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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
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
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
40, line 17; or Form 1041, line 5) b Adjustment for net income or loss derived in the ordinary course of a ncri.section 1411 trade or business e Combine Ines 4a and 4b 5a Net gain or loss from disposition of property from Fenn 1040. combine lines 13 and 14; or from Form 1041. combine lines 4 and 7 b Net
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
instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject
Entities connected to both C-EZ and Combine Ines 4a
Schedule SE
PERSONthe Foreign Earned Income Tax Worksheet
ORGANIZATION
U.S. Treasury
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATION
United States
LOCATIONUtilities
ORGANIZATIONERO Signature
ORGANIZATIONConservation Reserve
ORGANIZATIONConservation Reserve Program
ORGANIZATIONSpouse
ORGANIZATIONQualifying widow(er
ORGANIZATION
FinCEN
ORGANIZATION
Joi Ito
PERSONJurat/Disclosure
ORGANIZATIONFiler
PERSON
Empire State
LOCATIONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATION