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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
d fami partnerships, Schedule (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F, line 4b. or listed on Schedule K.1 (Form 1065), box 20. code Z 2 Net profit or (loss) from Schedule C. li
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
arm partnerships, Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C, lin
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
d farm partnerships, Schedule (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K-1 (Form 1065), box 20. code Z 2 Net profit or (loss) from Schedule C. l
Entities connected to both SIROOCHENKO and Conservation Reserve
Conservation Reserve Program
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONSchedule SE
PERSONUtilities
ORGANIZATIONCombine Ines 4a
ORGANIZATION
Joi Ito
PERSONQualifying widow(er
ORGANIZATIONC-EZ
ORGANIZATIONFiler
PERSONSpouse
ORGANIZATIONERO Signature
ORGANIZATION
FinCEN
ORGANIZATION
U.S. Treasury
ORGANIZATION
United States
LOCATIONJurat/Disclosure
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONPreparer
ORGANIZATIONPersonal Income Tax Information Center
ORGANIZATIONERO EFIN/PIN
ORGANIZATIONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATION