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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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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
- Regular method - Schedule B - Computing the penalty Payment due dates B 6/15/17 C 9/15/17 D 1/15/18 30 Arnount of underpayment (from fine 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - or - April 15 • It365)x 7.5%. • 32 Multiply line 30. column A b
Entities connected to both Preparer and First Installment

United States
LOCATIONFiler
PERSONthe New York State Tax Department
ORGANIZATION
U.S. Treasury
ORGANIZATIONSpouse
ORGANIZATION
New York State
LOCATIONNew York State Sales Tax
ORGANIZATION
NEW YORK NY
LOCATIONPersonal Income Tax Information Center
ORGANIZATIONYonkers
LOCATION
New York City
LOCATIONNY City
LOCATIONthe New York State Department of Taxation and Finance
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATIONForeign Bank
ORGANIZATIONBSA Efiling
ORGANIZATION
FinCEN
ORGANIZATIONERO EFIN/PIN
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATION