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017) 62 Enter amount from line 61 Payments and refundable credits (see pages 28 through 31) 76801). It -ti -17 62 193792.00 63 64 65 66 67 Empire State child credit NYS/NYC child and dependent care credit 63 .00 64 .00 NYS earned income credit (BC) 65 .00 NYS noncustodial parent EIC Real
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
security umber 765004 11.17.17 62 Enter amount from line 61 816 IPayments and refundable credltel (see pages 28 through 31) 63 64 65 66 67 Empire State child credit NYS/NYC child and dependent care credit 63 .00 64 .00 NYS earned income credit (BC) 65 .00 NYS noncustodial parent EIC Real
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
age 4 of 4 IT-201 (2015) Your soc' securi numb r %S004 It. '? '!, 82 Enter amount from line 61 Payments and refundable credltel (see page 28) 63 Empire State child credit 63a Family tax relief credit 64 NYS/NYC child and dependent care credit 65 NYS earned income credit (EIC) 66 NYS noncustodial par
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
Entities connected to both Empire State and International ACH Transactions
the New York State Tax Department
ORGANIZATION
New York State
LOCATIONPersonal Income Tax Information Center
ORGANIZATION
New York City
LOCATIONYonkers
LOCATION
New York
LOCATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONFirst Installment
ORGANIZATIONBreast Cancer Research Fund
ORGANIZATIONNY State
ORGANIZATION
United States
LOCATIONMaria Farmer
PERSONNYC-210
ORGANIZATIONSpouse
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATIONTHE NY TAX DEPT
ORGANIZATIONSafe Harbor Leasing
ORGANIZATION
the Internal Revenue Service
ORGANIZATIONPreparer
ORGANIZATION