ࡱ> 32  \pj9ycb Ba==xL;8X@"1Arial1Arial1Arial1Arial1$Arial1 Arial1Arial1Arial1 Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_) m/d/yy "$"#,##0.00"Yes";"Yes";"No""True";"True";"False""On";"On";"Off"],[$ -2]\ #,##0.00_);[Red]\([$ -2]\ #,##0.00\)                + ) , *    #    D  H  $    $@  d  @     H      d` "x  ,         ,`  #<   , "8    (  (     "4 "8@@ "8@ "8 @ (    `#fOVDP Penatly Computation WP" #(add additional accounts as needed)Highest Aggregate Balance %Highest Aggregate Balance is in year:$Highest Aggregate Balance in USD is:Calculated Offshore Penalty:25% Offshore Penalty PENALTY COMPUTATION WORKSHEET Acct #1 * Acct #2 * Acct #3 * Acct #4 *}* For each year of your voluntary disclosure, provide the highest balance in the account (or fair market value of the asset) Under the penalties of perjury, I declare that I examined the facts stated in this Penalty Computation Worksheet, including any accompanying documents, and, to the best of my knowledge and belief, they are true, correct, and complete.]___________________________________________________ ____________________v Taxpayer's Signature(s) Date^___________________________________________________ ____________________I am submitting this Penalty Computation Worksheet and any accompanying documents. Upon information and belief, the statements herein are true and correct.-Multiply the highest aggregate balance by 25%u Representative's Signature Date cc   -8@B  dMbP?_*+%(Q?)ffffff?M Lexmark E260d&C odXXLetter,DINU"T0!!SMTJLexmark E260dInputBinAutoSelectRESDLLUniresDLLOrientationPORTRAITResolution1200IQBookletInputBinAutoSelectDuplexNONEBasicLayoutOnBookletNoCoverOffBookletFFrontCoverOffBookletBFrontCoverOffBookletFBackCoverOffBookletBBackCoverOffOutputBinStandardBinCollateOFFTonerDarknessPrinterSettingPictureGradePrinterSettingColorModeMonoPrintAndHoldTRUEHasKeepPreviousPHJobsTRUEAdvancedBoookletAlgorithmTRUEStatusWindowTRUEShowStatusWindowAfterPrintingTRUEHasPrintQualityTRUEHasManualColorTRUEBitmapID56NewDuplexTRUEPixelBoostTRUEPaperSizeLETTERMediaTypeUsePrinterDefaultBookletMediaTypeUsePrinterDefaultHalftoneHT_PATSIZE_AUTOGraphicsModeRASTERMODETrueTypeFormatGRAPHICS0!KMXLArialHdArialHdUseSameSizeEDCL<B"\XX?)\(?U} -                             ; ;  !  56666666667 ........... 6&L@&P@&T@&X@&\@&`@&d@&h@  "   "   "   "        %  -%%%%%p{ % %  #44444 ''''' , (((((( (((((~ -?(((((( )****!+ DD  /     $$ 8999999999999 9999999999999 !3333333333333 @D , :,,,B,/ $.".E$$$0$" # $ ;% & ' ( ) * + ,  "2 #2#!!!!!! $2$0!!!! %2%!!!!! &2&!!!!! '2'!!!!!!!!!! (2(1!!!!1!!!! )!!!!!!!!!! *1!!!!!!1!! +1!!!!!!1!! ,!!!!! 2$",,> @(((  7 Oh+'0HP`p 7V8BBXM6NBMicrosoft Excel@Ù@%2@h L՜.+,0 PX|  Department of the Treasury' OVDP Penatly Computation WP  Worksheets  !#$%&'()+,-./01Root Entry FqWorkbookiCSummaryInformation("DocumentSummaryInformation8*