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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
: April 17.2018; June 15, 2018; September 17, 2018; and January 15, 2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, st') New York Stale 0 00 Now YOIk City 0 00 Yankee 00 NCTMr 0 00 Total payment 0 00 IT-2105 Estimated tax amounts STOP: Pay this electronicalty on our we
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
10014 taxpayers e-mail address IT-2105 Estimated tax amounts payer ID number and to: NYS Estimated Income Tax, DONS Cents st') 100480. 00 New York Stale New YQIk City 36840. 00 Yonkots 00 KICTIK 00 Total payment 137320. 00 STOP: Pay this electronically on our website 0601181019 *****9816 9
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,
s: April 17.2018; June 15, 2018; September 17, 2018; and January 16,2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, str) New York Stale 0 00 New YQIk City 0 00 Yonkers 00 KICTIK 0 00 Total payment A 00 IT-2105 Estimated tax amounts STOP: Pay this electronically on our w
Entities connected to both Spouse and New York Stale

New York City
LOCATION
United States
LOCATION
Joi Ito
PERSON
New York
LOCATION
NEW YORK NY
LOCATION
George W. Bush
PERSON
U.S. Treasury
ORGANIZATIONMaria Farmer
PERSON
New York State
LOCATIONDarren Indyke
PERSONUtilities
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONYonkers
LOCATIONPreparer
ORGANIZATION
FinCEN
ORGANIZATIONC-EZ
ORGANIZATIONSchedule SE
PERSONERO Signature
ORGANIZATIONFiler
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATION