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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
1 s 1T-201LATT Name(s) as shown on your Form IT•201 ANASTASIYA SIROOCHENKO A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
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
shown on your FormIT.201 ANASTASIYA SIROOCHENKO Your social security number. A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200. 496. or section 195.20)? (see instruction
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
your Form IT•201 Your social security number ANASTASIYA SIROOCHENKO 9816 A Have you (or an entity of which you are an owner) been convicted of Bribery Involving Public Servants and Related Offenses, Corrupting the Government, or Defrauding the Government (NYS Penal Law Article 200, 496. or section 195.20)? (see instruction
Entities connected to both Maria Farmer and Bribery Involving Public Servants

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