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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
dicated on my 2017 electronic return, and authorized the financial institution to withdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
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
dicated on my 2017 electronic return, and authorized the financial institution to withdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
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
indicated on my 2015 electronic return, and I authorize my financial institution to withdraw the amount from my account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE NYSDTF. 610142 04.01.16 EFTA00806319 ero NEW YORK 2016 - Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2016 for Forms IT-204 and IT-204-LL Electronic return originator (ERO): Do not mail this form to the Ta
ated on this 2016 electronic return, and authorized the financial institution to withdraw the amount from that account. As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
Entities connected to both New York State and International ACH Transactions

New York
LOCATION
United States
LOCATION
New York City
LOCATION
NEW YORK NY
LOCATION
George W. Bush
PERSONMaria Farmer
PERSON
Tallahassee
LOCATIONYonkers
LOCATION
U.S. Treasury
ORGANIZATION
the Internal Revenue Service
ORGANIZATION
Joi Ito
PERSONthe New York State Tax Department
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONNY State
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONSchedule SE
PERSONAccelerated Cost Recovery System
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONINTERNAL REVENUE SERVICE CENTER
ORGANIZATION