the Foreign Bank and Financial Accounts Report
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATION3
Shared Docs
3
Same-Page
3 / 3
Mentions
/bsaefilinglincentreas.gov/main.html for registration). Read and complete the account owner statement in Part I. To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I. items 1 through 3 (as required), sign and date the document in Part I, items 7)8 and complete item
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
bsaefiling.fincentreas.gov/main.html for registration). Read and complete the account owner statement in Part I. To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I. items 1 through 3 (as required), sign and date the document in Part I, items 7)8 and complete item
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
bsaefiling.fincentreas.gov/main.html for registration). Read and complete the account owner statement in Part I. To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I. items 1 through 3 (as required), sign and date the document in Part I. items 7/8 and complete item
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 the Foreign Bank and Financial Accounts Report 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