the New York State Tax Department
ORGANIZATIONApplication for &Month Extension to File Business Income Tax Return
ORGANIZATION3
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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
incorporated Business Tax Return for Individuals and Single Member LI_C's); NYC•202S (Unincorporated Business Tax Return for Individuals); NYC•EXT (Application for &Month Extension to File Business Income Tax Return); or NYC6UBTI (Declaration of Estimated Unincorporated Business Tax for Individuals, Estates and Trusts). EROs/paid preparers must complete Part B
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
(Unincorporated Business Tax Return for Individuals and Single Member LLC's); WC-202S (Unincorporated Business Tax Return for Individuals); WC-Da (Application for &Month Extension to File Business Income Tax Return); or NYGSUBTI (Declaration of Estimated Unincorporated Business Tax for Individuals, Estates and Trusts). EROs/paid preparers must complete Past B
the return and any authorized payment transaction. If I am paying flew York State partnership fees due by electronic funds withdrawal, I authorize the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2011 electro
imited Liabilit Companies): NYC-204EZ(Unincorporated Business Tax Return for Partnerships, including Limited Liability Companies EZ-Form ; NYC-EXT (Application for &Month Extension to File Business Income Tax Return); or NYC-SUB (Declaration of Estimated UUnincorporated Business Tax for Partnerships). The ER0s/paid preparers must complete Part B prior to transm
Entities connected to both the New York State Tax Department and Application for &Month Extension to File Business Income Tax Return

New York State
LOCATION
New York
LOCATIONNew York State Sales Tax
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATION
the Internal Revenue Service
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONPreparer
ORGANIZATIONYonkers
LOCATION
NEW YORK NY
LOCATIONMaria Farmer
PERSON
United States
LOCATIONthe Commercial Rent Tax Return
ORGANIZATION
Joi Ito
PERSONNY State
ORGANIZATION
Empire State
LOCATIONSpouse
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATIONthe New York State Department of Taxation and Finance
ORGANIZATIONERO EFIN/PIN
ORGANIZATION