the U.S. Treasury Financial Agent
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATION3
Shared Docs
3
Same-Page
3 / 3
Mentions
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-3534537. Payment cancellation
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
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
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
mated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellatio
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
Entities connected to both the U.S. Treasury Financial Agent and Women's Cancers Education and Prevention Fund
Spouse
ORGANIZATION
U.S. Treasury
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
United States
LOCATIONSchedule SE
PERSONC-EZ
ORGANIZATIONERO Signature
ORGANIZATION
New York State
LOCATIONBreast Cancer Research Fund
ORGANIZATIONUtilities
ORGANIZATIONYonkers
LOCATION
FinCEN
ORGANIZATION
New York
LOCATIONNY State
ORGANIZATION
Empire State
LOCATIONConservation Reserve Program
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONNY City
LOCATIONFiler
PERSONPersonal Income Tax Information Center
ORGANIZATION