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gning this Tax Return and Electronic Funds Withdrawal Consent, it applicable, by entering my Self-Select PIN below. Taxpayer's PIN: Date 09122018 Spouse's PIN: 719986 044)I.17 EFTA00792091 Form 114a Department of the Treasury Financial Crimes Enforcement Network (FinCEN) May 2015 Record of Au
et information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: Personal Income Tax Information Center: To order forms and publications: (518) 457-51411 $ 111116-' 9 (518) 457.5181 (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hea
Information. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Social security number ***4**4. Spouses name Spouse's social secure num er . . liPart rl Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only) 1 Adjusted gross income (F
et information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: Personal Income Tax Information Center. To order forms and publications: A (518) 457-5149 (518) 457.5181 (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hearing and sp
ormation. 2017 Submission Identification Number (SID) Taxpayer's name ANASTASIYA SIROOCHENKO Spouses name Social security number ***4 "4-9816 Spouse's social security number IPartI Tax Return Information - Tax Year Ending December 31,2017 (whole dollars only) 1 Adjusted gross income (Form 1040,
anage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 457-514,1116. Personal Income Tax Information Center. (518) 457.5181 To order forms and publications: (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hearing and speech disabilities usi
y Tax Credit, or Ny0210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR-5791T. Spouse's name: (Jointly filed return only) 588351 11.2545 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms
nd manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 457-5149 Personal Income Tax Information Center: (518) 457-5181 To order forms and publications: (518) 457-5431 Text Telephone (TTY) Hotline (for persons with heating and speech disabilities u
Entities connected to both Spouse and Personal Income Tax Information Center

New York City
LOCATION
Joi Ito
PERSON
New York
LOCATION
United States
LOCATION
George W. Bush
PERSON
NEW YORK NY
LOCATION
U.S. Treasury
ORGANIZATIONPreparer
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONYonkers
LOCATION
New York State
LOCATIONMaria Farmer
PERSONUtilities
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONSchedule SE
PERSONC-EZ
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONFirst Installment
ORGANIZATION
FinCEN
ORGANIZATION
the Internal Revenue Service
ORGANIZATION