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lf-employment Other 58 Unreported Taxes 59 Additional 60a Household b First-time 61 Health care: 62 Taxes from: 63 Add lines 56 tax. Attach Schedule SE 8919 2 57 20,528. social security and Medicare tax from Form: a 0 4137 b 0 58 tax on IRAs, other qualified retirement plans, et. Attach For
enalty (unless box B.C. or D applies). LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 2210 (2014) 412501 12-23-14 8.1 SIROOCHENKO 2014.03000 SIROOCHENKO, ANASTASIYA SIROOCH1 EFTA00791944 Form2210(2M4) ANASTASIYA SIROOCHENKO Regular Method (See the instructions if you aro f
. 1,407,381. 513,142. 513,142. 48 49 50 51 52 53 54 At 55 56 57 58 59 60a 60b 61 62 63 513,142. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: al= 4137 b 0 8919 Taxes 59 Additional tax on IRAs, other qualified retirement pl
YYY In SSNATIN a Type' Passport IMI Foreign TIN Other ON b Number c Country of Issue number complete item 4 6 Last name or organization name SIROOCHENKO 7First name ANASTAS I YA 8 Middle initial 8a Suffix 9 Mailing address (number, street. and apt. or suite no.) 10 City NEW YORK 11 State NY 1
its 55 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- IIII• At ► 56 487,479. 57 Self-employment tax. Attach Schedule SE 57 57,897. Other 58 Unreported social security and Medicare tax from Form: a04137 608919 58 Taxes 59 Additional tax on IRAs, other qualified
7 Passport c Other In SSNATIN a Type: CI Foreign TIN EIN b Number Country of Issue number complete item 4 6 Last name or organization name SIROOCHENKO 7First name ANASTAS I YA 8 Middle initial 8a Suffix 9 Mailing address (number, street. and apt. or suite no.) 288 WEST 4TH ST 10 City NEW YORK
Entities connected to both Schedule SE and SIROOCHENKO

Joi Ito
PERSONMaria Farmer
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONUtilities
ORGANIZATION
New York State
LOCATIONConservation Reserve Program
ORGANIZATIONYonkers
LOCATIONConservation Reserve
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONC-EZ
ORGANIZATION
U.S. Treasury
ORGANIZATIONQualifying widow(er
ORGANIZATIONSpouse
ORGANIZATIONINTERNAL REVENUE SERVICE CENTER
ORGANIZATIONERO Signature
ORGANIZATIONCombine Ines 4a
ORGANIZATION
United States
LOCATIONJurat/Disclosure
ORGANIZATIONFiler
PERSONAccelerated Cost Recovery System
ORGANIZATION