
PERSON
NEW YORK NY
LOCATION
New York State
LOCATIONMaria Farmer
PERSONERO Signature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONConservation Reserve Program
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
New York City
LOCATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONForeign Bank
ORGANIZATION