3
Shared Docs
3
Same-Page
3 / 3
Mentions
the best of my knowledge and belief. it is true. correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN (enter EFIN plus 5 sell-selected numerics) Taxpayer Declarations Perjury Statem
certify that this return, Including any accompanying rider, is, to the best of my knowledge and belief, true, correct fin' and complete. I authorize the Dept. of Finance to discuss this return with the preparer listed below. (See Instr.) YES X man AllariltS9 SIGN HERE: Seamier° of laxpirear Tali) Data Presort(
the best of my knowledge and belief. it is true, correct. and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN (enter EFIN plus 5 self-selected numerics) Taxpayer Declarations Perjury Statem
reby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete. I authorize the Dept. of Finance to discuss this return with the preparer listed below. (See Instr.) YES X Fin's Email Merin: SIGN HERE: Signature of taxPirra' Date Wenn(' sae
the best of my knowledge and belief. it is true. correct. and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN 13769913349 (enter EFIN plus 5 self-selected numerics) Taxpayer Declarations P
at this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct Firwsernmmosst and complete. I authorize the Dept. of Finance to discuss this return with the preparer listed below. (See Instr.) YES X INFO@DAVI DWE I S SCP SIGN HERE: Secretor° of !tapir/or Trio Data P
Entities connected to both ERO Signature and the Dept. of Finance
Schedule SE
PERSONthe U.S. Treasury Financial Agent
ORGANIZATIONC-EZ
ORGANIZATION
U.S. Treasury
ORGANIZATION
United States
LOCATIONSpouse
ORGANIZATIONthe Foreign Earned Income Tax Worksheet
ORGANIZATIONFiler
PERSON
FinCEN
ORGANIZATIONConservation Reserve
ORGANIZATIONConservation Reserve Program
ORGANIZATIONUtilities
ORGANIZATIONJurat/Disclosure
ORGANIZATIONU.B.T.
ORGANIZATION
New York State
LOCATION
Empire State
LOCATIONTaxpayer for Forms NYC-202, NYC-202S
ORGANIZATIONJohn O. Smith
PERSONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATION