4
Shared Docs
4
Same-Page
4 / 4
Mentions
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
arm partnerships. Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C. lin
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
arm partnerships, Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C, lin
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
d farm partnerships, Schedule (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K-1 (Form 1065), box 20. code Z 2 Net profit or (loss) from Schedule C. l
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
rm partnerships. Schedule K-1 (Form 1065), box 14. code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b, or listed on Schedule K.1 (Form 1085). box 20, code Z 2 Net profit or (loss) from Schedule C. l
Entities connected to both Filer and Conservation Reserve

United States
LOCATION
FinCEN
ORGANIZATIONMaria Farmer
PERSON
U.S. Treasury
ORGANIZATION
Joi Ito
PERSON
New York City
LOCATIONSchedule SE
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONPreparer
ORGANIZATIONConservation Reserve Program
ORGANIZATIONSpouse
ORGANIZATIONC-EZ
ORGANIZATIONERO Signature
ORGANIZATION
NEW YORK NY
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATIONJurat/Disclosure
ORGANIZATION
New York
LOCATIONCombine Ines 4a
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATION