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ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
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
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 11. ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expect
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
ve proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in
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 DOTTED LINE & MAIL UPPER PORTION and C-EZ

Joi Ito
PERSONBusiness Tax Credit
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONthe Commercial Rent Tax Return
ORGANIZATIONSpouse
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONERO Signature
ORGANIZATION
U.S. Treasury
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATION
United States
LOCATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONNew York State Sales Tax
ORGANIZATIONMaria Farmer
PERSONComplete Address
PERSONJurat/Disclosure
ORGANIZATIONYonkers
LOCATIONUtilities
ORGANIZATIONPreparer
ORGANIZATION
NEW YORK NY
LOCATION