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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
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
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
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 11. ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expect
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
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
Entities connected to both the U.S. Treasury Financial Agent and DOTTED LINE & MAIL UPPER PORTION

U.S. Treasury
ORGANIZATION
Joi Ito
PERSONBusiness Tax Credit
ORGANIZATION
United States
LOCATIONMaria Farmer
PERSONSchedule SE
PERSONC-EZ
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSpouse
ORGANIZATIONERO Signature
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONthe Commercial Rent Tax Return
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATION
New York State
LOCATION
FinCEN
ORGANIZATIONConservation Reserve Program
ORGANIZATIONERO EFIN/PIN
ORGANIZATIONPreparer
ORGANIZATION