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92 hiergoora tirleml les 92 9 Advance EIO paymoro. 11 Nonouelified plane 13 M ay re ;W ir t MY n 14 Other 2 VI Income tax withheld 3837.00 4 Sochi' moudly lax wlthhald 2444.47 5 Medicare tax Thad ■ 71.69 ib 8.o riV4SSi ligructio‘D 12o 12d 3 15.82 U.S. Virgin Islands Wage and Tax Statem
Gross proceeds polo to Peewit en attorney '17 13 18 State tax within« SteleMoyer's Mete no. ee 19 .1 Is State Income Elvom ■ CORRECTED PAYER'S soma' treet «mirrors, cay, stole, ZIP coCKI. 4441 tempnona no. PAYERS Federal Identification number Ft5CIPIISIT'S Ichantlikethan number Depart
onty D- OM flo.114W100 o cresol weber Empwrirorrilanulon cumber 7 41.0 f Won, Ips.offercolYsothr. 48224 ..62I 6819.0C 3 Wroth tottellywago• Sochi scorn tot Aar $ * Esarl'ion Dia &Weft on! ZIP cads FINANCIAL TRUST COWAN?, INC. 6100 RED HOOK QUARTER B - 3 ST. THOMAS U.S.VIRGIN , 00802 .
RECTED Te nn nob Strom oly. mato. ZIP=4 sad tolopliCae no. 1 Rr* PINFMCIAL :RUST'S CONRA-1' *KC 1100 R40 1100W MSS. 8 7 ST. THOMAS. OSVI oosut PAYER'S Won foam/balm number 66-.0667418 - RECIPIEWS on. Wen rid ZAP cods HODGS .1 FRANCOIS REOLPILTIrs Worlaltidion somber 2 Floosie** 1545.0115 2
VIRGIN ISLANDS FOUNDATION IN room or suite number) L . ) — Name at arson to Math For °facial Use Only E-ma.1 address Fox number 1 Fn. ^ TI Sochi nearby number a To fame tal number of ..,l_ 4 Porlana Inane tax erillted $ 6 Tool amount monad WM This Fcm tea $25.00Q.00 Enter an 1221 In only
' n0qPIW, Ticc $ 1 Rent' 2 Royalties Oh.••• No. 1546-0115 2006 norm 1099-MISC 4 Faked Income tm %M old Miscellaneous Income I 3 Otago Imam° PAYER'S federal kaantlfteatlen RECIPIENTS idefampation number number RECIPIENT'S non% exklrees, arid ZIP coda 4OD(0.V.ii FRANCOIS S Fletta's boat pr
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