Epstein Secrets

total amount of foreign taxes available for credit 15 Enter the amount from line 7. This is your taxable income or (loss) from sources outside the United Slates (before adjustments) for the category of income checked above Part I 15 48,399. 16 Adjustments to line 15 16 14,680. 17 Combine the amounts

ced by treaty OMB No. 1545-0121 2015 AnACIVIOnl Sequence No 19 Identifying number x. Shown an molar you' lax Kam f Resident of (name of country)► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part! and line Ain Part 71. If you paid taxes tomore than on

ttach Schedule D if required. If not required, check here Other gains or (losses). Attach Form 4797 IRA distnbutians 1 151 I b Taxable amount Boxes checked on 6a and Etc No 01 children o 6c tio. *Pad with you %did not We with you due to OlvOrCe a Separation InStructiathl Dapanden% on 6c

1 or Form 1-551) No. b. 0 A non<ctizon conaccation organized and &Sing busnets under the laws CA (stale) and sad Octet/ is b,sted are pn manly oped al the United States. Records Of night hours are Await.* for inspection al _._ — (2) That IM titre is nal related under !De tines of any foreign country. and (3) Tha

RION\ I\ \ K 1 A. a TELEPHONE NUMBER: ( I ADDRESS fieffnanent mane et:dress for tat appocant on kst) Of P. i .. 'timber and street (4,% ) Boxes uses. jCre ddr•SS must also be shown.) Rural Reuter: .. CITY ISTATE ZIP COOS ' ' c sot;. 1.':, \I i 1003 0 - CI CHECK HERE IF YOU ARE ONL

ithdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days p

line 36 from line 22. This is your adjusted gross Income 37 Last name (2)Orneridenre Serial security number O.04endenEs relatkentalp 10 you Boxes aced on Ea and Ea No of children thig 6c ho. min age 17 p lend with you 1004019 NI hr4 did not Ma with grardt you due tO Ovate a Separatio

Certain income re-sourced by treaty Passive category income c 0 Section 901(j) income e0 Lump-sum distributions f Resident of (name of country) ► UNITED STATES Note: If you paid taxes to only one foreign country or U.S. possession, use column A in Part I and line A in Part II. If you paid taxes to more tha

ndents social way numb. (310ependenrs m you asonsuo to IAm o Al Mid iallUil fleichl iaw 17 wow SON X d Total number of exemptions claimed Boxes checked en Ca and (1b No. of children on 6c who: * Ned with you • did nettle., with you OA to &KW9 Cr separation lane rtstructmal Oroenclant