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m 15) employer's (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN **_*** 26. Preparers ignature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
rs (item 15) employer's (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN 26. Preparers signature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 11. ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expect
5) employers (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN **-***2756 26. Preparers ignature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorize
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
Entities connected to both FBAR S gnature and DOTTED LINE & MAIL UPPER PORTION
the New York State Department of Taxation and Finance
ORGANIZATIONPreparer
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONMaria Farmer
PERSON
Joi Ito
PERSONthe New York State Tax Department
ORGANIZATIONBusiness Tax Credit
ORGANIZATIONthe Commercial Rent Tax Return
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONERO EFIN/PIN
ORGANIZATION
New York City
LOCATION
NEW YORK NY
LOCATION
FinCEN
ORGANIZATIONSpouse
ORGANIZATIONForm NYC-
LOCATION
New York
LOCATIONFiler
PERSON
New York State
LOCATIONComplete Address
PERSONSafe Harbor Leasing
ORGANIZATION