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ithdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days p
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 601 Mental Illness AntiStigrna Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o .00 60 Total voluntary contributions (add tines 60a through 60o) 61 Total New Y
ithdraw the amount from that account As New York does not support International ACM Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days p
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 601 Mental Illness Anti-Stigma Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o .00 60 Total voluntary contributions (add tines 60a through 60o) 61 Total New Y
ithdraw the amount from that account As New York does not support International ACH Transactions (IAT), I attest the source for these funds is within the United States. I understand and agree that I may revoke this authorization for payment only by contacting the Tax Department no later than five (5) business days p
ealth Education 60i .00 60) Veterans Remembrance 60) .00 60k Homeless Veterans 60k .00 60I Mental Illness Anti-Stigma Fund 601 .00 60m Women's Cancers Education and Prevention Fund 60m .00 60n Autism Fund 60n .00 60o Veterans' Homes 60o 00 60 Total voluntary contributions (add fines 60a through 60o) 61 Total Now Yo
Entities connected to both United States and Women's Cancers Education and Prevention Fund

New York
LOCATIONMaria Farmer
PERSON
New York City
LOCATION
NEW YORK NY
LOCATION
Joi Ito
PERSON
U.S. Treasury
ORGANIZATION
New York State
LOCATION
the Internal Revenue Service
ORGANIZATIONChang
PERSONUtilities
ORGANIZATION
FinCEN
ORGANIZATIONFiler
PERSONWEISS
ORGANIZATIONYonkers
LOCATION
York City
LOCATIONSpouse
ORGANIZATIONPreparer
ORGANIZATIONNY State
ORGANIZATION
Empire State
LOCATION
Trinity
ORGANIZATION