3
Shared Docs
3
Same-Page
3 / 3
Mentions
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
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(
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
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
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
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 United States and the Dept. of Finance

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
ORGANIZATION
Trinity
ORGANIZATIONthe U.S. Treasury Financial Agent
ORGANIZATION
Empire State
LOCATION