3
Shared Docs
3
Same-Page
3 / 3
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
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
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
40, line 17; or Form 1041, line 5) b Adjustment for net income or loss derived in the ordinary course of a ncri.section 1411 trade or business e Combine Ines 4a and 4b 5a Net gain or loss from disposition of property from Fenn 1040. combine lines 13 and 14; or from Form 1041. combine lines 4 and 7 b Net
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
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
Entities connected to both Filer and Combine Ines 4a

United States
LOCATION
FinCEN
ORGANIZATIONMaria Farmer
PERSON
U.S. Treasury
ORGANIZATION
New York City
LOCATION
Joi Ito
PERSONPreparer
ORGANIZATIONSchedule SE
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
New York
LOCATIONConservation Reserve
ORGANIZATION
NEW YORK NY
LOCATIONConservation Reserve Program
ORGANIZATIONSpouse
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONQualifying widow(er
ORGANIZATIONForeign Bank
ORGANIZATIONJurat/Disclosure
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATION