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Get IRS 14654 2017-2023

T if necessary. If you attach a continuation sheet, it must be signed with taxpayer name(s) and TIN(s) printed. Year Name, City, and Country of Financial Institution/Description of Asset Account Number Year Account Was Opened or Asset Was Acquired Year-End Balance/ Asset Value (state in US Dollars) Total If you held no assets subject to the 5% miscellaneous offshore penalty during this year enter N/A next to Total in the above table. Attach a continuation sheet if necessary. If y.

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