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/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
January 15, 2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, str) New Yolk Stale 0 00 New Yak City 0 00 Yonkon 00 KICTIM 00 Total payment 0 00 IT-2105 Estimated tax amounts STOP: Pay this electronically on our website 0601181019 *****9816 9 EFTA00792134 76f
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
tate NY ZIP code 10014 taxpayer s e-mail address IT-2105 Estimated tax amounts str) Now York Stale 0 00 New YQIk City 0 00 Yonkots 00 KICTIM 00 Total payment 0 00 STOP: Pay this electronically on our website 0601181019 *****9816 9 EFTA00792216 er NEW YORK STATE 2018 - Ti
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
19. Enter applicable payer ID number and to: NYS Estimated Income Tax, stir) L 80000 00 Now York Stale New Y0.14 CRY 55000 00 Yonkots 00 KICTIM 00 Total payment 135000 00 IT-2105 Estimated tax amounts STOP: Pay this electronically on our vrebsite 0601181019 *****9816 9 EFTA00792043
Entities connected to both the Foreign Bank and Financial Accounts Report and KICTIM

U.S. Treasury
ORGANIZATIONFBAR S gnature
ORGANIZATIONForeign Bank
ORGANIZATIONBSA Efiling
ORGANIZATIONPreparer
ORGANIZATIONFiler
PERSONSpouse
ORGANIZATION
FinCEN
ORGANIZATION
NEW YORK NY
LOCATIONthe Dept. of Finance
ORGANIZATIONU.B.T.
ORGANIZATION
New York
LOCATIONNY State
ORGANIZATION
New York State
LOCATION
Empire State
LOCATIONthe U.S. Treasury Financial Agent
ORGANIZATIONConservation Reserve Program
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATION