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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
NYC210, Cialm for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return ony) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT•201, IT•201.X.
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
NYC210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return ony) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms 11%201, 11%2014(.
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,
NYC210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return °my) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms 11%201, 11%2014(.
Entities connected to both Spouse and Oointly

New York City
LOCATION
United States
LOCATION
Joi Ito
PERSON
New York
LOCATION
U.S. Treasury
ORGANIZATION
NEW YORK NY
LOCATIONUtilities
ORGANIZATIONERO Signature
ORGANIZATIONC-EZ
ORGANIZATIONPreparer
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONSchedule SE
PERSON
FinCEN
ORGANIZATIONMaria Farmer
PERSONFiler
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONBSA Efiling
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATION
Empire State
LOCATION