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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
Part III I Tax Computation Using Maximum Capital Gains Rates ***_**.= Page 2 Complete Part Ill only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251. line 30. If you are filing Form 2555 or 255.5•EZ, enter the amount from line 3 of the work
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
YA SIROOCHENKO Page 2 Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 255SEZ, enter the amount from line 3 of the worksh
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
ANASTASIYA SIROOCHENKO Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. ***-**-9816 Page 2 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 2555•EZ, enter the amount from
Entities connected to both ERO EFIN/PIN and the Foreign Earned Income Tax Worksheet
Schedule SE
PERSONConservation Reserve Program
ORGANIZATIONSpouse
ORGANIZATIONERO Signature
ORGANIZATION
U.S. Treasury
ORGANIZATION
Joi Ito
PERSONUtilities
ORGANIZATIONConservation Reserve
ORGANIZATIONC-EZ
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATION
United States
LOCATIONQualifying widow(er
ORGANIZATIONCombine Ines 4a
ORGANIZATIONJurat/Disclosure
ORGANIZATIONPreparer
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONMaria Farmer
PERSONPersonal Income Tax Information Center
ORGANIZATIONNew York State Sales Tax
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATION