5
Shared Docs
5
Same-Page
5 / 5
Mentions
saction. If I am paying my New York State personal income taxes due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on my 2017 electroni
en filed 45 Filer title. if not reporting a personal account 46 Dattlate wlepa Mn the HMO le aottonelIteignel Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Check LJ if selfomployedp0096 51 TIN 2062 51a TIN type I XI PTIN 0 SSNATIN Foreign 52 Cont
saction. If I am paying my New York State personal income taxes due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on my 2017 electroni
if not reporting a personal account 146 Date (MWDD Ma date will auto.I N Men the FBAR is ay.t.tionaiit ore, Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 M 50 Check if self -employed x 51a TIN type I I PTIN SSNATIN Foreign 52 Contact phone no. sza Ex
saction. If I am paying my New York State personal income taxes due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on my 2017 electroni
r title. if not reporting a personal account 146 Date (MM/DD Ma date will auloitnneMn the nswisaanuol el gnea Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Checks I if so-mow/3O)00962062 51 TIN 51a TIN type I XI PTIN SSNATIN Foreign 52 Contact pho
of Truation and Finance Purchaser's Report of Sales and Use Tax ST-130 (MO) Do not use this form if you are required to register as a vendor with the New York State Tax Department or are reporting the purchase of a motor vehicle, snowmobile, vessel, or all-terrain vehicle that must be registered or titled by the Department of
return and payment to: NYS TAX DEPARTMENT SALES TAX DESK AUDIT ASUAL SALES UNIT dUILDING 9 3RD FLOOR W A HARRIMAN CAMPUS ALBANY NY 12227-0125 Preparer's social security number 153-38-2770 Date Employer identification number 13-3959372 STF NY40568F EFTA_R1_01947145 EFTA02672895 THOMAS TURRIN
transaction. If I am paying my New York State partnership fees due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated fnancial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2016 electron
E 133050313 Print designee's name GARY W. PRESS E•marl. Paid preparer must complete (see Instr.) • Date I hpfaPelN 7 Designee's phone number Preparer's PTIN or SSN NEI t 0016 -19 f: I NY 1 Vera% 03 Email: Pe.sonalidrotheaWn nulawit011120 • Sign here • Signature of general partner Date D
Entities connected to both the New York State Tax Department and Preparer

United States
LOCATION
New York State
LOCATIONNew York State Sales Tax
ORGANIZATION
New York City
LOCATION
NEW YORK NY
LOCATION
Joi Ito
PERSONMaria Farmer
PERSONYonkers
LOCATIONFiler
PERSONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONSpouse
ORGANIZATION
U.S. Treasury
ORGANIZATIONSafe Harbor Leasing
ORGANIZATIONInternational ACH Transactions
ORGANIZATIONERO EFIN/PIN
ORGANIZATION
the Internal Revenue Service
ORGANIZATION
New York
LOCATIONthe New York State Department of Taxation and Finance
ORGANIZATIONForm NYC-
LOCATION