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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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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,
- Regular method - Schedule B - Computing the penalty Payment due dates B 6/15/17 C 9/15/17 D 1/15/18 30 Arnount of underpayment (from fine 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - or - April 15 • It365)x 7.5%. • 32 Multiply line 30. column A b
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
(page 2) 568052 11-17-15 Part 3 - Regular method - Schedule B - Computing the penalty Payment due dates 30 Amount of underpayment (from line 29) First Installment (April 15 - June 15, 2015) 31 April 15 • June 15 = (61 t 365) x 7.5% = .01253 April 15 • It 365)x 7.5%= • 32 Multiply line 30. column A by lin
Entities connected to both Spouse and First Installment

New York City
LOCATION
United States
LOCATION
Joi Ito
PERSON
New York
LOCATION
U.S. Treasury
ORGANIZATION
NEW YORK NY
LOCATIONUtilities
ORGANIZATIONNY State
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
New York State
LOCATIONBreast Cancer Research Fund
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATION
Empire State
LOCATIONYonkers
LOCATION
FinCEN
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONERO Signature
ORGANIZATIONSchedule SE
PERSONC-EZ
ORGANIZATIONthe New York State Tax Department
ORGANIZATION