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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
'YES', were all required Commercial Rent Tax Returns filed? Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return: CERTIFICATION X NO X NO X NO YES X NO YES NO I hereby certify that this return, Including any accompanying rider, is, to the best of my kno
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
all required Commercial Rent Tax Returns filed? YES NO Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return: CERTIFICATION I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and
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,
'YES', were all required Commercial Rent Tax Returns filed? Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return: CERTIFICATION X NO X NO X NO YES X NO YES NO I hereby certify that this return, including any accompanying rider, is, to the best of my kno
Entities connected to both Spouse and the Commercial Rent Tax Return

Joi Ito
PERSON
New York City
LOCATION
United States
LOCATION
New York
LOCATION
NEW YORK NY
LOCATION
George W. Bush
PERSON
U.S. Treasury
ORGANIZATIONUtilities
ORGANIZATIONPreparer
ORGANIZATIONMaria Farmer
PERSON
New York State
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONFiler
PERSONC-EZ
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATIONSchedule SE
PERSONERO Signature
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATION