3
Shared Docs
3
Same-Page
3 / 3
Mentions
than on line 19) 14 b Deductible meals and 15 Insurance (other than health) 15 entertainment (see instructions) 246 16 Interest: I_ 25 Utilities 25 a Mortgage (paid to banks, etc.) lea 26 Wages (less employment credits) 26 ti Other 16b 27 a Other expenses (from tine 48) 27a 6 8
1 s 1T-201LATT Name(s) as shown on your Form IT•201 ANASTASIYA SIROOCHENKO A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 1,159. entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) D Other 16b 27 a Other expenses (from tine 48) Legal and profess
shown on your FormIT.201 ANASTASIYA SIROOCHENKO Your social security number. A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 1,159. entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) b Other 16b 27 a Other expenses (from tine 48) Legal and profess
your Form IT•201 Your social security number ANASTASIYA SIROOCHENKO 9816 A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200, 496. or section 195.20)? (see instruction
Entities connected to both Utilities and Bribery Involving Public Servants
Maria Farmer
PERSON
United States
LOCATION
New York
LOCATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSON
NEW YORK NY
LOCATION
New York City
LOCATIONSpouse
ORGANIZATION
New York State
LOCATIONSchedule SE
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONQualifying widow(er
ORGANIZATIONERO Signature
ORGANIZATIONCombine Ines 4a
ORGANIZATIONWEISS
ORGANIZATIONConservation Reserve Program
ORGANIZATIONConservation Reserve
ORGANIZATIONYonkers
LOCATIONC-EZ
ORGANIZATION