3
Shared Docs
3
Same-Page
3 / 3
Mentions
o the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO EFIN/PIN: Enter your sixdigit EFIN followed by your five digit PIN: DAVID WEISS CPA, PLLC DAVID WEISS CPA, PLLC ERO's Signature Print Name Date DAVID WE
above P"' Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here ► 7 8a 740. 9a 10 11 12 13 14 15b 16b 17 18 19
the paper return. If I am the paid preparer, filed unincorporated business tax return or other based this declaration on all information available ERO EFIN/PIN: Enter your six•cligit EFIN followed DAVID WEISS CPA, PLLC contained in the above named taxpayers 2017 New York City electronically filed checked
through 35 Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ ► 7 8a 755. 9a 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 1,645,828. ► 1,646,583. Adjusted Gross Income 23 24 25 26 2
the paper return. If I am the paid preparer, filed unincorporated business tax return or other based this declaration on all information available ERO EFIN/PIN: Enter your six-digit EFIN followed DAVID WEISS CPA, PLLC contained in the abovenamed taxpayers 2017 New York City electronically filed checked ab
ets of state and local income taxes 10 1099-R if tax was withheld. 11 Alimony received 11 12 Business income or (loss). Attach Schedule C or C-EZ 12 13 Capital gain or (loss). Attach Schedule D U required. If not required, ohm* here 13 If you did not get a W-2, 14 Other gains or (los
Entities connected to both ERO EFIN/PIN and C-EZ
the U.S. Treasury Financial Agent
ORGANIZATION
U.S. Treasury
ORGANIZATIONSchedule SE
PERSONSpouse
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
United States
LOCATIONERO Signature
ORGANIZATION
FinCEN
ORGANIZATION
New York State
LOCATIONConservation Reserve
ORGANIZATIONUtilities
ORGANIZATIONConservation Reserve Program
ORGANIZATIONPreparer
ORGANIZATIONMaria Farmer
PERSONJurat/Disclosure
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATION
Joi Ito
PERSONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONAccelerated Cost Recovery System
ORGANIZATION