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dicated on my 2017 electronic return, and authorized the financial institution to withdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
1615964 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including
dicated on my 2017 electronic return, and authorized the financial institution to withdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
1540837 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including
indicated on my 2015 electronic return, and I authorize my financial institution to withdraw the amount from my account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only
EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214, NYC-208, and NYC-210). Both the paid preparer and the ERO are required to sign Part C. However, if an individual performs as both the paid preparer and the ERO, he or
Entities connected to both International ACH Transactions and NYC-210
the New York State Tax Department
ORGANIZATIONYonkers
LOCATIONPersonal Income Tax Information Center
ORGANIZATION
New York State
LOCATIONBreast Cancer Research Fund
ORGANIZATION
New York City
LOCATION
New York
LOCATIONTHE NY TAX DEPT
ORGANIZATION
Empire State
LOCATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONFirst Installment
ORGANIZATIONSpouse
ORGANIZATIONNY State
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATIONMaria Farmer
PERSONPreparer
ORGANIZATIONERO EFIN/PIN
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONAccelerated Cost Recovery System
ORGANIZATION