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ntry AUSTRIA ISignature 144a Check here LXJ if this report is completed b a third party preparer and complete the third party preparer section. 44 Filer signature 1I. repon v. I be elocircniceny *kiwi when filed 45 Filer title. if not reporting a personal account 46 Dattlate wlepa Mn the HMO le a
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-3534537. Payment cancellation
ntry AUSTRIA Signature I 44a Check here LxJ if this report is completed b a third party preparer and complete the third party preparer section. 44 Filer signature Ilso ropon v. ii beeleCtrCnIcelly *IOW when Ned 45 Filer title. if not reporting a personal account 146 Date (MWDD Ma date will auto.I
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
untry AUSTRIA Signature I 44a Check here LXJ if this report is completed b a third party preparer and complete the third arty proposer section. 44 Filer signature naa rap I be eleCtranIcaily signed when sled 45 Filer title. if not reporting a personal account 146 Date (MM/DD Ma date will auloitn
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
UNITED KINGDOM Sigel 44a Check here IXI lf this report is completed by a third pasty preparer and complete the third parry preparer section. 4,1 Filer signatu e meiorion..fleomocronicmy simechoierimed 47 Preparees last name 48 First name 49 MI 50 Check if 51 TIN 51a TIN type 1=1 PTIN AROOSHI
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellati
Entities connected to both Filer and the U.S. Treasury Financial Agent

United States
LOCATION
FinCEN
ORGANIZATION
U.S. Treasury
ORGANIZATION
George W. Bush
PERSONMaria Farmer
PERSON
Joi Ito
PERSONSpouse
ORGANIZATION
New York City
LOCATIONERO Signature
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONPreparer
ORGANIZATIONC-EZ
ORGANIZATIONSchedule SE
PERSON
Ghislaine Maxwell
PERSONConservation Reserve
ORGANIZATION
New York
LOCATIONConservation Reserve Program
ORGANIZATION
NEW YORK NY
LOCATIONJurat/Disclosure
ORGANIZATION
Empire State
LOCATION