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IT-204-LL ACH DEBIT REPORT FOR BANK INFORMATION. 700301 W.01.17 EFTA00792126 /NEW YORK STATE 2017th Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return origi
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 601 Mental Illness AntiStigrna Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o .00 60 Total voluntary contributions (add tines 60a through 60o) 61 Total New Y
D THE WORDS "2018 FORM IT-2105" ON YOUR CHECK. 700011 04-01-17 EFTA00792212 /I -NEW YORK STATE 2017th Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return origi
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 601 Mental Illness Anti-Stigma Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o .00 60 Total voluntary contributions (add tines 60a through 60o) 61 Total New Y
N IS ENCLOSED FOR YOUR FILES. WE RETAIN THIS COPY INDEFINITELY. EFTA00792037 /I -NEW YORK STATE 2017th Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return origi
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 60I Mental Illness Anti-Stigma Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o 00 60 Total voluntary contributions (add fines 60a through 60o) 61 Total Now Yo
12 135572 00 13 33893 oo 14 101679 00 15 00 16 101679 oo EFTA00026395 er nIEW YORK STATE 2015 Department of Taxation and Finance New York State Modifications Attachment to Form IT-201, IT-203, IT-204, or IT-205 SCR-391 V•02-L. 1T-225 Name(s) as shown on return Identifying number as shown
en Hearth Education 60i 00 60) Veterans Remembrance 60) 00 60k Homeless Veterans 60k 00 601 Mental Illness AntiStigrna Fund 601 00 60m Women's Cancers Education and Prevention Fund 60m 00 60 Total voluntary contributions (add fines 60a through 60m) too 61 Total New York State, New York City, Yonkers, and sales or use taxe
Entities connected to both New York State and Women's Cancers Education and Prevention Fund

New York
LOCATION
United States
LOCATION
New York City
LOCATION
NEW YORK NY
LOCATIONMaria Farmer
PERSONYonkers
LOCATION
U.S. Treasury
ORGANIZATION
the Internal Revenue Service
ORGANIZATION
Joi Ito
PERSONthe New York State Tax Department
ORGANIZATIONNY State
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONSchedule SE
PERSON
York City
LOCATIONINTERNAL REVENUE SERVICE CENTER
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONAccelerated Cost Recovery System
ORGANIZATIONNYC-210
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONNew York Stale
ORGANIZATION