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n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
may be nade by phone by Sling 1-800-462-8100 Mad requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau. NA Harriman Campus, Albany NY 12227 03090200 ca ‘-/ )enalty - failure to timely file this statement will be reflected in the department's records as past due or delin
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check. VISA, MasterCard or American Express. Checks must be payable to the "Department of State. Credit Card/Debit Card Authorization forms can be found on our • .dos.ny.gov. This form, alon
blication may be node by phone by carting 1 Mail requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau, NA Harriman Campus, Albany 0309020002 0 )enalty - failure to timely file this statement will be reflected in the department's records as past due or delinquent any m
n section. Mail the form to the address on the reverse side of this form along with the filing fee. The fee is payable by check, VISA. MasterCard or American Express. Checks must be payable to the "Department of State". Credit Card/Debit Card Authorization forms can be found on our website at www.dos.ny.gov. This
be nade by phone by calling 1-800-462-8100 Mail requests should be addressed to NYS Department of Taxation & Finance, Taxpayer Assistance Bureau, NA Harriman Campus. Albany NY 12227 0309020002 0 'enalty - failure to timely file this statement will be reflected in the department's records as past due or delinqu
Entities connected to both American Express and NA Harriman Campus

Jeffrey Epstein
PERSON
George W. Bush
PERSON
New York City
LOCATION
NEW YORK NY
LOCATIONDarren Indyke
PERSON
Prince Andrew
PERSON
Ghislaine Maxwell
PERSON
MasterCard
ORGANIZATION
New York State
LOCATION
Les Wexner
PERSON
Columbus
LOCATIONthe State of New York
LOCATIONNew Albany
LOCATION
Andrew Cuomo
PERSONAlbany
LOCATIONSchwartz
PERSONthe Department of State's
ORGANIZATIONSouth High Street
LOCATIONthe City of Albany
LOCATIONTaxpayer Assistance Bureau
ORGANIZATION