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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
NYC210, Cialm for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return ony) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT•201, IT•201.X.
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
NYC210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return ony) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms 11%201, 11%2014(.
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
NYC210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return °my) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms 11%201, 11%2014(.
Entities connected to both C-EZ and Oointly

U.S. Treasury
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONthe U.S. Treasury Financial Agent
ORGANIZATION
United States
LOCATIONERO Signature
ORGANIZATIONSpouse
ORGANIZATION
FinCEN
ORGANIZATIONConservation Reserve
ORGANIZATIONJurat/Disclosure
ORGANIZATIONConservation Reserve Program
ORGANIZATIONUtilities
ORGANIZATIONFiler
PERSON
New York State
LOCATION
Empire State
LOCATIONthe Dept. of Finance
ORGANIZATIONTaxpayer for Forms NYC-202, NYC-202S
ORGANIZATIONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATION