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Part III I Tax Computation Using Maximum Capital Gains Rates ***_**.= Page 2 Complete Part Ill only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251. line 30. If you are filing Form 2555 or 255.5•EZ, enter the amount from line 3 of the work
1 s 1T-201LATT Name(s) as shown on your Form IT•201 ANASTASIYA SIROOCHENKO A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
YA SIROOCHENKO Page 2 Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 255SEZ, enter the amount from line 3 of the worksh
shown on your FormIT.201 ANASTASIYA SIROOCHENKO Your social security number. A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
ANASTASIYA SIROOCHENKO Part Tax Computation Using Maximum Capital Gains Rates Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. ***-**-9816 Page 2 36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 2555•EZ, enter the amount from
your Form IT•201 Your social security number ANASTASIYA SIROOCHENKO 9816 A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200, 496. or section 195.20)? (see instruction
Entities connected to both the Foreign Earned Income Tax Worksheet and Bribery Involving Public Servants
Schedule SE
PERSONUtilities
ORGANIZATION
United States
LOCATION
U.S. Treasury
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATIONERO Signature
ORGANIZATIONConservation Reserve
ORGANIZATIONConservation Reserve Program
ORGANIZATIONSpouse
ORGANIZATIONC-EZ
ORGANIZATIONFiler
PERSONJurat/Disclosure
ORGANIZATIONQualifying widow(er
ORGANIZATIONCombine Ines 4a
ORGANIZATION
FinCEN
ORGANIZATION
Joi Ito
PERSONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONNY City
LOCATION