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7 .00 8 14 997.00 8a .00 9 .00 9a .00 10 14 99 7.00 Section D - New York State, New York City, Yonkers, and MCTMT refundable credits 11 Farmers' school tax credit 12 Other refundable credits Code 12a 12b 12c 12d 12e 121 Total other refundable credits (add lines 12a through 121) 13
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
00l 7 .00 8 15004.00 8a .00 9 .00 9a .00 10 15004.00 Section D - New York State, New York City, Yonkers, and MCTMT refundable credits 11 Farmers' school tax credit 12 Other refundable credits Code 12a 12b 12c 12d 12e 12f Total other refundable credits (add lines 12a through 120 13 A
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
1 7 .00 8 14976.00 8a .00 9 .00 9a .00 10 14976.00 Section D - New York State, New York City, Yonkers, and MCTMT refundable credits 11 Farmers' school tax credit 12 Other refundable credits Code 12a 12b 12c 12d 12e 121 Total other refundable credits (add lines 12a through 120 13 A
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 Maria Farmer and THE UNITED STATES TREASURY

NEW YORK NY
LOCATION
United States
LOCATION
New York
LOCATION
Joi Ito
PERSON
New York City
LOCATION
the Internal Revenue Service
ORGANIZATION
U.S. Treasury
ORGANIZATION
New York State
LOCATIONUtilities
ORGANIZATIONYonkers
LOCATIONWEISS
ORGANIZATIONChang
PERSONFiler
PERSON
York City
LOCATION
FinCEN
ORGANIZATIONSchedule SE
PERSONDOTTED LINE & MAIL UPPER PORTION
ORGANIZATIONSpouse
ORGANIZATIONthe New York State Tax Department
ORGANIZATIONthe New York State Department of Taxation and Finance
ORGANIZATION