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ions (but not those of NYS or its local governments) 21 Public employee 414(h) retirement contributions from your wage s tatements (see page 16) 22 New York's 529 college savings program distributions (see 23 Other (Form 1T-225, line 9) 24 Add lines 19 through 23 New York subtractions (see page 17) 2
AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A - Declaration and authorization of Taxpayer for Forms NYC-202, NYC-202S, NYC-EXT or NYC-5UBT1 Under penalty Unincorporated knowledge and electronically Internal Revenue Business Tax New York City designated financ
ons (but not those of NYS or its local governments) 21 Public employee 414(h) retirement contributions from your 4lage statements (sea Page 16) 22 New York's 529 college savings program distributions 23 Other (Form IT-225, line 9) 24 Add lines 19 through 23 New York subtractions (see page 17) 25 Taxabl
AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A - Declaration and authorization of Taxpayer for Forms NYC-202, NYC-202S, NYC-EXT or NYC-5UBT1 Under penalty Unincorporated knowledge and electronically Internal Revenue Business Tax New York City designated financ
obligations (but not those of NYS or its local governments) 21 Public employee 414(h) retirement contributions from yo s tatements (seepage 16) 22 New York's 529 college savings program distributions 23 Other (Form 1T-225, line 9) 24 Add lines 19 through 23 New York subtractions (see page 17) 25 Taxabl
AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A - Declaration and authorization of Taxpayer for Forms NYC-202, NYC-202S, NYC-EXT or NYC-5UBTI Under penalty Unincorporated knowledge and electronically Internal Revenue Business Tax New York City designated financ
Entities connected to both New York and Taxpayer for Forms NYC-202, NYC-202S

United States
LOCATION
New York City
LOCATION
New York State
LOCATIONMaria Farmer
PERSON
NEW YORK NY
LOCATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSON
the Internal Revenue Service
ORGANIZATIONChang
PERSONUtilities
ORGANIZATION
York City
LOCATION
FinCEN
ORGANIZATIONSpouse
ORGANIZATIONYonkers
LOCATIONNY State
ORGANIZATIONComplete Address
PERSONFiler
PERSONthe New York State Department of Taxation and Finance
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONNY City
LOCATION