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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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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
r method - Schedule 8 - Computing the penalty Payment due dates A 4/15/17 B 6/15/17 C 9/15/17 D 1/15/18 30 Amount of underpayment (from Me 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - Or - April 15 l* 365)x 7.5%= • 32 Multiply line 30. column A by
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
- Regular method - Schedule B - Computing the penalty Payment due dates B 6/15/17 C 9/15/17 D 1/15/18 30 Arnount of underpayment (from fine 29) First Installment (April 15 - June 15, 2017) 31 April 15 • June 15 = (61 365) x 7.5% = .01253 - or - April 15 • It365)x 7.5%. • 32 Multiply line 30. column A b
Entities connected to both THE UNITED STATES TREASURY and First Installment
NY City
LOCATION
New York
LOCATIONPersonal Income Tax Information Center
ORGANIZATION
Empire State
LOCATIONBreast Cancer Research Fund
ORGANIZATIONNY State
ORGANIZATIONNYC-210
ORGANIZATIONSpouse
ORGANIZATION
New York State
LOCATIONYonkers
LOCATIONthe New York State Tax Department
ORGANIZATIONWomen's Cancers Education and Prevention Fund
ORGANIZATIONTHE NY TAX DEPT
ORGANIZATIONConservation Reserve Program
ORGANIZATIONTaxpayer for Forms NYC-202, NYC-202S
ORGANIZATIONJohn O. Smith
PERSONthe New York State Department of Taxation and Finance
ORGANIZATIONWEISS
ORGANIZATIONFBAR S gnature
ORGANIZATIONthe Foreign Bank and Financial Accounts Report
ORGANIZATION