3
Shared Docs
3
Same-Page
3 / 3
Mentions
Requested To Do So IRA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792090 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
END THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO. 720011 04.01.17 Rev. 10.7 May 21, 2015 EFTA00792092 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
Requested To Do So LHA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792180 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
END THIS RECORD TO FInCEN UNLESS REQUESTED TO DO SO. 720011 04-01.17 Rev. 10.7 May 21, 2015 EFTA00792182 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
Requested To Do So INA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792002 Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare th
SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO. 720011 0441.17 Rev. 10.7 May 21.2015 EFTA00792004 ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE WORDS "2017 FORM 4868" ON YOUR CHECK. MAIL AS SOON AS POSSIBLE TO: INTERNAL R
Entities connected to both Jurat/Disclosure and THE UNITED STATES TREASURY
Spouse
ORGANIZATION
U.S. Treasury
ORGANIZATIONFiler
PERSON
FinCEN
ORGANIZATIONConservation Reserve
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONConservation Reserve Program
ORGANIZATION
United States
LOCATIONSchedule SE
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONC-EZ
ORGANIZATIONERO Signature
ORGANIZATIONSecond Installment
ORGANIZATIONU.B.T.
ORGANIZATION
Empire State
LOCATIONNY State
ORGANIZATIONTaxpayer for Forms NYC-202, NYC-202S
ORGANIZATIONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATION