Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency specifications. When using Acrobat 9.x products and later products, select "None"in the "Page Scaling" selection box in the Adobe "Print" dialog. CLIENT'S COPY EFTA00792081
Direct Deposit/Debit Report Namt. ANASTASIYA SIROOCHENKO Unit Form Name of Financial Institution Account Type Routing Number Account Number it/Depos Deb Date it Amount DEBIT FED 1040 CHECKING 021000021 *****7618 09/12/18 38,287. DEBIT FED 1040 CHECKING 021000021 *****5168 09/12/18 38,287. DEBIT FED 1040 CHECKING 021000021 *****0359 09/12/18 38,287. g IIIII ID Number. ***_** EFTA00792082
DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 (212) 695-5771 SEPTEMBER 12, 2018 ANASTASIYA SIROOCHENKO DEAR ANASTASIYA: ENCLOSED ARE YOUR 2017 INCOME TAX RETURN AND 2018 ESTIMATED TAX VOUCHERS. SPECIFIC FILING INSTRUCTIONS ARE AS FOLLOWS. FEDERAL INCOME TAX RETURN: THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING AND THE PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. AFTER REVIEWING THE RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN AND RETURN FORM 8879 TO OUR OFFICE BY MAIL, E-MAIL OR FAX (212-695-5772). WE WILL THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE IRS, AND NO FURTHER ACTION IS REQUIRED. RETURN FEDERAL FORM 8879 TO US AS SOON AS POSSIBLE (BY OCTOBER 15, 2018). YOUR BALANCE DUE OF $38,287 WILL BE AUTOMATICALLY WITHDRAWN FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER SEPTEMBER 12, 2018. REFER TO FORM 1040 ON THE DIRECT DEPOSIT/DEBIT REPORT FOR COMPLETE ACCOUNT INFORMATION. FEDERAL ESTIMATED TAX VOUCHERS: SEPARATELY MAIL VOUCHER 2 OF FORM 1040-ES AS SOON AS POSSIBLE. MAIL TO - INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 ENCLOSE YOUR CHECK FOR $200,000, PAYABLE TO THE UNITED STATES TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE WORDS "2018 FORM 1040-ES" ON YOUR CHECK. FOR YOUR REFERENCE WE HAVE LISTED ALL ESTIMATED TAX PAYMENTS AND THEIR ORIGINAL DUE DATES BELOW. VOUCHERS REQUIRING NO PAYMENT SHOULD NOT BE FILED. EFTA00792083
VOUCHER NO. 1 BY 04/17/18 NO PAYMENT REQUIRED VOUCHER NO. 2 BY 06/15/18 $200,000 VOUCHER NO. 3 BY 09/17/18 NO PAYMENT REQUIRED VOUCHER NO. 4 BY 01/15/19 NO PAYMENT REQUIRED YOUR COPY OF THE SUGGEST THAT YOU VERY TRULY YOURS, DAVID WEISS RETURN IS ENCLOSED FOR YOUR FILES. WE RETAIN THIS COPY INDEFINITELY. EFTA00792084
2017 TAX RETURN FILING INSTRUCTIONS U.S. INDIVIDUAL INCOME TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2017 Prepared for ANASTASIYA SIROOCHENKO Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total tax $ 584,587 Less: payments and credits $ 547,000 Plus: interest and penalties $ 700 BALANCE DUE $ 38,287 Overpayment Miscellaneous Donations $ Credited to your estimated tax $ Refunded to you $ Make check payable to NOT APPLICABLE Mail tax return and check (if applicable) to THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING AND THE PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. AFTER REVIEWING TI RETURN, PLEASE SIGN AND RETURN FORM 8879 TO OUR OFFICE. WE W3 THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE IRS. Return must be mailed on or before RETURN FEDERAL FORM 8879 TO US BY OCTOBER 15, 2018. Special Instructions DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE IRS. YOUR BALANCE DUE OF $38,287 WILL BE AUTOMATICALLY WITHDRAWN FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER SEPTEMBER 12, 2018. REFER TO FORM 1040 ON THE DIRECT DEPOSIT/DEBIT REPORT FOR COMPLETE ACCOUNT INFORMATION. E LL 700051 04-01.17 EFTA00792085
2018 ESTIMATED TAX FILING INSTRUCTIONS U.S. ESTIMATED INDIVIDUAL INCOME TAX FOR THE YEAR ENDING DECEMBER 31, 2018 Prepared for ANA TA IYA IR HENKO Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total Estimated Tax S 200,000 Less credit from prior year S ' 0 Less amount already paid on 2018 estimate S 0 Balance due 5 200,000 Payable in full or In Installments as follows: Installment Amount Due Date No. 1 $ 0 APRIL 17, 2018 No.2 $ 200,000 JUNE 15, 2018 No.3 $ 0 SEPTEMBER 17, 2018 No. 4 $ 0 JANUARY 15, 2019 Make check payable to UNITED STATES TREASURY Mail voucher and check (if applicable) to INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 Special Instructions INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE 1040-ES" ON YOUR CHECK. VOUCHERS NEED NOT BE SIGNED. WORDS "2018 FORM 70OD21 04 • EFTA00792086
TAX RETURN FILING INSTRUCTIONS REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Prepared for ANASTASIYA SIROOCHENKO Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Form must be filed on or before RETURN FORM 114A TO US ON OR BEFORE OCTOBER 15, 2018. Special Instructions YOUR FORM 114 HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE SIGN, DATE, AND RETURN FORM 114A TO OUR OFFICE. WE WILL THEN TRANSMIT YOUR FORM TO THE FINCEN. 700397 040147 EFTA00792087
FINANCIAL CRIMES ENFORCEMENT NETWORK BSA E-Filing - Report of Foreign Bank and Financial Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED FinCEN Form 114 Check here if this report is submitted by an authorized third party, and complete the 3rd party preparer section on page one of the report. The E-tile system will auto complete item 46. NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018 is available. This report filed late for the following reason (Check only one): a 0 Forgot to file b c d C O O Did not know that I had to file Thought account balance was below reporting threshold Did not know that my account qualified as toregn e ILI Account statement not received in time z ILI Account statement lost (Replacement requested) Late receiving missing required account information Unable to obtain joint spouse signature in time Unable to access BSA Efiling system Other (please provide explanation below) 773151 05-21-17 EFTA00792088
FinCEN Form 114 REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS Do NOT file with your Federal Tax Return 1 This report is for calendar year ended 12/31 2017 mi n I Part I 1 Filer information 2 Type of filer ANASTAS20170001 a W Individual b Partnership c Corporation d Consolidated e Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Num If filer has no U.S Identification number complete item 4 3a TIN type SSNATIN ON 4 Foreign identification (Complete only if item 3 is not applicable) a Type: C] Passport I= Foreign TIN ILI Other b Number c Country of Issue 5 Individual's date of birth MWDDNYYY 07/30/1987 6 Last name or organization name SIROOCHENKO 7First name ANASTAS I YA 8 Middle initial 8a Suffix 9 Mailing address (number, street. and apt. or suite no.) 10 City NEW YORK 11 State NY 12 ZIP/Postal Code 10014 13 Country USA 14 a) Does the filer have a financial interest in 25 or more financial accounts? Yes I= Enter number of accounts Do not complete Part II or Part III, but maintain records of the information. No IM b) Does the filer have signature authority over but no financial interest in 25 or more financial accounts? Yes I= Enter number of accounts Comp. Part IV, items 34 through 43 for each person on whose behalf the filer has sign. authority. No IM I Part III Information on financial account(s) owned separately 15 Maximum value of account during calendar year 15a Amount unknown 16 Type of account aLLI Bank bLJ Securities cl I Other Enter type below Lai 17 Name of financial institution in which account is held UNICREDIT BANK AUSTRIA AG 18 Account number i nation ******** 19 Mailing address (number, street, apt. or suite no.) of financial institution in which account is held SCHOTTENGASSE 6-8 20 City VIENNA 21 State, if known 22 Foreign postal code, if known 1010 WIEN 23 Country AUSTRIA ISignature 144a Check here LXJ if this report is completed b a third party preparer and complete the third party preparer section. 44 Filer signature 1I. repon v. I be elocircniceny *kiwi when filed 45 Filer title. if not reporting a personal account 46 Dattlate wlepa Mn the HMO le aottonelIteignel Third Party Preparer Use Only 47 Preparer's last name WEISS 48 First name DAVID 49 MI 50 Check LJ if selfomployedp0096 51 TIN 2062 51a TIN type I XI PTIN 0 SSNATIN Foreign 52 Contact phone no. 212-695-5771 52e Ext. 53 Firm's name DAVID WEISS CPA, PLLC 54 Firm's TIN **-**IIIIII 54a TIN type LXJ EIN Foreign . 55 Mailing address (number. stree , apt. or suite no., 183 MADISON AVE SUITE 803 r 56 City NEW YORK 57 State NY 58 ZIP/Postal Code 10016 - 4403 59 Country US 723141 04.01-17 EFTA00792089
OMB No. 1545 0074 Form 8879 Department of the Treasury IRS e-file Signature Authorization ► Return completed Form 8879 to your ERO. (Do not send to IRS.) Internal Revenue Service ► Go to www.Irs.gov/Form8879 for the latest Information. 2017 Submission Identification Number (SID) Taxpayer's name ANA STAS I YA S I ROOCHENKO Spouses name Social security number ***.i.** Spouses social security number Part I 1 Adjusted gross income (Form 1040. line 38; Form 1040A, line 22; Form 1040€Z. line 4; Form 1040NR, line 37) 1 1,615,964. 2 Total tax (Form 1040, line 63; Form 1040A. line 39; Form 1040EZ, line 12; Form 1040NR. line 61) 2 584,587. 3 Federal income tax withheld from Forms W2 and 1099 (Form 1040, line 64; RIM 1040A, line 40; Form 1040EZ. line 7; Form 1040NR, lie 62a) 4 Refund (Form 1040, line 76a; Form 1040A. line 48a; Form 1040EZ, Me 13a; Form 1040-5S, Part I• line 13a; Form 1040NR. line 73a) 5 Amount you owe (Form 1040. line 78: Form 1040A. tine 50: Form 1040EZ. line 14; Form 1040NR. line 75) 5 38 287 . Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only) 4 I Part III Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2017, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during the tax year. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent at 1-888-3534537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent Taxpayer's PIN: check one box only @l authorize DAVID WEISS CPA, PLLC to enter or generate my PIN ERO firm name as my signature on my tax year 2017 electronically filed income tax return. don't enter a Izeros I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Your signature ► Spouse's PIN: cheek one box only I authorize to enter or generate my PIN ERO firm name as my signature on my tax year 2017 electronically filed income tax return. Date iteo 09/12/2018 Enter five digits, but don't enter all zeros I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Spouses signature ► Date ► Practitioner PIN Method Returns Only - continue below Part III I Certification and Authentication - Practitioner PIN Method Only ERO's EFIN/PIN. Enter your six•digit EFIN followed by your frve•digit self•selected PIN. Don't enter all zeros I certify that the above numeric entry is my PIN. which is my signature for the tax year 2017 electronically filed income tax return for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns. ERO's signature Nab DAVID WEISS CPA, PLLC Date ► 719995 11-10-17 ERO Must Retain This Form - See Instructions Don't Submit This Form to the IRS Unless Requested To Do So IRA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017) EFTA00792090
Tax Year 2017 e-file Jurat/Disclosure for Form 1040, 1040A, 1040EZ, or 1040NR using Practitioner PIN method (with or without Electronic Funds Withdrawal) ERO Declaration I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the taxpayer furnished me a completed tax return. I declare that the information contained in this electronic tax return is identical to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer. I declare I have entered the paid preparer's identifying information in the appropriate portion of this electronic return. If I am the paid preparer. under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief. it is true. correct, and complete. This declaration is based on all information of which I have any knowledge. ERO Signature I am signing this Tax Return by entering my PIN below. ERO's PIN (enter EFIN plus 5 sell-selected numerics) Taxpayer Declarations Perjury Statement Under penalties of perjury. I declare that I have examined this return and accompanying schedules and statements. and to the best of my knowledge and belief, they are true, correct and accurately list all amounts and sources of income I received during the tax year. Declaration of preparer (other than the taxpayer) Is based on all information of which the prepare( has any knowledge. Consent to Disclosure I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my return/forrn to IRS and to receive the following information from IRS: a) an acknowledgment of receipt or reason for rejection of transmission: b) the reason for any delay in processing or refund: and. c) the date of any refund. I am signing this Tax Return and Electronic Funds Withdrawal Consent, it applicable, by entering my Self-Select PIN below. Taxpayer's PIN: Date 09122018 Spouse's PIN: 719986 044)I.17 EFTA00792091
Form 114a Department of the Treasury Financial Crimes Enforcement Network (FinCEN) May 2015 Record of Authorization to Electronically File FBARs (See instructions below for completion) Do not send to FinCEN. Retain this form for your records. ANASTAS20170001 The form 114a may be digitally signed Part I I Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s) I. Owner last name or entity s legal name S I ROOCHENKO 2. Owner first name ANASTASIYA 3. Owner M.I. 4. Spouse last name of jointly filing FBAR • see instructions below) 5. Spouse first name 6. Spouse M.I. Vwe declare that Vwe have provided information concerning 1 (enter number of accounts) foreign bank and financial account(s) for the filing year ending December 31, 2 017 to the preparer listed in Part II: that this information is to the best of my/our knowledge true. correct, and complete; that Vwe authorize the preparer listed in Part II to complete and submit to the Financial Crimes Enforcement Network (FinCEN) a Report of Foreign Bank and Financial Accounts (FBAR) based on the information that Vwe have provided: and that Vwe authorize the preparer listed in Part II to receive information from FinCEN. answer inquiries and resolve issues relating to this submission. Vwe acknowledge that, notwithstanding this declaration, it is my/our legal responsibility, not that of the preparer listed in Part II, to timely file an FBAR if required by law to do so. 7. Owner signature (Authorized representative if entity) 8. Date 9. Owner or entity TIN ** * - ** 10. TIN a type b c L_I Ill 0 ON SSWITiN, Foreign MM DD YYYY 11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a L_I EIN type b O SSNATIN c O Foreign MM DD YYYY Part III Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to tile. 15. Preparer last name WEISS 16. Preparer first name DAVID 17. Preparer M.I. 18. Preparer PTIN 19. Address 183 MADISON AVE SUITE 803 20. City NEW YORK 21. State NY 22. ZIP/postal code 10016-4403 23. Country code US 24. Preparers (item 15) employer's (En ity) name DAVID WEISS CPA, PLLC 25. Employer EIN **_*** 26. Preparers ignature DAVID WEISS Instructions for completing the FBAR S gnature Authorization Record This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorized to perform such services. The completed record must be signed by the individuaksyentity grant ng the authorization (Part I) and the individuaVentity that will file the FBAR. The Preparer/filing entity must be registered with FinCEN BSA EFile system. (See http://bsaefilinglincentreas.gov/main.html for registration). Read and complete the account owner statement in Part I. To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I. items 1 through 3 (as required), sign and date the document in Part I, items 7)8 and complete items 9 and 10. Item 7 may be digitally signed. Accounts Jointly Owned by Spouses (see exceptions in the FBAR instructions) If the account owner is filing an FBAR jointly with his/her spouse, the spouse must also complete Part I, items 4 through 6. The spouse must also sign and date the report in items 11/12. (item 11 may be digitally signed) and complete items 13 and 14. A third party preparer may be one of the spouses of the jointly owned foreign account. In this case, both spouses must complete Part I of form 114a in its entirety. The third party preparer (spouse) that will file the FEAR on behalf of both spouses will complete Part II in its entirety (do not use such terms as see above, or same as item number a. Complete Part II• items 15 through 18 with the preparer's information. The address, items 19 through 23, is that of the preparer or the preparer's employer if the preparer is an employee. Record the employer's information (if any) in items 24 and 25. If the preparer does not have a PTIN. leave item 18 blank The third party preparer must sign in item 26 (digital signature acceptable) of Part II indicating that the FBAR will be filed as directed by the authorizing authority. The person(s) listed in Part I, and the person listed in Part II as authorized to file on behalf of the person(s) listed in Part I. should retain copies of this record of authorization and the filing itself, both for a period of 5 years. See 31 CFR 1010. 430(4 DO NOT SEND 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 REVENUE SERVICE CENTER P.O. BOX 37009 HARTFORD, CT 06176-7009 Siglit 06-15.1T ♦ DETACH HERE • Fe,. 4868 Dapartmonfolth? Ineaboy Iniunal Ficyno Sqrvico t991 Application for Automatic Extension of Time To File U.S. Individual Income Tax Return Fcr taxwela 7017 ar nibs tar ' ,gar Mooring 2017, anaino 201■ Part I I Identification 1 War. nanael ANASTASIYA SIROOCHENKO 2 * * that;u',.rltq rurrtis. * 3 Spouse's Social security numbee Part II I Individual Income Tax 4 Estimate of total tax liability for 2017 547,000. 5 Total 2017 payments 47,000. 6 Balance due. Subtract line 5 from line 4 500,000. 7 Amount you are paying ► 500,000. 8 Check here if you are 'out of the country and a U.S. citizen or resident 9 Check nye it you tile Form 1040fIR or 1040NR.E7 and did not ramse nasal as an employee sUojaci to U.S. income tax vollsnading ********* YF SIRO 30 0 201712 670 EFTA00792093
2018 Estimated Tax Worksheet Keep for Your Records 1 Adjusted gross income you expect in 2018 (see instructions) 2a Deductions • If you plan to itemize deductions, enter the estimated total of your Itemized deductions. These include qualifying home mortgage interest, charitable contributions, state and local taxes (up to $10,000). and medical expenses in excess of 7.5% of your income.' • If you dont plan to itemize deductions. enter your standard deduction. b If you qualify for the deduction under section 199A, enter the estimated amount of the deduction you are allowed on your qualified business income from a qualified trade or business c Add lines 2a and 2b Pk' 3 Subtract line 2c from line 1 4 Tax. Figure your tax on the amount on line 3 by using the 2018 Tax Rate Schedules. Caution: If you will have qualified dividends or a net capita( gain, or expect to exclude or deduct foreign earned Income or housing, see Worksheets 2-5 and 2-6 in Pub. 505 to figure the tax 6 Alternative minimum tax from Form 6261 or included on Form 1040A, line 28 6 Add lines 4 and 5. Add to this amount any other taxes you expect to include in the total on Form 1040. line 44 7 Credits (see instructions). Do not include any income tax withholding on this line 8 Subtract line 7 from fine 6. If zero or less, enter to- 9 SelfemploymeM tax (see instructions) 10 Other taxes (see instructions) 11a Add lines 8 through 10 b Earned income credit, additional child tax credit, fuel tax credit, net premium tax Tent, refundable American opportunity credit, and refundable credit from Form 8885 • c Total 2018 estimated tax. Subtract line llb from line 11a. If zero or less, enter Cic.. ► I 12a 12a Multiply line 11c by 90% (66 2/3% for farmers and fishermen) b Required annual payment based on prior year's tax (see instructions) 12b c Required annual payment to avoid a penalty. Enter the smaller of line 12a or 12b Caution: Generally, if you do not prepay (through income tax withholding and estimated ax payments) at least the amount on line 12c, you may owe a penalty for not paying enough estimated tax. To avoid a penalty, make sure your estimate on line d is Is as accurate as possible. Even if you pay the required annual payment, you may still owe tax when you file your return. If you prefer, you can pay the amount shown on line tic. For details, see chapter 2 of Pub. 505. 13 Income tax withheld and estimated to be withheld during 2018 (including income tax withholding on pensions, annuities, certain deferred income, etc.) 14a Subtract Me 13 from Me 12c ADJUSTED TO: 14a 643,080. Is the result zero or less? 0 Yes. Stop here. You are not required to make estimated tax payments. 0 No. Go to line 14b. b Subtract line 13 from Ile 11c 1 2a 2b 2c 3 4 5 6 7 8 9 10 11a 11b 11c 12c 13 14b Is the result less than $1,000? 0 Yes. Stop here. You are not required to make estimated tax payments. 0 No. Go to line 15 to figure your required payment. 16 If the first payment you are required to make is due April 17. 2018. enter 1/4 of Inc, 14a (minus any 2017 overpayment that you are applying to this instalknent) here, and on your estimated tax payment vouchers) if you are paying by check or money order 'When figuring your 2018 estimated taxes, and estimating your deductions, you might want to take into account that the standard deduction for all filing statuses has increased substantially and many itemized deductions have been eliminated or the deduction amount has been reduced. See the items under What's New. 15 Form 1040-ES (2018) 7104D1 03-06.1$ EFTA00792094
€ 1040-ES O Department of the Tr 12018 vic, nu Estimated Tax Payment Voucher Oae No 1545.00TA File only if you are making a p yment of estimated tax by check or money order. Mail this voucher with your check or money order payable to 'United States Treasury? Write your social security number a d '2018 Form 1040-ES- on your chec or money order. Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year - Due April 17, 2018 Amount of estimated t by check or money order. you are paying 0. our social security number Your first name and initi ANASTASIYA Your last name IROOCHENKO It mint payment, complet tor spouse Spouses first name and rubel Spouse s last riattt Spouses social security number Address (number, street, and apt. no.) City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.) NEW YORK, NY 10014 Foreign country name Foreign province/county Foreign postal code LHA For Privacy Act and Paperwork Reduction Act Notice, see i structions. CUT HERE MAIL TO: INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 710411 03-06.15 EFTA00792095
E 11,44.4-CO O Dvaiirnani ol !no Tioasury I LI- wammwermesorom payment n 2018 Voucher C Estimated Tax 01.03 No 1545.0074 ile my if you are making a p yment of estimated tax by check or money order. Mail this oucher with your check or m ney order payable to 'United States Treasury.' Write ou social security number a d '2018 Form 1040-ES' on your check or money order. Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year- Due June 15, 2018 Amount of estimated tax you are paying by check or money order. $ 200,000. I Print or type Your first name and initial ASTASIYA Your last name SIROOCHENKO Your social securib number ***_** It mint payment, complete tor spouse Spouse's first name and initial Spouse's last name Spouses social security number Address (number, street, and apt. no.) City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.) EW YORK, NY 10014 Foreign country name Foreign prownce/county Foreign postal code u-iA For Privacy Act and Paperwork Reduction Act Notice, see I structlons. CUT HERE MAIL TO: INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 710412 03-06.15 EFTA00792096
E I WW-CO ovaarnani ot tho neesury I wammwerwesxvice payment s •3 2018 Voucher 0 Estimated Tax CMS No 1S4SG074 ile only it you are making a p yment of estimated tax by check or money order. Mail this oucher with your check or m ney order payable to 'United States Treasury.' Write our social security number a d '2018 Form 1040-ES' on your chec or money order. Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year- Due Sept. 17.2018 Amount of estimated by check or money order. tax you are paying s 0. i Print or type Your first name and initial ANASTASIYA Your last name SIROOCHENKO our social security number ***_** It mint payment, complete tor spouse Spouse's first name and initial Spouse's last name Spouses social security number Address (number, street, and apL no.) i , sae, an co e. a °reign address, enter city, also complete spaces below.) NEW YORK, NY 10014 Foreign country name Foreign province/county Foreign postal code Lae, For Privacy Act and Paperwork Reduction Act Notice, see I structions. CUT HERE MAIL TO: INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 Qr O 7104Z1 03-06-18 EFTA00792097
E I LISJ-CO O Dopanment of Ow Treasury I Li- wwmmwenwenice rayment 2018 Voucher Estimated Tax OMB rig. ile only if you are making a p yment of estimated tax by check or money order. Mail this oucher with your check or m ney order payable to 'United States Treasury.' Write our social security number a d '2018 Form 1040-ES' on your check or money order. Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year -Due Jan. 15, 2019 Amount of estimated tax you are paying by check or money order. $ 0 . I Print or type Your first name and initi I ANASTASIYA Your last name ISIROOCHENKO our social security number ***_** It mint payment, complet tor spouse Spouse's first name and mbar Spouse s last ire Spouse's social security number Address number. street, and a' f. no. City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.) NEW YORK, NY 10014 Foreign country name Foreign province/county Foreign postal code LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions. CUT HERE MAIL TO: INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007 710422 03-0015 EFTA00792098
E 1040 U.S. Individual Income Tax Return 12017 For I-Onc 31, 2017. Cr ("arta. year noon Your lust name and initial ANASTASIYA If a joint return, spouse's first name and initial 110 Last name S IROOCHENKO Last name 00.43 No. 1545.0074 2017. andn9 EIS Deo only - Do not write or staple In INS abater. 20 See separate IngtrUCtian You social socially number * ** SPoteWe social socially dumber }come address (number and street). If you have a M. )ox, see instructions. Apt no. 1.14ie sure the 6514063047 • and on line 6c ore correct. City, town or post office. state. and ZIP cm*. If you have a foreign oaks. also COMplateflecos below. NEW YORK, NY 10014 Foreign country name Foreign province/state/county Foreign postal code Presidential ttection campaign Check hoed you, or your spools if filing jointly, want 53 to go to thisl NI Cntedo go box below will not change your tax a refund You 0 use Filing Status Check only one box. Exemptions 6a LXJ Yourself. If someone can claim you as a dependent, do not check box 6a 1 IX.J Single 2 0 Married filing jointly (even if onl one had income) 3 0 Married filing separately. Enter spouses SSN above and full name here. No 4 I I Head of household (with qualifying person). If the qualifying person i a child but not your dependent, enter this child's name he e. ► 5 0 Qualifying widow(er) (see instructions) If more than four dependents, see instructions and 0 check here pi. Dependents: Di FaSt NW. Lai name (2)04peridenEs social security nurnbor IN 040Ondenl. relatkentAlp tO yOu NI/2MM Mitt ig f 17 eilegng bi du lot of dt d Total number of exemptions claimed Income Attach Form(s) W-2 here. Also attach Forms W-2G and 1099-R if tax was withheld. If you did not get a W-2. see instructions. 7 Wages, salaries, tips, etc. Attach Form(s) W-2 8a Taxable interest. Attach Schedule B if required b Tax-exempt interest. Do not include on line 8a 9a Ordinary dividends. Attach Schedule B if required b Qualified dividends I ab 10 11 12 13 14 Other gains or (losses). Attach Form 4797 15a IRA distnbutions 16a Pensions and annuities Il5a I I b Taxable amount 16a b Taxable amount 17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 18 Farm income or (loss). Attach Schedule F 19 Unemployment compensation 20a Social security benefits 120a I P b Taxable amount 21 Other income. List type and amount 22 Combine the amounts in the tar right column for lines 7 through 21. This is /our total Income 23 Educator expenses Canton business expenses of reservist. palming artists, and frobbaSIS90oWnmant 24 Whops Attach Form 2106 a 2106-92 25 Health savings account deduction. Attach Form 8889 26 Moving expenses. Attach Form 3903 27 Deductible part of self-employment tax. Attach Schedule SE 28 Self-employed SEP, SIMPLE, and qualified plans 29 Self-employed health insurance deduction 30 Penalty on early withdrawal of savings 31a Alimony paid b Recipient's SSN 32 IRA deduction 33 Student loan interest deduction 34 Tuition and fees. Attach Form 8917 35 Domestic production activities deduction. Attach Form 8903 36 Add lines 23 through 35 Boxes cracked on Co and Eb No of children 6c no. imed with you 1:1 *did not Ivo with you due to divorce a Separation Ihoe inatnicticobl Dependents on 6c not entered above Add Nantes on lines., above P"' Taxable refunds, credits, or offsets of state and local income taxes Alimony received Business income or (loss). Attach Schedule C or C-EZ Capital gain or (loss). Attach Schedule D if required. If not required, check here ► 7 8a 740. 9a 10 11 12 13 14 15b 16b 17 18 19 20b 21 22 1,645,140. ► 1,645,880. Adjusted Gross Income 23 24 25 26 27 28 29 30 31a 32 33 34 35 29,916. 710701 02-2208 37 Subtract line 36 from line 22. This is your adjusted gross income ► 36 37 29,916. 1,615,964. LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. tam 1040 u, EFTA00792099
Turn 1040 (JOIN ANASTASIYA SIROOCHENKO ** *_ **a Tax and 38 Amount from line 37 (adjusted gross income) Credits 39a Check 0 You were born before January 1953, 0 Blind. Total boxes Spouse was born before January 2, 1953, ILI Blind. checked ► 39a Decbction lor • People vitro L b If your spouse itemizes on a separate return or you were a dual-status alien, check here ► 39b Oak any box on line 39a a 40 39b Wren° can be earned Da a 41 Subtract line 40 from line 38 dependent. see instructIOna. 42 43 44 45 • a °thaw 46 Single or Married 9109 47 sePoWely. $6.$50 48 hurled ring 49 jointly or Orman/Mg 50 *Wooled. $12.7C0 51 ',Qom 52 housonow. $9.950 53 54 55 Add lines 48 through 54. These are your total credits 56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0- Itemized deductions (from Schedule A) or your standard deduction (see left margin) Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see inst Taxable Income. Subtract line 42 from line 41.11 line 42 is more than line 41 enter -0- Tax. Check if any from: a Form(s)8814 b I= Form 4972 e LJ Alternative minimum tax. Attach Form 6251 Excess advance premium tax credit repayment Attach Form 8962 Add lines 44, 45, and 46 ► Foreign tax credit. Attach Form 1116 if required 48 Credit for child and dependent care expenses. Attach Form 2441 49 Education credits from Form 8863, line 19 50 Retirement savings contributions credit Attach Form 8880 51 Child tax credit Attach Schedule 8812, it required 52 Residential energy credits. Attach Form 5695 53 Other credits from Form' a ILI 3800 b c 8801 GO 64 38 Pada 2 1,615,964. 40 41 42 43 44 45 46 47 209,297. 1,406,667. 0. 1,406,667. 512,859. 512,859. 55 56 57 58 59 60a 60b 61 62 63 512,859. 57 Self-employment tax. Attach Schedule SE Other 58 Unreported social security and Medicare tax from Form: a El 4137 b C 8919 gip Taxes 59 Additional tax on IRAs, other qualified retirement plans, et. Attach Form 5329 if required 60a Household employment taxes from Schedule H b First-time homebuyer credit repayment Attach Form 5405 it required 61 Health care: Individual responsibility (see instructions) PSI-year coverage 62 Taxes from: a Form 8959 b M Form 8960 c Q hut enter cadets) STATEMENT 2 63 Add lines 56 through 62. This is your total tax leo 59,832. 11,896. 584,587. Payments 64 Federal income tax withheld from Forms W-2 and 1099 65 2017 estimated tax payments and amount applied from 2016 return USa Earned income credit (EIC) b Nontaxable combat pay election j 66b I 67 Additional child tax credit Attach Schedule 8812 68 American opportunity credit from Form 8863. line 8 69 Net premium tax credit Attach Form 8962 70 Amount paid with request for extension to file 71 Excess social security and tier 1 RRTA tax withheld 72 Credit for federal tax on fuels. Attach Form 4136 73 Credits from Farm: a El 2439 b I=Icinnoc C18885 dp 74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments II you nave a quality hg CMd, attach Schedule EIC. 64 65 66a 47,000. 67 68 69 70 71 72 73 500,000. 74 75 78a STATEMENT 3 547,000. Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here ► Sea orcod,cmv kcoutr ilo. hit vind I9* C Iwo Otokirg 0 Wags dour= I r "" (m** 77 Amount of line 75 you want applied to your 2018 estimated tax O• I 77 I Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions ► You Owe 79 Estimated tax penalty (see instructions) Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? I X I Yes Complete below. r bor (pm Designee F„',0iiirslo.DAVID WEISS P,r10.212 -695 -5771 ' 6711:110.433491 Personal la Sign &evil:tabu of mug'. !dean OW I hot tatnnoi Pis ram a,, aCCOopanyngmbeadcsaynotr d Stoccu liminpaIT w Daytime phone number ind N the halo) Inoltclpt and cue tern Pue.cortocl. and ex uratly Id al atm gnis and SOUPS 0 irCOsle l prom:I dung tax yew. (Winton of vont (Who than totem o ) is tond all oformilion of rMushmaw has ny wooer. Here Yore Ognairre Dare 43Int reIum? Pea InstruCtIont Keep a copy Spouses Signature. r a phi punt, both must sir Dale PIXOTO OcCupabon tot yore record& 79 I 700 . 78 38,287. T DEALER el me PS SOU you an Went Pro can PIT enw t here ProOTTPa Prepow's nano PrepaWssIgthvre Paid Preparer DAVID WEISS DAVID WEISS Use Only Fkranarmil*DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 Date Caeca I I it PTIN salt employed Firm'e EN Hamann 212-695-5771 Ila * T1009202-22.19 Floladdiess li'NEW YORK, NY 10016-4403 EFTA00792100
F.. 2210 Departmeni ol Ina Tioaran Internal Revenue $GMCO Underpayment of Estimated Tax by Individuals, Estates, and Trusts ► Go to www.irs.gov/Form2210 for instructions and the latest information. ► Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ or 1041. O,143 No 1.5 15 0074 2017 Attaamani So ice NO 06 Name(s) shown on tax r turn ANASTASIYA SIROOCHENKO Identifying number Do You Have To File Form 2210? Yes ► Complete Ines 1 through 7 below. Is line 7 less than $1.000? Don't file Form 2210. You dont owe a penalty. Yes lir No Complete lines 8 and 9 below. Is line 6 equal to or more than line 9? You don't owe a penalty. Don't file Form 2210 (but if box E n Part II applies, you must file page 1 of Form 2210). Yes No You may owe a penalty. Does any box in Part II below apply? You must file Form 2210. Does box B, C, or D in Part II apply? Don't file Form 2210. You aren't required to figure your penalty because the IRS will figure it and send you a bill for any unpaid amount. If you want to figure it, you may use Part III or Part IV as a worksheet and enter your penalty amount on your tax return, but don't file Form 2210. Yes ► You must figure your penalty. You aren't required to figure your penalty because the IRS will figure it and send you a bil for any unpaid amount. If you want to figure it. you may use Part III or Part IV as a worksheet and enter your penalty amount on your tax retum, but file only page 1 of Form 2210. 'Part I I R equire nnual Paymen t 1 Enter your 2017 tax alter credits from Form 1040, line 56 (see instructions it not filing Form 1040) 2 Other taxes, including self-employment tax and, it applicable, Additional Medicare Tax and/or Net Investment Income Tax (see instructions) 3 Refundable credits, including the premium tax credit (see instructions) 4 Current year tax. Combine lines 1, 2, and 3. If less than $1,000. stop; you don't owe a penalty. Don't file Form 2210 5 Multiply line 4 by 90%(0.90) I 5 I 526,128. 6 Withholding taxes. Don't include estimated tax payments (see instructions) 7 Subtract line 6 from line 4. If less than $1,000, stop;you don't owe a penalty. Don'tfile Form 2210 8 Maximum required annual payment based on prior years tax (see instructions) 9 Required annual payment. Enter the smaller of line 5 or line 8 Next Is line 9 more than line 6? No. You don't owe a penalty. Don't file Form 2210 unless box E below applies. M Yes You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II bebw applies. • If box B, C, or D applies, you must figure your penalty and file Form 2210. • If box A or E applies (but not B, C, or D) file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS will figure it and send you a bill for any unpaid amount If you want to figure your penalty, you may use Part III or IV as a worksheet and enter your penalty on your tax return, but file only page 1 of Form 2210. 1 2 3 4 512,859. 71,728. 584,587. 6 7 8 9 584,587. 41,820. 41,820. I Part III Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210. A Li You request a waiver (see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you aren't required to figure your penalty. B 0 You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210. C 0 Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income installment method. You must figure the penalty using Schedule Al and file Form 2210. D 0 Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was actually withheld, instead of in equal amounts on the payment due dates. You must figure your penalty and file Form 2210. E 0 You filed or are filing a joint return for either 2016 or 2017, but not for both years, and line 8 above is smaller than line 5 above. You must file page 1 of Form 2210. but you aren't required to figure your penalty (unless box 8, C, or D applies). LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 2210 (2017) 7125DI 01-0515 d A EFTA00792101
ftimmoamn ANASTASIYA SIROOCHENKO Regular Method (See the instructions if you aro filing Form 1040NR or 1040NR.EZ.) Section A - Figure Your Underpayment Payment Due Dates (a) 4/15/17 (b) 615/17 (c) 9115/17 (d) 1/15/18 18 Required Installments. If box C in Part II applies, enter the amounts from Schedule Al, line 25. Otherwise, enter 25% (0.25) of line 9, Form 2210, in each column 19 Estimated lax pad and tax Williheld. For caumn (a) any. NA NW IN amount from lino 19 on lino 23. II in, 1918 Neal to a more than line la lot all payment pada*. Stop haft yOu dart ose a penalty. Don't file Form 2210 unless you checked a box In Part II Complete lines 20 through 26 of one column before going to line 20 of the next column. 20 Enter the amount, if any, from line 26 in the previous column 21 Add lines 19 and 20 22 Add Me smalls on lines 24 and 25 In IN apnea Gelatin 23 Subtract line 22 from line 21. If zero or less, enter -0-. Far column (a) only, enter the amount from line 19 24 If line 23 is zero, subtract line 21 from line 22. Otherwise, enter -0- 25 Underpayment. If line 18 is equal to or more than line 23, subtract line 23 from line 18. Then go to line 20 of the next column. Otherwise, go to line 26 ► 26 Overpayment. If line 23 is more than line 18, subtract line 18 from line 23. Then go to line 20 of the next column 18 10,455. 10,455. 10,455. 10,455. 19 47,000. 20 21 47,000. 22 10,455. 20,910. 31,365. 23 0 . 0 . 0 . 15,635. 24 10,455. 20,910. 25 10,455. 10,455. 10,455. 26 age 3 c ion 13 - Figure the Penalty (Use the Worksheet for Form 2210, Part IV. Section 8 Figure the Penalty in the instructions.) 27 Penalty. Enter the total penalty from line 14 of the Worksh et for Form 2210, Part IV. Section B - Figure the Penalty. Also include this amount on Form 1040, line 79; Form 1040A, line 51; Form 1040NR. line 76; Form 1040NR-EZ, line 26; or Form 1041, line 26. Don't file Form 2210 unless you checked a box In Part II Form 2210(2017) SEE ATTACHED WORKSHEET 27 700. 712491 01-05-18 EFTA00792102
UNDERPAYMENT OF ESTIMATED TAX WORKSHEET .I ANASTASIYA SIROOCHENKO ti II f , I t *** ** -Dr,le B AMOvil. (C) Adyusted Balance Due ) gi I ,,,D.,,, E DJ FYI i , Rate -0- 04/15/17 10,455. 10,455. 61 .000109589 70. 06/15/17 10,455. 20,910. 92 .000109589 211. 09/15/17 10,455. 31,365. 122 .000109589 419. 01/15/18 10,455. 41,820. 01/15/18 -47,000. -5,180. Penalty Due (Sum of Column F). 700. • Date of estimated tax payment. withholding credit date or installment due date. 04.01.17 EFTA00792103
SCHEDULE A (Form 1040) Department of the heaps), Internal Revenue Soma (9) itemized Deductions MAR No. 1545-01)74 lo. Go to www.irs.gov/ScheduleA for instructions and the latest information. llla Attach to Form 1040. GMMOM II vnu am (gammon A tint nt 'Althoff (1 omelet form on Form 46144 see the twaintenons lot Imo 2017 Attachment SeRt cty V ert harrie01) shown on noun 1040 ANASTASIYA SIROOCHENKO Social nut do . N • ***:.**_ Medical Caution: Do not include expenses reimbursed or paid by others. and 1 Medical and dental expenses (see instructions) SEE STATEMENT 6 1 3,836. 0 . Dental 2 Enter amount from Form 1040, line 38 I 211,615,964. Expenses 3 Multiply Me 2 by 7.5% (0.075) 3 121,197. 4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -O. I 4 Taxes You 5 State Paid a and fl local (check only one Income taxes, or l box): SEE STATEMENT 4 5 227,641. 227,641. b 0 General sales taxes 6 Real estate taxes (see instructions) 6 7 Personal property taxes 7 8 Other taxes. List type and amount Illi. 8 9 Add lines 5 through 8 Is Interest 10 Home mortgage interest and points reported to you on Form 1098 10 You Paid 11 Home mortgage interest not reported to you on Form 1098. If paid to the person from whom you bought the home. see instructions and show that person's name. Identifying no.. and address P .„.. Note: Z t 11 Your mortgage 12 Points not reported to you on Form 1098. See instructions for special rules interest 12 deduction may 13 Mortgage insurance premiums (see instructions) 13 be limited (see 14 Investment interest. Attach Form 4952 if required. See instructions 14 instructions). 15 Add lines 10 through 14 115 Gifts to 16 Gifts by cash or check If you made any gift of $250 or more, see instructions 16 22,290. STMT 5 22,290. Charity 17 Other than by cash or check. If any gift of $250 or more, see instructions. If you made a You must attach Form 8283 if over 5500 .1 17 gift and got a benefit for it, 18 Carryover from prior year 18 see instructions. 19 Add lines 16 through 18 , 19 Casualty and 20 Casualty or theft loss(es) other than net qualified disaster losses. Attach Form 4684 Theft Losses enter the amount from line 18 of that form. See instructions . . . . and 20 Job Expenses 21 Unreimbursed employee expenses - job travel, union dues. job education. etc. and Certain Attach Form 2106 or 2106.EZ if required. See instructions. IIIP Miscellaneous Deductions 21 22 Tax preparation fees 22 23 Other expenses • investment, safe deposit box, etc. Ust type and amount P 23 24 Add lines 21 through 23 24 25 Enter amount from Form 1040, line 38 1261 26 Multiply line 25 by 2% (0.02) 26 27 Subtract line 26 from line 24. If line 26 is more than line 24. enter 43. 27 Other 28 Other • from list in instructions. Ust type and amount P Miscellaneous Deductions 28 29 Is Form 1040, line 38. over $156,900? Il) No. Your deduction is not limited. Add the amounts in the far tight column Total for lines 4 through 28. Also. enter this amount on Form 1040. line 40. STMT 7 29 209,297. Itemized Deductions 30 If check El you Yes. Your deduction may be limited. See the Itemized Deductions Worksheet in the instructions to figure the amount to enter. elect to itemize deductions even though they are less than your standard deduction. here P. 0 LHA 1,5501 02.27-18 For Paperwork Reduction Act Notice, see the Instructions for Form 1040. Schedule A (Form 1040) 2017 EFTA00792104
SCHEDULE B (Form 1040A or 1040) Dopattmenl M the Trinity Internal Revenue Service OM tremolo Nwwn Col Mu Interest and Ordinary Dividends ► Attach to Form 1040A or 1040. ► Go to www.Irs.gov/ScheduleB for instructions and the latest information. OMR No IS45.0374 2017 AllachmaM SoeupiceNo.08 ANASTASIYA SIROOCHENKO Part I Interest Ov W nurtber Note: If you received a Form 10991NT, Form 1099O1D, or substitute statement from a brokerage firm. list the firm's name as the payer and enter the total interest shown on that tom 1 List name of payer. If any interest is from a seller.financed mortgage and the buyer used the property as a personal residence, see the instructions and list this interest first. Also, show that buyer's social security number and address ► CHASE UNICREDIT BANK AUSTRIA AG 2 Add the amounts on line 1 3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 4 Subtract line 3 from line 2. Enter the result here and on Form 1040k or Form 1040, line 8a ► 740. 740. 3 4 740. Note: If line 4 is over $1,500, you must complete Part III Amount Part II Ordinary Dividends Note: If you received a Form 1099DIV or substitute statement from a brokerage firm. list the firm's name as the payer and enter the ordinary dividends shown on that form. 5 List name of payer ► 6 Add the amounts on line 5. Enter the total here and on Form 1040k or Form 1040. line 9a Note: If line 6 is over $1,500, you must complete Part III. Part III You must complete this part if you (a) had over $1.500 of taxable interest or ordinary dividends: (b) had a foreign account: or (c) received a distribution from. or were a grantor of, or a transferor to. a foreign trust. Foreign 7a At any time during 2017, did you have a financial interest in or signature authority over a financial account (such Accounts as a bank account, securities account, or brokerage account) located in a foreign country? See instructions and If -Yes,' are you required to file FinCEN Form 114, Report of Foreign Bank and Estancia] Accounts (FBAR), Trusts to report that financial interest or signature authority? See FinCEN Form 114 and its instructions for filing requirements and exceptions to those requirements b If you are required to file FinCEN Form 114. enter the name of the foreign country where the financial account is located ► AUSTRIA 8 During 2017, did you receive a distribution from, or were you the grantor of, or transferor to, a foreign trust? Yes X No X 727501 ID-25.17 If -Yes? you may have to file Form 3520. See instructions X LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Schedule B (Form 1040A or 1040) 2017 EFTA00792105
SCHEDULE C (Form 1040) Damartmeni a tN TreabaY Profit or Loss From Business (Sole Proprietorship) ► Go to WWII. ts.gov/ScheduleC for instructions and the latest Information. Internal Remota Sanaa Nth Illu• Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. Name 0 PrOraMf OMB NO. 1545.0074 ANASTASIYA SIROOCHENKO A Principal business or profession, including product or service (see instructions) RENTAL REAL ESTATE C Business name. If no separate business name, leave blank. LVIV ENTERPRISES LLC E Business address (including suite or room no.) pi. F H J 2017 AMthmM SimoneNO.09 Social socuilly numb.' ISSN) B En ode from Msnetkals ► 531390 D Encloyet ID number MINION Met/ City, town or post office, state, and ZIP code Accounting method: (1) Cash (2) Accrual (3) Other (specify)► Did you 'Materially participate' in the operation of this business during 2017? If 'No; see instructions for limit on losses M Yes Q No If you started or acquired this business during 2017, check here Did you make any payments in 2017 that would require you to file Form(s) 1099? (see instructions) if 'Yes; did you or will you file required Forms 1099? Yes MI No Yes ILI No Part I I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the 'Statutory employee' box on that form was checked IIII•C 1 2 Returns and allowances 2 3 Subtract line 2 from line 1 3 4 Cost of goods sold (from line 42) 4 5 Gross profit. Subtract line 4 from line 3 5 6 Other income, including federal and state gasoine or fuel tax credit or refund (see instructions) 6 7 Gross income. Add lines 5 and 6 I, 7 I Part III Expenses. Enter expenses for business use ofyour home only on line 30. 8 Advertising 8 18 Office expense 18 9 Car and truck expenses 19 Pension and profit-sharing plans 19 (see instructions) 9 20 Rent or lease (see instructions): 10 Commissions and fees 10 a Vehicles, machinery, and equipment 20a 11 Contract labor (see instructions) 11 b Other business properly 20b 12 Depletion 12 21 Repairs and maintenance 21 13 Depreciation and section 179 22 Supplies (not included in Part Ill) 22 expense deduction (not included in 23 Taxes and licenses 23 Part Ill) (see instructions) 13 24 Travel, meals, and entertainment 14 Employee benefit programs (other a Travel 24a than on line 19) 14 b Deductible meals and 15 Insurance (other than health) 15 entertainment (see instructions) 246 16 Interest: I_ 25 Utilities 25 a Mortgage (paid to banks, etc.) lea 26 Wages (less employment credits) 26 ti Other 16b 27 a Other expenses (from tine 48) 27a 6 8 8 . 17 Legal and professional services 17 b Reserved for future use 27b 28 Total expenses before expenses for business use of home. Add tines 8 through 27a Iti. 28 6 8 8 . 29 Tentative profit or (loss). Subtract line 28 from line 7 29 6 8 8 . 30 Expenses for business use of your home. Do no report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. 31 —688. • if a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment ih this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you must attach Form 6198. Your loss may be limited. LliA For Paperwork Reduction Act Notice, see the separate instructions. 322 LE Arrinvestmom is • dn. 32b El Somet Imeatmot is no al ask Schedule C (Form 1040) 2017 720001 10-21.17 EFTA00792106
Schedule C (Form 1040)2017 ANASTASIYA SIROOCHENKO Part III I Cost of Goods Sold (see instructions) 33 Metnod(s) used to value closing inventory: a K Cost b K Lower of cost or market c Other (attach explanation) Page 2 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If Yes," attach explanation Yes No 35 Inventory at beginning of year. If different from last years closing inventory, attach explanation 36 Purchases less cost of items withdrawn for personal use 37 Cost of labor. Do not include any amounts paid to yourself 38 Materials and supplies 39 Other costs 40 Add lines 35 through 39 41 Inventory at end of year 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 "16> 35 36 37 38 39 40 41 42 Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the Instructions for line 13 to find out if you must file Form 4562. 43 When did you place your vehicle in service for business purposes? (month, day, year) ► / 44 Of the total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle for: a Business b Commuting c Other 45 Was your vehicle available for personal use during off-duty hours? EI Yes No 46 Do you (or your spouse) have another vehicle available for personal use? EI Yes No 47 a Do you have evidence to support your deduction? b If Yes, is the evidence written? Yes Yes No No Part V Other Expenses. List below business expenses not included on lines 8-26 or line 30. FILING FEE BANK SERVICE CHARGES POSTAGE DUES & SUBSCRIPTIONS 7 5 . 160. 450. 48 Total other expenses. Enter here and on line 27a 48 688. 70002 I0-21.17 S hedule C (Form 1040) 2017 EFTA00792107
SCHEDULE C (Form 1040) mownemoitiaoakr, Interns/ Revenue Smits 1901 Name OtPtOrtbalCr Profit or Loss From Business (Sole Proprietorship) ► Go to wairs.gov/ScheduleC for instructions and the latest information. *Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065. 0/AR NO. 1545.0374 2017 AMthrnOM Sequence N0.O9 ANASTASIYA SIROOCHENKO A Principal business or profession, including product or service (see instructions) ART DEALER C Business name. If no separate business name, leave blank. SUBLIME ART LLC E Business address (including suite or room no.)► 244 FIFTH AVE #1590 sociwwwilynombeeMM BEntarcod4Rommsrumm ► 453920 D Employe' ID Norte. IEIN Se wnt) * * *** City, town or post office, state, and ZIP code NEW YORK, NY 10001 F Accounting method: (1) L_I Cash (2) Lyi Accrual (3) Lj Other (specify) la. G Did you materially participate' in the operation of this business during 2017? If 'No; see instructions for limit on losses M Yes 0 No H If you started or acquired this business during 2017, check here P• 0 I Did you make any payments in 2017 that would require you to file Form(s) 1099? (see instructions) 0 Yes MI No J If 'Yes; did you or will you file required Forms 1099? 0 Yes ILI No Part I I Income 1 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on Form W-2 and the "Statutory employee' box on that form was checked 2 Returns and allowances 3 Subtract line 2 from line 1 4 Cost of goods sold (from line 42) 5 Gross profit. Subtract line 4 from line 3 6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) 7 Gross income. Add lines 5 and 6 ► Int l Expenses. Enter expenses for business use ofyour home only on line 30. 8 9 10 11 12 13 14 15 16 17 28 Total expenses before expenses for business use of home. Add fines 8 through 27a ► 29 Tentative profit or (loss). Subtract line 28 from line 7 30 Expenses for business use of your home. Do no report these expenses elsewhere. Attach Form 8829 unless using the simplified method (see instructions). Simplified method filers only: enter the total square footage of: (a) your home: and (b) the part of your home used for business: Use the Simplified Method Worksheet in the instructions to figure the amount to enter on line 30 31 Net profit or (loss). Subtract line 30 from line 29. • If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see instructions). Estates and trusts, enter on Form 1041, line 3. • If a loss, you must go to line 32. 32 If you have a loss, check the box that describes your investment m this activity (see instructions). • If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3. • If you checked 32b, you mustattach Form 6198. Your loss may be limited. LkiA For Paperwork Reduction Act Notice, see the separate instructions. 3,230,000. 2 3 4 5 6 7 3,230,000. 1,285,000. 1,945,000. 1,945,000. Advertising 8 4 , 850 . 18 Office expense Car and truck expenses 19 Pension and profit-sharing plans (see instructions) 9 20 Rent or lease (see instructions): Commissions and fees 10 225,000. a Vehicles, machinery, and equipment Contract labor (see instructions) , Depletion 11 b 21 Other business property Repairs and maintenance 12 Depreciation and section 179 22 Supplies (not included in Part III) expense deduction (not included in 23 Taxes and licenses Part III) (see instructions) 13 24 Travel, meals, and entertainment Employee benefit programs (other a Travel than on line 19) 14 b Deductible meals and Insurance (other than health) 15 1,159. entertainment (see instructions) Interest: 25 Utilities a Mortgage (paid to banks, etc.) 16a 26 Wages (less employment credits) b Other 16b 27 a Other expenses (horn line 48) Legal and professional services 17 12,000. b Reserved for future use 18 19 20a 20b 21 22 23 5,519. 24a 24b 25 26 27a 27b 28 29 48,958. 1,686. 299,172. 1,645,828. 30 _31 1,645,828. 32a ILI MI investment math*. 320 Is not Al ilac Schedule C (Form 1040)2017 720001 10.2I.17 EFTA00792108
Schedule C (Form 1040)2017 ANASTASIYA SIROOCHENKO Part Ill I Cost of Goods Sold (see instructions) 33 Method(s) used to value closing inventory: a K Cost b Lower of cost or market ***_**IIIII Page 2 c Other (attach explanation) 34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory? If Yes," attach explanation Yes No 35 Inventory at beginning of year. If different from last years closing inventory, attach explanation 36 Purchases less cost of items withdrawn for personal use 37 Cost of labor. Do not include any amounts paid to yourself 38 Materials and supplies 39 Other costs 40 Add lines 35 through 39 41 Inventory at end of year 35 36 1,285,000. 37 38 39 40 1,285,000. 41 42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 42 1,285,000. Part IV Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9 and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must file Form 4562. 43 44 When did you place your vehicle in service for business purposes? (month, day, year) II. / Of the total number of miles you drove your vehicle during 2017, enter the number of miles you used your vehicle for: a Business b Commuting c Other 45 Was your vehicle available for personal use during off-duty hours? EI Yes No 46 Do you (or your spouse) have another vehicle available for personal use? EI Yes No 47 a Do you have evidence to support your deduction? Yes No b If Yes:' is the evidence written? Yes No Part V I Other Expenses. List below business expenses not included on lines 8-26 or line 30. PAYROLL PROCESSING FEES EXHIBITIONS FILING FEE 801. 860. 25. 48 Total other expenses. Enter here and on line 27a 48 1,686. 721:002 I0-21.17 S hedule C (Form 1040) 2017 EFTA00792109
SCHEDULE SE (Form 1040) Doconmen1 of :no INOISixy Interne/ Rovonoo Wolof Self-Employment Tax 0 Go to www.irs.gov/ScheduleSE for instructions and the latest Information. 0 Attach to Form 1040 or Form 1040NR. OMB No ItAS-0074 2017 'Maar-await arca NO 17 Name of person with self-employment income (as shown on Form 1040 or Form 1040NR) ANASTASIYA SIROOCHENKO Social security number of person with self-employment income ► Before you begin: To determine if you must file Schedule SE. see the instructions. May I Use Short Schedule SE or Must I Use Long Schedule SE? Note: Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SEM the instructions. Did you receive wages or tips In 2017? No I Yes 4 Are you a minister, member of a religious order, or Christian Science practitioner who received IRS approval notto be taxed on earnings from these sources, but you owe self-employment tax on other earnings? ir No Are you using one of the optional methods to figure your net earnings (see instructions)? No Did you receive church employee i come (see instructions) reported on Form W-2 of $10828 r more? j, No You may use Short Schedule SE below Yes No Yes Was the total of your wages nd tips subject to social security or railroad retirement (tier 1) tax plus your net earnings from self-employment more than $127,200? Yes 10 Yes, No Did you receive tips subject to social security or Medicare tax that you didn't report to our employer? Yes Yes t No Did you report any wages on Form 8919, Uncollected Social Security and Medicare Tax o Wages? 4 • •.! You must use Long Schedule SE on page 2 Section A-Short Schedule SE. Caution: Read above to see if you can use Short Schedule SE. la Net farm profit or (loss) from Schedule F, line 34. and farm partnerships. Schedule K1 (Form 1065), box 14, code A b If you received social security retirement or disability benefits, enter the amount of Conservation Reserve Program payments included on Schedule F. line 4b. or listed on Schedule K1 (Form 1065), box 20, code Z 2 Net profit or (loss) from Schedule C. line 31: Schedule C.EZ. line 3: Schedule K1 (Form 1065), box 14, code A (other than farming): and Schedule (Form 10658). box 9. code J1. Ministers and members of religious orders. see instructions for types of income to report on this line. See Instructions for other income to report STMT 8 3 Combine lines la, 1 b, and 2 4 Multiply line 3 by 92.35% (0.9235). If less than $400, you dont owe selfemployment tax:don't file this schedule unless you have an amount on line 1 b ► Note: If line 4 is less than $400 due to Conservation Reserve Program payments on line 1 b, see instructions 5 Self-employment tax. If the amount on Me 4 is: • $127.200 or less, multiply line 4 by 15.3% (0.153). Enter the result here and on Form 1040, line 57, or Form 1040NR, line 55 • More than $127200. multiply line 4 by 2.9% (0.029). Then, add $15,772.80 to the result. Enter the total here and on Form 1040, line 57, or Form 1040NR, line 55 6 Deduction for one-half of self-employment tax. line 5 by 50% (0.50). Enter the result here and on Mu Form 1040 line 27, or Form 1040NR line 27 6 29,916. ltiply la lb 2 3 1,645,140. 1,645,140. 4 1,519,287. 5 59,832. LHA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule SE (Form 1040) 2017 724501 ID-20.17 EFTA00792110
DOES NOT APPLY Wm 6251 Dofdarnon1 011153 lialif42). internal Ravenna SONIC.) 619) Alternative Minimum Tax - Individuals Go to vnvw.irs.gov/Form6251 for instructions and the latest information. ► Attach to Form 1040 or Form 1040NR. Narnefs) shown on Form 1040 or Form 1040NR ANASTASIYA SIROOCHENKO OMR No 1545.0374 2017 AttatNnOnt aa SEP.SICO NO 4Z Your social security number Part I I Alternative Minimum Taxable Income 1 If filing Schedule A (Form 1040). enter the amount from Form 1040. line 41, and go to line 2. Otherwise, enter the amount from Form 1040, line 38, and go to line 7. (If less than zero. enter as a negative amount.) 2 Reserved for future use 3 Taxes from Schedule A (Form 1040). line 9 4 Enter the home mortgage interest adjustment. if any, from line 6 of the worksheet In the instructions for this line 5 Miscellaneous deductions from Schedule A (Form 1040), line 27 6 If Form 1040, line 38, is $156.900 or less, enter 0% Otherwise, see instructions 7 Tax refund from Form 1040. line 10 or line 21 8 Investment interest expense (difference between regular tax and AMT) 9 Depletion (difference between regular tax and AM1) 10 Net operating loss deduction from Form 1040, line 21. Enter as a positive amount 11 Alternative tax net operating loss deduction 12 Interest from specified private activity bonds exempt from the regular tax 13 Qualified small business stock, see instructions 14 Exercise of incentive stock options (excess of AMT income over regular tax income) 15 Estates and trusts (amount from Schedule K1 (Form 1041), box 12, code A) 16 Electing large partnerships (amount from Schedule K1 (Form 106543). box 6) 17 Disposition of property (difference between AMT and regular tax gain or loss) 18 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) 19 Passive activities (difference between AMT and regular tax income or loss) 20 Loss limitations (difference between NAT and regular tax income or loss) 21 Circulation costs (difference between regular tax and AMT) 22 Longterm contracts (difference between AMT and regular tax income) 23 Mining costs (difference between regular tax and AMT) 24 Research and experimental costs (difference between regular tax and MIT) 25 Income from certain installment sales before January 1. 1987 26 Intangible drilling costs preference 27 Other adjustments, including incomebased related adjustments 28 Alternative minimum taxable income. Combine lines 1 through 27. (If married filing separately and line 28 is more than $249.450. see instructions.) 1 1,406,667. 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 227,641. -40,634. 28 1,593,674. part It I Alternative Minimum Tax (AMT) 29 Exemption. (If you were under age 24 at the end of 2017. see instructions.) IF your filing status Is... AND line 28 Is not over... THEN enter on line 29... Single or head of household $120,700 $54.300 Married filing jointly or qualifying wiclow(er) 160,900 84,500 Married filing separately 80,450 42.250 If line 28 is over the amount shown above for your filing status, see instructions 30 Sutoact line 29 from lino 28.11 mato Man an. go lo lino 31. II aro 04 lea. enter .0. Info OM on loos 31.33. and 35. and do to lino 34 31 • If you are filing Form 2555 or 2555-EZ. see instructions for the amount to enter. • If you reported capital gain distributions directly on Form 1040, line 13; you reported qualified dividends on Form 1040. line 9b: or you had a gain on both lines 15 and 16 of Schedule D (Form 1040) (as refigured for the AMT, if necessary), complete Part III on page 2 and enter the amount from line 64 here. • All others: If line 30 is $187,800 or less ($93,900 or less if married filing separately), multiply line 30 by 26% (0.26). Otherwise, multiply line 30 by 28% (028) and subtract $3.756 ($1.878 if married filing separately) from the result. 32 Alternative minimum tax foreign tax credit (see instructions) 33 Tentative minimum tax. Subtract line 32 from line 31 34 Add Form 1040. line 44 (minus any tax from Form 4972). and Form 1040, line 46. Subtract from the result any foreign tax credit from Form 1040, line 48. If you used Sch J to figure your tax on Form 1040, line 44, refigure that tax without using Schedule J before completing this line (see instructions) 35 AMT. Subtract fine 34 from fine 33. If zero or less, enter '0. Enter here and on Form 1040, line 45 29 0. 30 1,593,674. 31 442,473. 32 33 442,473. 34 35 512,859. 0. 219551 01-11.15 LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Form 6251 (2017) EFTA00792111
Form 6251 17) ANASTASIYA SIROOCHENRO (20 Part III I Tax Computation Using Maximum Capital Gains Rates ***_**.= Page 2 Complete Part Ill only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions. 36 Enter the amount from Form 6251. line 30. If you are filing Form 2555 or 255.5•EZ, enter the amount from line 3 of the worksheet in the instructions for line 31 37 Enter the amount from line 6 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040. line 44, or the amount from line 13 of the Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040), whichever applies (as refigured for the AMT, if necessary) (see instructions). If you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 38 Enter the amount from Schedule D (Form 1040), line 19 (as refigured for the AMT, if necessary) (see instructions). If you are filing Form 2555 or 2555•EZ, see instructions for the amount to enter 39 If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT. enter the amount from line 37. Otherwise, add lines 37 and 38, and enter the smaller of that result or the amount from line 10 of the Schedule D Tax Worksheet (as refigured for the NAT, if necessary). If you are filing Form 2555 or 255.5•EZ. see instructions for the amount to enter 40 Enter the smaller of line 36 or line 39 41 Subtract line 40 from line 36 42 If line 41 is $187,800 or less ($93,900 or less if married filing separately), multiply line 41 by 26% (0.26). Otherwise. multiply line 41 by 28% (028) and subtract $3,756 ($1.878 if manled filing separately) from the result No. 43 Enter: • $75.900 if manled filing jointly or qualifying widow(er), • $37.950 if single or married filing separately, or • $50.800 if head of household. 44 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040, line 44, or the amount from line 14 of the Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040), whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter the amount from Form 1040. line 43: if zero or less, enter O. If you are filing Form 2555 or 255.5•EZ, see instructions for the amount to enter 45 Subtract line 44 from line 43. If zero or less, enter 46 Enter the smaller of line 36 or line 37 47 Enter the smaller of line 45 or line 46. This amount is taxed at 0% 48 Subtract Ine 47 from line 46 49 Enter: • $418,400 if single • $235,350 if manled filing separately • $470,700 if manled filing jointly or qualifying widow(er) • $444,550 if head of household 50 Enter the amount from line 45 51 Enter the amount from line 7 of the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040. line 44. or the amount from line 19 of the Schedule D Tax Worksheet, whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax. enter the amount from Form 1040, line 43: if zero or less, enter .0% If you are Sing Form 2555 or Form 2555•EZ, see instructions for the amount to enter 52 Add rile 50 and line 51 53 Subtract line 52 from line 49. If zero or less, enter 43- 54 Enter the smaller of line 48 or line 53 55 Multiply line 54 by 15% (0.15) ► 56 Add lines 47 and 54 If lines 56 and 36 are the same, skip lines 67 through 61 and go to line 62. Otherwise, go to line 67. 67 Subtract line 56 from line 46 58 Multiply line 57 by 20% (0.20) ► If line 38 is zero or blank, skip lines 69 through 61 and go to line 62. Otherwise, go to line 59. 59 Add Ines 41, 56, and 57 60 Subtract line 59 from line 36 61 Multiply line 60 by 25% (0.25) ► 62 Add lines 42. 55, 58, and 61 63 If line 36 is $187,800 or less ($93,900 or less if married filing separately), multiply line 36 by 26% (0.26). Othenvise, multiply line 36 by 28% (0.28) and subtract $3,756 ($1.878 if married filing separately) from the result 64 Enter the smaller of line 62 or line 63 here and on line 31. If you are filing Form 2555 or 255542, do not enter this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31 ..................... . 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 719891 01.11.18 Form 6251 (2017) EFTA00792112
Form 8959 Department a the Trnasuy Inmate/ Revenue Service Additional Medicare Tax ► If any line does not apply to you, leave it blank. See separate instructions. ► Attach to Form 1040, 1040NR, 1040-PR, or 1040-SS. ► Go to www.irs.gov/Form8959 for instructions and the latest Information, Olt No, 1505.00T0 2017 Artachrnenl gemeanco No, 71 Name(s) shown on return ANA S TAS I YA S I ROOCHENKO Your social security number Part I Additional Medicare Tax on Medicare Wa 1 Medicare wages and tips from Form W2. box 5. If you have more than one Form W-2, enter the total of the amounts from box 5 1 2 Unreported tips from Form 4137, line 6 2 3 Wages from Form 8919, line 6 3 4 Add lines 1 through 3 4 5 Enter the following amount for your filing status: Married filing jointly $250,000 Married filing separately $125,000 Single, Head of household, or Qualifying widow(er) $200,000 5 6 Subtract line 5 from line 4. If zero or less. enter 0- 6 7 Additional Medicare Tax on Medicare wages. Multiply line 6 by 0.9% (0.009). Enter here and go to Part II I 7 Part II Additional Medicare Tax on Self-Employment Income g es 8 Self•employment income from Schedule SE (Form 1040), Section A, line 4, or Section B, line 6. If you had a loss. enter 4• (Form 1040•PR and Form 1040•SS filers, see instructions.) 8 1,519,287. 9 Enter the following amount for your filing status: Married filing jointly $250,000 Married filing separately $125,000 Single. Head of household, or Qualifying widow(er) $200,000 9 200,000. 10 Enter the amount from line 4 10 11 Subtract line 10 from line 9. If zero or less. enter 0- 11 200,000. 12 Subtract line 11 from line 8. If zero or less, enter .0- 12 1,319,287. 13 Additional Medicare Tax on self•employment income. Multiply line 12 by 0.9% (0.009). Ente here and go to Part III 13 11,874. Part Ill Additional Medicare Tax on Railroad Retirement Tax Act (RRTA) Compensation 14 Railroad retirement (ARTA) compensation and tips from Form(s) W2, box 14 (see instructions) 14 15 Enter the following amount for your filing status: Married filing jointly $250.000 Married filing separately $125.000 Single, Head of household, or Qualifying wIclow(er) $200,000 15 16 Subtract line 15 from line 14. If zero or less, enter .0- 17 Additional Medicare Tax on railroad retirement (ARTA) compensation. Multiply line 16 by 16 0.9%10.009). Enter here and go to Part IV 17 Part IV Total Additional Medicare Tax 18 Add lines 7, 13. and 17. Also include this amount on Form 1040. line 62. (Form 1040NR. 1040-PR, and 1040SS filers. see instructions) and go to Part V 18 11,874. Part V Withholding Reconciliation 19 Medicare tax withheld from Form W-2, box 6. If you have more than one Form W-2. enter the total of the amounts from box 6 20 Enter the amount from line 1 21 Multiply line 20 by 1.45% (0.0145). This is your regular Medicare tax withholding on Medicare wages 22 Subtract line 21 from line 19. If zero or less, enter {I-. This is yourAdditional Medicare Tax withholding on Medicare wages 23 Additional Medicare Tax withholding on railroad retirement (RRTA) compensation from Form W-2, box 14 (see instructions) 24 Total Additional Medicare Tax withholding. Add lines 22 and 23. Also Include this amount with federal income tax withholding on Form 1040, line 64 Form 1040NR. 1040PR. and 1040SS filers, see instructions) 19 20 21 22 23 24 723111 I2-13-17 LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Form 8959 (2017) EFTA00792113
Form 8960 Departmeni of fro Treasisy internal Revers* Service (22) Name(s) shown on your tax return ANA S TAS I YA S I ROOCHENKO Part I Investment Income ILI Section 6013(g) election (see instructions) Section 6013(h) election (see instructions) Regulations section 1.1411.10(g) election (see instructions) Net Investment Income Tax - Individuals, Estates, and Trusts ► Attach to your tax return. ► Go to www.Irs.gov/Form8960 for instructions and the latest Information me No. 1545.2227 2017 Attachmeni sequence No. 72 Your social easily number or EIN 1 Taxable interest (see instructions) 2 Ordinary dividends (see instructions) 3 Annuities (see instructions) 4a Rental real estate, royalties, partnerships, S corporations, trusts, etc. (see instructions) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business (see instructions) c Combine Ines 4a and 4b 6a Net gain or loss from disposition of property (see instructions) b Net gain or loss from disposition of property that is not subject to net investment income tax (see instructions) c Adjustment from disposition of partnership interest or S corporation stock (see instructions) d Combine Ines 5a through 5c 6 Adjustments to investment income for certain CFCs and PFICs (see instructions) 7 Other modifications to investment income (see instructions) 8 Total investment income. Combine lines 1. 2, 3.4c. 5d. 6. and 7 Part II Investment Expenses Allocable to Investment Income and Modifications 9a Investment interest expenses (see instructions) b State. local. and foreign income tax (see instructions) c Miscellaneous investment expenses (see instructions) d Add lines 9a. 9b, and 9c 10 Additional modifications (see instructions) 11 Total deductions and modifications. Add lines 9d and 10 Part III Tax Computation 12 Net investment income. Subtract Part II. line 11 from Part I, line 8. Individuals complete lines 13- 17. Estates and trusts complete lines 18a•21. If zero or less, enter Individuals: 13 Modified adjusted gross income (see instructions) 13 1,615,964. 14 Threshold based on filing status (see instructions) C 14 15 Subtract line 14 from line 13. If zero or less. enter 15 16 Enter the smaller of line 12 or line 15 17 Net investment income tax for individuals. Multiply line 16 by 3.8% (.038).Enter here and Include on your tax return (see instructions) Estates and Trusts: 18a Net investment income (line 12 above) 18a b Deductions for distributions of net investment income and deductions under section 642(c) (see instructions) c Undistributed net investment income. Subtract line 18b from 18a (see instructions). If zero or less, enter 0• 19a Adjusted gross income (see instructions) b Highest tax bracket for estates and trusts for the year (see instructions) c Subtract line 19b from line 19a. If zero or less, enter .0- 20 Enter the smaller of line 18c or line 19c 200,000. 1,415,964. 1 2 3 740. 4c A 5cl 6 7 8 740. 9a 9b 9e 168. 9d 10 11 168. 168. 18b 18c 19a 19b 19c 21 Net investment income tax for estates and trusts. Multiply line 20 by 3.8% (.038). Enter here and Include on your tax return (see instructions) LHA For Paperwork Reduction Act Notice, see your tax return Instructions. Form 8960 (2017) 12 572. 16 572. 17 22. 20 21 723121 12-22-17 EFTA00792114
Lines 9 and 10 - Application of Itemized Deduction Limitations on Deductions Properly Allocable to Investment Income Worksheet Part I - Application of Section 67 to Deductions Properly Allocable to Investment Income 1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to investment income before any itemized deduction limitations (Description and Form 8960 line number where they'll be reported): Description Line Amount (a) (b) 2. Enter the total of all items listed in line 1 2. 3. Enter the amount of all Miscellaneous Itemized Deductions after the application of the section 67 limitation (Schedule A (Form 1040), line 27) 3. 4. Enter the lesser of the total reported on line 2 or line 3 4. Part II - Application of Section 67 Limitation to Specific Deductions (B) IF line 3 is less than line 2. THEN divide . line 3 by line 2 AND P H enter the amount in column (B). IF amounts reported (C) Multiply the 4 are equal, THEN in column (A) by the (A) li t!P ilit' on Part I. lines 2 and individual amoums enter 1.00 in column amount in column Reenter the amounts and descriptions from Part I, line 1. B (B). Description Line Amount (a) X = (b) X = i Individuals - Use the amounts in column (C) on Part Ill, line I, to determine the amount of these deductions that are TI P allowable after the application of the section 68 limitation. Estates or trusts - Enter the amounts in column (C) in the appropriate location on lines 9 and 10. Don't complete Parts III or IV of this worksheet. Keep for Your Records 123351 01-10-18 EFTA00792115
Lines 9 and 10 - Application of Itemized Deduction Limitations on Deductions Properly Allocable to Investment Income Worksheet - continued Keep for Your Records Part III - Application of Section 68 to deductions properly allocable to investment income (Individuals Only) 1. Enter the amount of Miscellaneous Itemized Deductions properly allocable to investment income from column (C) of Part II: Description Line Amount (a) (b) 2. Enter the amount of state, local, and foreign Income taxes that are properly allocable to investment income 2. 168. 3. Enter the amounts of other Itemized Deductions subject to the section 68 limitation and properly allocable to investment income before any itemized deduction limitations (Description and Form 8960 line number where they'll be reported): Description Line Amount (a) (b) 4. Enter the total deductions properly allocable to investment Income subject to the section 68 limitation. Enter the sum of lines 1 through 3 4. 5. Enter the amount of total itemized deductions reported on Form 1040 5. 209,297 . 6. Enter all other itemized deductions allowed but not subject to the section 68 deduction limitation: (a) Investment Interest Expense (b) Casualty Losses (other than losses described in section 165(cX1)) (c) Medical Expenses (d) Gambling Losses (e) Total of lines 6(a) through 6(d) 8e. 7. Subtract line 6e from line 5 7. & Enter the lesser of line 7 or line 4 8. TIP 168. 209,297. 168. This is the amount of itemized deductions that are properly allocable to investment income after the application of the sections 67 and 68 deduction limitations. Use Part IV of this worksheet to reconcile this amount to the Individual deduction amounts reported on Form 8960, lines 9 and 10. Part IV - Reconciliation of Schedule A Deductions to Form 8960, lines 9 and 10 (Individuals Only) (A) Reenter the amounts and descriptions from Part III, lines 1 3. Miscellaneous Itemized Deductions properly allocable to investment Income: Description Line Amount 1. (a) (b) 2. State, local, and foreign income taxes Itemized Deductions Subject to Section 68 included on Line 3 of Part III: 3. (a) (b) X X 168. x X X (B) IF Part III, line 8 is less than Part III. line 4. THEN divide line 8 by line 4 AND enter the amount in column (B). IF the amounts reported on Part III, lines 4 and 8 are equal. THEN enter 1.00 in column (Ell. 1.0000 (C) Multiply the individual amounts in column (A) by the amount in column (B). Enter these amounts in the appropriate location on lines 9 and 10. 68. 72325201-10.M EFTA00792116
Form 8960 Net Investment Income Tax - Individuals, Estates, and Trusts 2017 NEW YORK Name(s) Your social securi number or EIN ANASTASIYA SIROOCHENKO Part I Investment Income U Section 6013(g) election Regulations section 1.1411.10(g) election 1 Taxable interest (Form 1040, line 8a: or Form 1041, line 1) 2 Ordinary dividends (Form 1040. line 9a: or Form 1041. line 2a) 3 Annuities from nongualified plans 4a Rental real estate, royalties, partnerships. S corporations, trusts, etc. (Form 1040, line 17: or Form 1041, line 5) b Adjustment for net income or loss derived in the ordinary course of a non•section 1411 trade or business c Combine lines 4a and 4b 6a Net gain or loss from disposition of property from Form 1040. combine lines 13 and 14; or from Form 1041. combine lines 4 and 7 b Net gain or loss from disposition of property that is not subject to net investment income tax c Adjustment from disposition of partnership interest or S corporation stock d Combine lines 5a through 5c 6 Changes in investment income for certain CFCs and PFICs 7 Other modifications to investment income 8 Total investment income. Combine lines 1. 2. 3. 4c. 5d. 6. and 7 A- Part II State Income Tax Pro-ration for 2017 Income Tax Payments 9 State total income 10 State income tax payments for 2017 11 2017 state income tax payments attributable to Investment Income. line 8 divided by line 9 times line 10 Part III State Income Tax Pro-ration for 2016 Estimate Payments Made in 2017 12 State estimate payments for 2016 13 Percent of state income taxes attributable to investment income for 2016 14 2016 state estimate payments attributable to investment income. Line 12 times lino 13 Part IV State Income Tax Pro-ration for Balance of Prior Years Tax Plus Extension Pa 0. 1 2 3 740. 0. 4c 0. 6d 6 7 8 0. 740. y 9 10 11 1,615,964. 205,000. 12 13 14 94. ments Paid in 2017 15 Balance of prior years tax plus extension payments paid in 2017 16 Percent of state income taxes attributable to investment income for 2016 17 Balance of prior years tax and extension payments attributable to investment income. Line 15 times line 16 15 9,641. 16 .007631 17 74. Part V Reduction of State Tax Deduction 18 Reduction of state tax deduction 19 Percent of state income taxes attributable to investment income for 2016 20 Reduction of state tax deduction attributable to investment income. Line 18 times line 19 18 ) 19 20 ) Part VI Total State Income Tax Payments Attributable to Investment Income 21 Combine lines 11. 14. 17 and 20. Carry to Form 8960. Line 9 Worksheet. Part III. line 2 21 168. Form 8960 (2017) 723,6i 04.01.17 EFTA00792117
ANASTASIYA SIROOCHENKO FORM 1040 PERSONAL EXEMPTION WORKSHEET STATEMENT 1 1. IS THE AMOUNT ON FORM 1040, LINE 38, MORE THAN THE AMOUNT SHOWN ON LINE 4 BELOW FOR YOUR FILING STATUS? NO. STOP. MULTIPLY $4,050 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED ON FORM 1040, LINE 6D, AND ENTER THE RESULT ON LINE 42. YES. CONTINUE 2. MULTIPLY $4,050 BY THE TOTAL NUMBER OF EXEMPTIONS CLAIMED ON FORM 1040, LINE 6D 4,050. 3. ENTER THE AMOUNT FROM FORM 1040, LINE 38 1,615,964. 4. ENTER THE AMOUNT FOR YOUR FILING STATUS 261,500. SINGLE $261,500 MARRIED FILING JOINTLY OR WIDOW(ER) $313,800 MARRIED FILING SEPARATELY $156,900 HEAD OF HOUSEHOLD $287,650 5. SUBTRACT LINE 4 FROM LINE 3. IF THE RESULT IS MORE THAN $122,500 ($61,250 IF MARRIED FILING SEPARATELY), STOP. ENTER -0- ON LINE 42 1,354,464. 6. DIVIDE LINE 5 BY $2,500 ($1,250 IF MARRIED FILING SEPARATELY). IF THE RESULT IS NOT A WHOLE NUMBER, INCREASE IT TO THE NEXT HIGHER WHOLE NUMBER (FOR EXAMPLE, INCREASE 0.0004 TO 1) 7. MULTIPLY LINE 6 BY 2% (.02) AND ENTER THE RESULT AS A DECIMAL 8. MULTIPLY LINE 2 BY LINE 7 9. SUBTRACT LINE 8 FROM LINE 2. TOTAL TO FORM 1040, LINE 42. FORM 1040 OTHER TAXES STATEMENT 2 DESCRIPTION AMOUNT FROM FORM 8959 11,874. FROM FORM 8960 22. TOTAL TO FORM 1040, LINE 62 11,896. STATEMENT(S) 1, 2 EFTA00792118
ANASTASIYA SIROOCHENKO FORM 1040 CURRENT YEAR ESTIMATES AND STATEMENT 3 AMOUNT APPLIED FROM PREVIOUS YEAR DESCRIPTION AMOUNT 4TH QTR ESTIMATE PAYMENT 47,000. TOTAL TO FORM 1040, LINE 65 47,000. SCHEDULE A STATE AND LOCAL INCOME TAXES STATEMENT 4 DESCRIPTION AMOUNT OTHER STATE AND LOCAL INCOME TAXES NEW YORK 4TH QTR ESTIMATE PAYMENTS NEW YORK PRIOR YEAR BALANCE DUE AND EXTENSION PAYMENTS 13,000. 205,000. 9,641. TOTAL TO SCHEDULE A, LINE 5 227,641. SCHEDULE A CASH CONTRIBUTIONS STATEMENT 5 DESCRIPTION AMOUNT AMOUNT AMOUNT 100% LIMIT 50% LIMIT 30% LIMIT BYRD HOFFMAN WATER MILL FOUNDATION 22,000. DRAWING CENTER 250. VARIOUS ORGANIZED CHARITIES 40. SUBTOTALS 22,290. TOTAL TO SCHEDULE A, LINE 16 22,290. SCHEDULE A MEDICAL AND DENTAL EXPENSES STATEMENT 6 DESCRIPTION AMOUNT MEDICAL INSURANCE PREMIUMS PAID 3,836. TOTAL TO SCHEDULE A, LINE 1 3,836. STATEMENT(S) 3, 4, 5, 6 EFTA00792119
ANASTASIYA SIROOCHENKO SCHEDULE A ITEMIZED DEDUCTIONS WORKSHEET STATEMENT 7 1. ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4, 9, 15, 19, 20, 27, AND 28. 2. ENTER THE TOTAL OF THE AMOUNTS FROM SCHEDULE A, LINES 4, 14, AND 20, PLUS ANY GAMBLING AND CASUALTY OR THEFT LOSSES INCLUDED ON LINE 28 AND ANY QUALIFIED CONTRIBUTIONS INCLUDED ON LINE 16. 3. IS THE AMOUNT ON LINE 2 LESS THAN THE AMOUNT ON LINE 1? IF NO, YOUR DEDUCTION IS NOT LIMITED. ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 29. IF YES, SUBTRACT LINE 2 FROM LINE 1. 4. MULTIPLY LINE 3 BY 80% (.80). 199,945. 5. ENTER THE AMOUNT FROM FORM 1040, LINE 38. 1,615,964. 6. ENTER $313,800 IF MARRIED FILING JOINTLY OR QUALIFYING WIDOW(ER); $287,650 IF HEAD OF HOUSEHOLD; $261,500 IF SINGLE; OR $156,900 IF MARRIED FILING SEPARATELY. 261,500. 7. IS THE AMOUNT ON LINE 6 LESS THAN THE AMOUNT ON LINE 5? IF NO, YOUR DEDUCTION IS NOT LIMITED. ENTER THE AMOUNT FROM LINE 1 ABOVE ON SCHEDULE A, LINE 29. IF YES, SUBTRACT LINE 6 FROM LINE 5. 1,354,464. 8. MULTIPLY LINE 7 BY 3% (.03). 40,634. 9. ENTER THE SMALLER OF LINE 4 OR LINE 8. 249,931. 0. 249,931. 40,634. 10. TOTAL ITEMIZED DEDUCTIONS. SUBTRACT LINE 9 FROM LINE 1. ENTER THE RESULT HERE AND ON SCHEDULE A, LINE 29. 209,297. SCHEDULE SE NON-FARM INCOME STATEMENT 8 DESCRIPTION AMOUNT ART DEALER RENTAL REAL ESTATE 1,645,828. -688. TOTAL TO SCHEDULE SE, LINE 2 1,645,140. STATEMENT(S) 7, 8 EFTA00792120
DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 (212) 695-5771 SEPTEMBER 12, 2018 ANASTASIYA SIROOCHENKO NEW YORK, NY 10014 DEAR ANASTASIYA: ENCLOSED ARE YOUR 2017 NEW YORK INCOME TAX RETURN AND 2018 ESTIMATED TAX VOUCHERS. THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN FORM TR-579-IT TO OUR OFFICE BY MAIL, E-MAIL OR FAX (212-695-5772). WE WILL THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE NY TAX DEPT, AND NO FURTHER ACTION IS REQUIRED. DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE NY TAX DEPT. RETURN FORM TR-579-IT TO US AS SOON AS POSSIBLE (BY OCTOBER 15, 2018). YOUR OVERPAYMENT IN THE AMOUNT OF $11,263 HAS BEEN APPLIED TO YOUR STATE DECLARATION OF ESTIMATED TAX. NO PAYMENT IS REQUIRED. NEW YORK ESTIMATED TAX VOUCHERS: SEPARATELY MAIL VOUCHERS 1 AND 2 OF THE DECLARATION OF ESTIMATED TAX AS SOON AS POSSIBLE. ENCLOSE YOUR CHECK FOR $60,000, PAYABLE TO NEW YORK STATE INCOME TAX. INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE WORDS "2018 FORM IT-2105" ON YOUR CHECK. MAIL TO - NYS ESTIMATED INCOME TAX PROCESSING CENTER P.O. BOX 4122 BINGHAMTON, NY 13902-4122 FOR AND YOUR REFERENCE WE HAVE LISTED ALL ESTIMATED THEIR ORIGINAL DUE DATES BELOW. TAX PAYMENTS VOUCHER NO. 1 BY 04/17/18 NO PAYMENT REQUIRED VOUCHER NO. 2 BY 06/15/18 $60,000 VOUCHER NO. 3 BY 09/17/18 NO PAYMENT REQUIRED VOUCHER NO. 4 BY 01/15/19 NO PAYMENT REQUIRED EFTA00792121
YOUR COPY OF THE RETURN IS ENCLOSED FOR YOUR FILES. WE SUGGEST THAT YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS EFTA00792122
DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 (212) 695-5771 SEPTEMBER 12, 2018 ANASTASIYA SIROOCHENKO IIM NEWYORI NY 14 DEAR ANASTASIYA: ENCLOSED ARE YOUR NEW YORK LLC FORMS. THESE RETURNS HAVE QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURNS FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN TR-579-PT TO OUR OFFICE. WE WILL THEN SUBMIT YOUR ELECTRONIC RETURNS TO THE NYS DEPT OF TAXATION. DO NOT MAIL A PAPER COPY OF THE RETURNS TO THE NYS DEPT OF TAXATION. RETURN TR-579-PT TO US BY MARCH 15, 2018. PLEASE REFER TO THE NY IT-204-LL ACH DEBIT REPORT FOR BANK INFORMATION. YOUR COPY OF THE RETURN IS ENCLOSED FOR YOUR FILES. WE SUGGEST THAT YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS EFTA00792123
2017 TAX RETURN FILING INSTRUCTIONS NEW YORK INCOME TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2017 Prepared for ANASTASIYA SIROOCHENKO NEW YORK, NY 10014 Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total tax $ 208,789 Less: payments and credits S 220,397 Plus: interest and penalties S 345 OVERPAYMENT S 11,263 Overpayment Miscellaneous Donations $ \ 0 Credited to your estimated tax $ 11,263 ad. Refunded to you $ 0 Make check payable to NOT APPLICABLE Mail tax return and check (if applicable) to THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN FORM TR-579- IT TO OUR OFFICE. WE WILL THEN SUBMIT YOUR ELECTRONIC RETURN TO THE NY TAX DEPT. Return must be mailed on or before RETURN FORM TR -579- IT TO US BY OCTOBER 15, 2018. Special Instructions DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE NY TAX DEPT. 700051 04-01.17 EFTA00792124
2018 ESTIMATED TAX FILING INSTRUCTIONS NEW YORK ESTIMATED TAX FOR THE YEAR ENDING DECEMBER 31, 2018 Prepared for ANASTASIYA SIRO HENKO NEW YORK, NY 10014 Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total Estimated Tax Less credit from prior year Less amount already paid on 2018 estimate Balance due $ Payable in full or In Installments as follows: 11:!Plir Installment Amount Due Date 71,263 11,263 0 60,000 No.1 $ 0 APRIL 17, 2018 No.2 $ 60,000 JUNE 15, 2018 No.3 $ 0 SEPTEMBER 17, 2018 No.4 $ 0 JANUARY 15, 2019 Make check payable to NEW YORK STATE INCOME TAX Mail voucher and check (if applicable) to NYS ESTIMATED INCOME TAX PROCESSING CENTER P.O. BOX 4122 BINGHAMTON, NY 13902-4122 Special Instructions MAIL EACH VOUCHER ON OR BEFORE THE DATE INDICATED ABOVE. ENCLOSE YOUR CHECK FOR THE SPECIFIED AMOUNT, PAYABLE TO NEW YORK STATE INCOME TAX. INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE WORDS "2018 FORM IT-2105" ON YOUR CHECK. 700011 04-01-17 EFTA00792125
TAX RETURN FILING INSTRUCTIONS NEW YORK FORMS IT-204-LL Prepared for ANA TA IYA IRO HENKO NEW YORK, NY 10014 Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Filing Fee $25 FOR EACH ENTITY A 0 Make check payable to NOT APPLICABLE fr—:1411; Mail form and check (if applicable) to THESE RETURNS HAVE QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURNS FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN TR-579- PT TO OUR OFFICE BY MAIL, E-MAIL ([email protected]) , OR FAX ( 212-695-5772) . WE WILL THEN SUBMIT YOUR ELECTRONIC RETURNS TO THE NYS DEPT OF TAXATION. Form must be separately mailed by RETURN TR -579- PT TO US BY MARCH 15, 2018. Special Instructions DO NOT MAIL THE PAPER COPIES OF THE RETURNS TO THE NYS DEPT Of TAXATION. PLEASE REFER TO THE NY IT-204-LL ACH DEBIT REPORT FOR BANK INFORMATION. 700301 W.01.17 EFTA00792126
/NEW YORK STATE 2017th Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return originator (ERO): Do not mai this form to the Tax Department. Keep it for your records. Taxpayers name: ANASTASIYA SIROOCHENKO Purpose Form TR579•IT must be completed to authorize an ERO to efile a personal income tax return and to transmit bank account information for the electronic funds withdrawal. General Instructions Taxpayers must complete Part B before the ERO transmits the taxpayer's electronically filed Form IT•201, ResWent Income Tax Return, IT.201•X, Amended Resident Income Tax Return, IT-203, NonresWent and Part-Year Resident Income Tax Return, IT.203.X, Amended Nonresident and Part-Year Resident income Tax Return, 1T-214, Claim for Real Property Tax Credit, INNC•208, Claim for New York City Enhanced Real Property Tax Credit, or NYC210, Cialm for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR579•IT. Spouse's name: Oointly filed return ony) 788351 12.29-17 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT•201, IT•201.X.11.203, IT•201X. M214, NYC•208, and NY0210). Both the paid preparer and the ERO are required to sign Part C. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Please note that an alternative signature can be used as described in Publication 58. Information for Income Tax Return Preparers. Go to our website at www.tax.ny.gov to view this document. Do not mail Form TR-579-IT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form I1370, Application for Automatic Six-Month Extension of Time to File for Individuals. See Form TR,579.14T, New York State Taxpayer Authorization for Electronic Funds Withdrawal for Tax Year 2017 Form IT-370 and Tax Year 20%8 Form IT-2105. Part A - Tax return information Federal adjusted gross income (from applicable line) Refund 1 2 3 Amount you owe 4 Financial institution routing number 5 Financial institution account number 6 Account type: D Personal checking D Personal savings Business checking Business savings Si 1615964 0 1. 2. 3. 4. 5. Part B Declaration of taxpayer and authorizations for Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Under penalty of perjury, I declare that I have examined the information on my 2017 New York State electronic personal income tax return, including any accompanying schedules, attachments, and statements, and certify that my electronic return is true. correct, and complete. The ERO has my consent to send my 2017 New York State electronic return to New York State through the Internal Revenue Service (IRS). In addition, by using a computer system and software to prepare and transmit my form electronically, I consent to the disclosure to New York State of all information pertaining to the transmission of my tax form electronically. I understand that by executing this Form TR-579-IT, I am authorizing the ERO to sign and file this return on my behalf and agree that the ERO's submission of my personal income tax return to the IRS. together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State personal income taxes due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on my 2017 electronic return, and authorized the financial institution to withdraw 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 prior to the payment date. Taxpayers signature: Date: Spouse's signature: (jointly filed return on Date: Part C Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in this 2017 New York State electronic personal income tax returns the information furnished to me by the taxpayer. If the taxpayer furnished me a completed paper 2017 New York State retum signed by a paid preparer, I declare that the information contained in the taxpayer's 2017 New York State electronic return is identical to that contained in the paper copy of the return. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2017 New York State electronic personal income tax retum, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparer's signature: DAVID WEISS Print name: DAVID WEISS Date: Date: TR -579-IT (12/17) 1019 EFTA00792127
er NEW YORK 2017 - Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 for Forms IT-204 and IT-204-LL Electronic return originator (ERO): Do not marl this form to the Tax Department. Keep it for your records. Partnership name: SUBLIME ART LLC Return type (mark an X to indicate which tom you are efiling): 11%204 Purpose Form TR•579.PT must be completed to authorize an ERO to efile Form IT.204, Partnership Return, or Form IT204LL, Partnership, Limiter/ Liability Company, and Limited Liability Partnership Filing Fee Payment Form. For the purposes of this form, all three forms of business entities will be referred to hereinafter as a partnership. General Instructions Part A must be completed by an authorized member or general partner before the ERO transmits the electronically filed Form IT•204 or IT204LL. EROs must complete Part B prior to transmitting an electronically fled Form IT•204 or IT•204LL X IT•204LL 788375 12.13-17 Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO. he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Note that an alternative signature can be used as described in Publication 58, Information for Income Tax Return Preparers Go to our website at www.tax.ny.gov to view this document. Do not mall Form TR-579-PT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form IT•370-PF, Application for Automatic Extension of Time to File for Partnerships and Fiduciaries. Financial institution information for Form IT-204-LL filers(must be present if electronic payment Isauthorized) 1 Amount owed on return 2 Financial institution routing number 3 Financial institution account number 4 Account type: D Personal checking D Personal savings S a Q X Business checking ID Business savings 25. Part A - Declaration of authorized member or general partner and authorizations for Form IT-204 or IT-204-LL Under penalty of penury, I declare that I have examined the information on this 2017 New York State electronic partnership return, including any accompanying schedules, attachments, and statements, and certify that this electronic return is true, correct, and complete. The ERO has my consent to send this 2017 New York State electronic partnership return to New York State through the Internal Revenue Service (IRS). I understand that by executing this Form TR•579PT, I am authorizing the ERO to sign and fie this return on behalf of the partnership and agree that the ERO's submission of the partnership's return to the IRS, together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State partnership fees due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2017 electronic return, and authorized the financial institution to withdraw 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 prior to the payment date. Signature of authorized member or general partner. Print your name and title: ANASTAS IYA S IROOCHENKO MEMBER Date: Part B - Declaration of ERO and paid preparer Under penalty of penury, I declare that the information contained in this 2017 New York State electronic partnership return is the information furnished to me by the partnership. If the partnership furnished me a completed paper 2017 New York State partnership return signed by a paid preparer, I declare that the information contained in the partnership's 2017 New York State electronic partnership tax return is identical to that contained in the paper return. If I am the paid preparer. under penalty of perjury I declare that I have examined this 2017 New York State electronic partnership tax return. and. to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparers signature: Print name: DAVID WEISS Date: Date: TR-579-PT (12/17) 1019 EFTA00792128
er NEW YORK 2017 - Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2017 for Forms IT-204 and IT-204-LL Electronic return originator (ERO). Do not mail this form to the Tax Department. Keep it for your records. Partnership name: LVIV ENTERPRISES LLC Return type (mark an X to indicate which form you are &filing): 11%204 Purpose Form TR•579.PT must be completed to authorize an ERO to efile Form IT.204, Partnership Return, or Form IT204LL, Partnership, Limited Liability Company, and Limited Liability Partnership Filing Fee Payment Form. For the purposes of this form, all three forms of business entities will be referred to hereinafter as a partnership. General Instructions Part A must be completed by an authorized member or general partner before the ERO transmits the electronically filed Form M204 or IT204LL. EROs must complete Part B prior to transmitting an electronically fled Form IT•204 or IT•204LL X IT•204LL 788375 12.13-17 Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO. he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Note that an alternative signature can be used as described in Publication 58, Information for income Tax Return Preparers Go to our website at www.tax.ny.gov to view this document. Do not mall Form TR-579-PT to the Tax Department. EROs must keep this form for three years and present it to the Tax Department upon request. This form is not required for electronically filed Form IT-370-PF, "Vacation for Automatic Extension of Time to File for Partnerships and Fiduciaries. Financial institution information for Form IT-204-LL filer9(must be present if electronic payment Is authorized) 1 Amount owed on return 1. 2 Financial institution routing number 2. 3 Financial institution account number 4 Account type: D Personal checking D Personal savings QX Business checking ID Business savings 2 5 . Part A - Declaration of authorized member or general partner and authorizations for Form IT-204 or IT-204-LL Under penalty of perjury, I declare that I have examined the information on this 2017 New York State electronic partnership return, including any accompanying schedules, attachments, and statements, and certify that this electronic return is true, correct, and complete. The ERO has my consent to send this 2017 New York State electronic partnership return to New York State through the Internal Revenue Service (IRS). I understand that by executing this Form TR•579PT, I am authorizing the ERO to sign and fie this return on behalf of the partnership and agree that the ERO's submission of the partnership's return to the IRS, together with this authorization, will serve as the electronic signature for the return and any authorized payment transaction. If I am paying my New York State partnership fees due by electronic funds withdrawal, I certify that the account holder has authorized the New York State Tax Department and Its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on this 2017 electronic return, and authorized the financial institution to withdraw the amount from that account. As New York does not support International ACH Transactions OAT), 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 prior to the payment date. Signature of authorized member or general partner. Print your name and title: ANASTAS IYA S IROOCHENKO MEMBER Date: Part B - Declaration of ERO and paid preparer Under penalty of perjury, I declare that the information contained in this 2017 New York State electronic partnership return is the information furnished to me by the partnership. If the partnership furnished me a completed paper 2017 New York State partnership return signed by a paid preparer, I declare that the information contained in the partnership's 2017 New York State electronic partnership tax return is identical to that contained in the paper return. If I am the paid preparer. under penalty of perjury I declare that I have examined this 2017 New York State electronic partnership tax return, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO's signature: Print name: Paid preparers signature: Print name: DAVID WEISS Date: Date: TR-579-PT (12/17) 1019 EFTA00792129
75€04I +0.27.17 11-2105-I (2018)IPage 1 Estimated tax worksheet (see instructions) 1 Enter amount re New York adjusted Toss income (NYAGQ you expect In 2015 2 Enter either your standard deduction or estimated itemized deduction 3 Subtract line 2 from line 1 4 Dependent exemptions (multiply31,000 by number of dependents) 5 Estimated NYS taxable income (subtract line 4 from line 3) 6 NYS tax on line 5 amount (see instructbns) 7 NYC resident tax on line 5 amount (see bstructlons) 8 NYC household credit and NYC accumulation distribution credit 9 Subtract line 8 from line 7 10 NYC tax on ordinary income portion of lump-sum distribution 11 Add lines 9 and 10 12 NYC unincorporated business tax credit 12a NYC general corporation tax credit 12b Add lines 12 and 12a 13 Subtract line 12b from line 11 14 Enter household aedit nonresidents and part-year residents also enter child and dependent care credit and earned income credit We naauce3we 15 Subtract line 14 from tine 6 (see instructions) 16 Other taxes (see Instructions) 17 Add lines 15 and 16 (in NYC column: add Mem 13 and 16) 18 Resident credit and other nonrefundable credits (see instructions) 19 Total estimated NYS and NYC income tax (New York State column: subtract line 18 from line f 7; New York City column: enter amount from line 17) 20 Refundable credits (see instructions) 21 NYS/NYC estimated income tax (subtract line 20 front line 19) 22 Yonkers: (a) resident tax surcharge (multiply line 21, New York State column, by f 6.75% (1675)) (b) nonresident earnings tax (from Form Y-203) (c) total (add lines 22a and 22b) 23 Totals (New York State column, line 2 f; New York City cokimn, line 21; Yonkers column, line 22c; Estimated MCTMT worksheet, line 5) 24 Multiply line 23 by 90% (.90)(66 2/3% (.6667) for farmers and fishermen) 25 Enter your 2017 tax (see Instructions) 26 Enter the lesser of line 24 or 25. This is your required annual payment (see Penalty for underpayment of estimated ta)ci. 27 Estimate of income tax to be withheld, estimated income tax paid with Form IT-2663 and/or IT-2664, and estimated tax paid on your behalf by a partnership or corporation 28 Balance (subtract line 27 from line 26). If any amount on this line, columns A, B, a C, is $300 or more, or if any amount is shown in column D, fill out and file the payment voucher along with your payment If each amount on this line (columns A, B, and C only) is less than $300, no payment is required at this time. If you are applying an overpayment from 2017 to 2018, see How to complete the payment voucher Computation of Installments: If the first Installment Is paid: April 17. 2018 June 15. 2018 September 17. 2018 January 15.2019 OVERPAYMENT APPLIED 11263 A New York State 1. 2. 3. 4. 5. 6. B- New York City j C - Yonkers I D - MCTMT 7. 8 9 10 11 12 12a 12b 13. 14. 15. 16. 17. 18. 19. 20. 21. 22a. 22b. 22c. 23 24 25 26 27 28 ADJ TO 110% 155280 51800 5720 Enter In the appropriate spaces on the voucher (less any 2017 overpayment you are applying to this Installment): 25% (.25) of line 28 50% (.50) of line 28 75% (.75) of line 28 amount on line 28 1019 EFTA00792130
Department of Taxation and Finance amounts ana Total payment in me coxes to me nom. yam me 2018 IT-2105 on your payment. Make payable to WS Income Process, • Center Box 4122 Bin • amton NY 13902-4122. tam Tour marts or your bra or is Tax. Mail voucher and payrnen your 2-character special code if applicable (see/ u or payer r num er *****9816 Enter condition axpayers as name an m um ra ANASTASIYA axpayers as name SIROOCHENKO •ar mg a ess nu •er an• s ree or ox; see Ins ruc tons •a en num•er NEW YORK e NY •c e 10014 axpayer s e-mai a 'ress er NEW TOW STATE 2018 - lips for Estimated Tax 768042 10.27.17 Did you know? You can pay your estimated tax electronically on our website with a debit from your checking or savings account. Visit us on the Web at www.tax.ny.gov to pay your estimated tax electronically. For assistance. see Form IT-21054, Instructions for Form IT-2105, Estimated Tax Payment Voucher forIndNlduals. To help us match your New York State estimated tax account to your New York State income tax return. and to avoid a delay in processing your return, please note the following: • Social security number (SSN)Jtaxpayer identification OD) number - Make sure that the entire SSN used on your vouchers agrees with the number on your social security card and the number used on your New York State income tax return. If you use a taxpayer ID number, this number must agree with the number used on your New York State income tax return. Failure to do so may result in monies not being properly credited to your account. • Name - Make sure that your name is spelled correctly. You should enter your first name, middle initial, then last name in the spaces provided (for example, John O. Smith). Your name must agree with the name on your New York State income tax return. • Foreign addresses - Enter the information in the following order: city. province or state, and then country (all in the City, village, or post office box). Follow the country's practice for entering the postal code. Do not abbreviate the country name. • Married taxpayers - Each married taxpayer should establish a separate estimated tax account. If you and your spouse each maintain an estimated tax account and file a joint New York State income tax return, we will credit the balances of both accounts to your joint income tax return. • All filers must be sure to separately enter the amounts for New York State, New York City. Yonkers, and MCTMT: then enter the total n the Total payment box. Note: If there is no amount to be entered for one or more Iries. leave them Manic. Do not staple or clip the check or money order to the voucher. Please detach any check stubs before mailing. Need help? Visit our website at www.tany.gov • get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: Personal Income Tax Information Center: To order forms and publications: (518) 457-51411 $ 111116-' 9 (518) 457.5181 (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hearing and speech disabilities using a TTY): If you have access to a TTY, contact us at (518) 485-5O82. If you do not own a TTY. check with independent living centers or community action programs to find out where machines are available for public use. Persons with disabilities: In compliance with the Americans with Disabilities Act. we will ensure that our lobbies, offices, meeting rooms, and other facilities are accessible to persons with disabilities. If you have questions about special accommodations for persons with disabilities, call the information center. 2018 NEW Department of Taxation and Finance YORK sun Estimated Tax Payment Voucher for Individuals New York State • New York City • Yonkers • MCTMT 1 Detach (cut) here OP Calendar-year filer due dates: April 17.2018; June 15, 2018; September 17, 2018; and January 15, 2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, st') New York Stale 0 00 Now YOIk City 0 00 Yankee 00 NCTMr 0 00 Total payment 0 00 IT-2105 Estimated tax amounts STOP: Pay this electronicalty on our website 0601181019 *****9816 9 EFTA00792131
768042 10.27.17 Department of Taxation and Finance Tips for Estimated Tax Did you know? You can pay your estimated tax electronically on our website with a debit from your checking or savings account. Visit us on the Web at www.tax.ny.gov to pay your estimated tax electronically. For assistance. see Form IT-21054, Instructions for Form IT-2105, Estimated Tax Payment Voucher forIndivkluals. To help us match your New York State estimated tax account to your New York State income tax return. and to avoid a delay in processing your return, please note the following: • Social security number (SSNytaxpayer identification OD) number - Make sure that the entire SSN used on your vouchers agrees with the number on your social security card and the number used on your New York State income tax return. If you use a taxpayer ID number, this number must agree with the number used on your New York State income tax return. Failure to do so may result in monies not being properly credited to your account. • Name - Make sure that your name is spelled correctly. You should enter your first name, middle initial, then last name in the spaces provided (for example, John O. Smith). Your name must agree with the name on your New York State income tax return. • Foreign addresses - Enter the information in the following order: city. province or state, and then country (all in the City, village, or post office box). Follow the country's practice for entering the postal code. Do not abbreviate the country name. • Married taxpayers - Each married taxpayer should establish a separate estimated tax account. If you and your spouse each maintain an estimated tax account and file a joint New York State income tax return, we will credit the balances of both accounts to your joint income tax return. • All filers must be sure to separately enter the amounts for New York State. New York City. Yonkers, and MCTMT: then enter the total in the Total payment box. Note: If there is no amount to be entered for one or more Ines• leave them Manic. Do not staple or clip the check or money order to the voucher. Please detach any check stubs before mailing. Need help? Visit our website at www.tany.gov • get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: Personal Income Tax Information Center. To order forms and publications: S (518) 4575149 (518) 457.5181 (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hearing and speech disabilities using a TTY): If you have access to a TTY, contact us at (518) 485.5082. If you do not own a TTY, check with independent living centers or community action programs to find out where machines are available for public use. Persons with disabilities: In compliance with the Americans with Disabilities Act. we will ensure that our lobbies, offices, meeting rooms, and other facilities are accessible to persons with disabilities. If you have questions about special accommodations for persons with disabilities, call the information center. 4T4EW YORK ATE 2018 • II Detach (cut) here Department of Taxation and Finance Estimated Tax Payment Voucher for Individuals New York State • New York City • Yonkers • MCTMT Calendar-year filer due dates: April 17.2018; June 15, 2018; September 17, 2018; and January 15, 2019. Enter applicable amounts) aria total payment in me coxes to me ngra. ',Intro 2018 IT-2105 on your payment. Make payable to WS Income Process, Center Box 4122 Bin • amton NY 13902-4122. Last tour Inas or your J,N or to Tax. Mail voucher and paytnen your 2-character special code if applicable (see/ u or payer I num er *****9816 Enter condition axpayer s irs name an mi in' ia ANASTASIYA axpayer s as name SIROOCHENICO •al mg a ess nu •er an• s ree or ox; see ms ruc ions •a en num•er NEW YORK e NY •c e 10014 axpayer s e-mai a 'ress IT-2105 Estimated tax amounts payer ID number and to: NYS Estimated Income Tax, Dollars Cants str) 450004. 00 New York Stale New Yak City 150004. 00 Yonkors 00 MCTMr 00 Total payment 600004. 00 STOP: Pay this electronically on our website 0601181019 *****9816 9 EFTA00792132
Department of Taxation and Finance amounts) ana total payment in me coxes to me nom vont me 201817-2105 on your payment. Make payable to NYS Income Process, Center Box 4122 Bin • amton NY 13902-4122. Last tour Inas or your uder or re Tax. Mail voucher and paytnen your 2-character special code if applicable (see/ u or payer I num er *****9816 Enter condition axpayers irs name an m um la ANASTASIYA axpayers as name SIROOCHENKO al mg a ess nu •er an• s ree or ox; see ins me ions a en num er NEW YORK e NY • c e 10014 axpayer s e-mai a 'ress er NEW YOU STATE 2018 - lips for Estimated Tax 768042 10.27.17 Did you know? You can pay your estimated tax electronically on our website with a debit from your checking or savings account. Visit us on the Web at www.tax.ny.gov to pay your estimated tax electronically. For assistance. see Form R-2105.1, Instructions for Form IT-2105, Estimated Tax Payment Voucher forIndNlduals. To help us match your New York State estimated tax account to your New York State income tax return. and to avoid a delay in processing your return, please note the following: • Social security number (SSNytaxpayer Identification (ID) number - Make sure that the entire SSN used on your vouchers agrees with the number on your social security card and the number used on your New York State income tax return. If you use a taxpayer ID number, this number must agree with the number used on your New York State income tax return. Failure to do so may result in monies not being properly credited to your account. • Name Make sure that your name is spelled correctly. You should enter your first name, middle initial, then last name in the spaces provided (for example, John O. Smith). Your name must agree with the name on your New York State income tax return. • Foreign addresses - Enter the information in the following order: city. province or state, and then country (all in the City, village, or post office box). Follow the country's practice for entering the postal code. Do not abbreviate the country name. • Married taxpayers - Each married taxpayer should establish a separate estimated tax account. If you and your spouse each maintain an estimated tax account and file a joint New York State income tax return, we will credit the balances of both accounts to your joint income tax return. • All filers must be sure to separately enter the amounts for New York State. New York City. Yonkers, and MCTMT: then enter the total n the Total payment box. Note: If there is no amount to be entered for one or more Wes, leave them Manic. Do not staple or clip the check or money order to the voucher. Please detach any check stubs before mailing. Need help? Visit our website at www.tany.gov • get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 457-5 49 Personal Income Tax Information Center. (518) 457.5181 To order forms and publications: (518) 457-5431 Text Telephone (TTY) Hotline (for persons with hearing and speech disabilities using a TTY): If you have access to a TTY, contact us at (518) 485.5082. If you do not own a TTY. check with independent living centers or community action programs to find out where machines are available for public use. Persons with disabilities: In compliance with the Americans with Disabilities Act. we will ensure that our lobbies, offices. meeting rooms, and other facilities are accessible to persons with disabilities. If you have questions about special accommodations for persons with disabilities, call the information center. 4T4EW YORK ATE 2018 • 1 Detach (cut) here OP Department of Taxation and Finance Estimated Tax Payment Voucher for Individuals New York State • New York City • Yonkers • MCTMT Calendar-year filer due dates: April 17.2018; June 15, 2018; September 17, 2018; and January 15, 2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, str) New York Stale 0 00 Now YOIk City 0 00 Yonkots 00 RICTIK 00 Total payment A 00 IT-2105 Estimated tax amounts STOP: Pay this electronically on our website 0601181019 *****9816 9 EFTA00792133
2018 Department of Taxation and Finance amounts) ana Total payment in me coxes to me ngnr. wintry* 201817-2105 on your payment. Make payable to NYS Income Process, Center Box 4122 Bin • amton NY 13902-4122. Last tour awls or your ursr or re Tax. Mail voucher and payrnen your 2-character special code if applicable (see/ u or payer r num er *****9816 Enter condition axpayer s as name an mot ini la ANASTASIYA axpayer s as name SIROOCHENKO al mg a ess nu er an s ree or ox; see Ins rue tons a en num er I , vi age, or pos o e NEW YORK x e NY • c e 10014 axpayer s e-mai a' 'ress er NEW YORK STATE 2018 - Tips for Estimated Tax 768042 10.27.17 Did you know? You can pay your estimated tax electronically on our website with a debit from your checking or savings account. Visit us on the Web at www.tax.ny.gov to pay your estimated tax electronically. For assistance. see Form IT-21054, Instructions for Form IT-2105, Estimated Tax Payment Voucher lorIndivkluels. To help us match your New York State estimated tax account to your New York State income tax return. and to avoid a delay in processing your return, please note the following: • Social security number (SSN)Jtaxpayer Identification OD) number - Make sure that the entire SSN used on your vouchers agrees with the number on your social security card and the number used on your New York State income tax return. If you use a taxpayer ID number, this number must agree with the number used on your New York State income tax return. Failure to do so may result in monies not being properly credited to your account. • Name - Make sure that your name is spelled correctly. You should enter your first name, middle initial, then last name in the spaces provided (for example, John O. Smith). Your name must agree with the name on your New York State income tax return. • Foreign addresses - Enter the information in the following order: city. province or state, and then country (all in the CO, village, or post office box). Follow the country's practice for entering the postal code. Do not abbreviate the country name. • Married taxpayers - Each married taxpayer should establish a separate estimated tax account. If you and your spouse each maintain an estimated tax account and file a joint New York State income tax return, we will credit the balances of both accounts to your joint income tax return. • All filers must be sure to separately enter the amounts for New York State, New York City. Yonkers, and MCTMT: then enter the total an the Total payment box. Note: If there is no amount to be entered for one or more hnes, leave them Manic. Do not staple or clip the check or money order to the voucher. Please detach any check stubs before mailing. Need help? Visit our website at www.tany.gov • get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 4575149 Personal Income Tax Information Center: (518) 457-5181 To order forms and publications: (518) 457-5431 N Text Telephone (TTY) Hotline (for persons with hearing and speech disabilities using a TTY): If you have access to a TTY, contact us at (518)4856082. If you do not own a TTY. check with independent living centers or community action programs to find out where machines are available for public use. Persons with disabilities: In compliance with the Americans with Disabilities Act. we will ensure that our lobbies, offices, meeting rooms, and other facilities are accessible to persons with disabilities. If you have questions about special accommodations for persons with disabilities, call the information center. NEW Department of Taxation and Finance YORK STATE Estimated Tax Payment Voucher for Individuals New York State • New York City • Yonkers • MCTMT 1 Detach (cut) here OP Calendar-year filer due dates: April 17.2018; June 15, 2018; September 17, 2018; and January 15, 2019. Enter applicable payer ID number and to: NYS Estimated Income Tax, str) New Yolk Stale 0 00 New Yak City 0 00 Yonkon 00 KICTIM 00 Total payment 0 00 IT-2105 Estimated tax amounts STOP: Pay this electronically on our website 0601181019 *****9816 9 EFTA00792134
76f.:101 1 17, 17 NEW YORK STATE 2017 Department of Taxation and Finance Resident Income Tax Return New York State • New York City • Yonkers • MCTMT For the full year January 1, 2017, through December 31, 2017, or fiscal year beginning... and ending T 0 1 ror new compieung your return, see me insuucuons, rorm II-Art-I. YMII first name All You 'eat name no a pre return. enter Spouse's name on line bedew/ Your date el bird immOdyyyyl VOW Keg! sear number ANASTASIYA SIROOCHENKO ***** Spouse's tirAl name MI Spouse's last name Spouse's date el birth liardiaml Spouse's social sonny number Naia) address (see insirucuuts pale lel (number and Street or PO 00 ) Apartment nurnixe New York State county ol residence NY City. village. or post office Pale ZIP cod country or not u Mad Oates/ School district name NEW YORK NY 10014 MANHATTAN Taxpayer's permanent home address (see instructions. page l3)0/weber One street a 'sal route) adwinsant numb. School restrict code numbs( I 369 0ity. 'Snap. or peed orb00 State ZIP code Taelersdecoldah rrindlin)i Spiel 3 Ntt MOS ellle011/0 0 Dealee inksrrelon NY A Filing status (mark an X In ono box): O El Single @ Married filing joint return LJ (enter spouse's social security number above) m Married filing separate return LJ (enter spouse's social security number above) Head of household (with qualifying person) 0 K Qualifying widow(es) with dependent child B Did you Itemize your deductions on your 2017 federal income tax return? Yes n No D C Can you be claimed as a dependent on anothe taxpayer's fede al return? Yes K No El I H Dependent exemption inforrna ion (seepage 15) First name MI Last name Relationship curial security number Date of birth (nmddYYYY) D1 Did you have a fnancial account located in a foreign country? (see page 14) Yes n No K D2 Yonkers residents and Yonkers part-year residents only: Did you receive a property tax relief credit? (1) (see page 14) Yes K No K (2) Enter the amount .00 D3 Wore you requred to report, under P.L. 110343, Div. C, §801(d)(2). any nonqualified deferred compensation on your 2017 federal return? (seepage 14) Yes K No El E (1) Did you or your spouse maintain living quarters in NYC during 2017? (see page 14) Yes K No K (2) Enter the number of days spent in NYC in 2017 (any part of a day spent in NYC Is considered a day)... F NYC residents and NYC part-year residents only (seepage 14): (1) Number of months you lived in NYC In 2017 365 (2) Number of months your spouse lived in NYC in 2017 G Enter your 2-character special condition code(s) if applicable (see page 14) I 12 If more than 7 dependents. mark an X in the box. 201001171019 For office use only EFTA00792135
Page 2 of 4 IT-201 (2017) Federal income and adjustments vote social security nu * ** * (seepage 15) 1 Wages, salaries, tips, etc. 2 Taxable interest income 3 Ordinary dividends 4 Taxable refunds, credits, or offsets of state and local income taxes (also enter on AS 25) 5 Alimony received 6 Business income or loss (submit a copy of federal Schedule Cot C-EZ, Form 1040) 7 Capital gain or loss (if required, submit a copy of federal Schedule D, Form 1040) 8 Other gains or losses (submit a copy of federal Form 4797) 9 Taxable amount of IRA distributions. If received as a beneficiary, mark an X in the box 10 Taxable amount of pensions and annuities. If received as a beneficiary, mark an X in the box 11 Rental real estate, royalties, partnerships, S corporations, trusts, etc. (submit copy of federal Schedule E, Form 1040) 12 Rental real estate included in line 11 13 Farm income or loss (submit a copy of federal Schedule F, Form 1040) 14 Unemployment compensation 15 Taxable amount of social security benefits (also enter on line 27) 16 Other income Awe par. )5) I identifY: 17 Add lines 1 through 11 and 13 through 16 18 Total federal adjustments to income (sea papa s) I identify: SE TAX DEDUCTION 468002 I1.1 TAT 'tenors} dollars only 1 .00 2 740.00 3 .00 4 .00 5 .00 _ 6 1645140.00 7 .00 8 .00 9 .00 10 .00 11 .00 121 .00 19 Federal adjusted gross income (subtract line 18 from Ana 17) New York additions (see Page 10 20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments) 21 Public employee 414(h) retirement contributions from your wage s tatements (see page 16) 22 New York's 529 college savings program distributions (see 23 Other (Form 1T-225, line 9) 24 Add lines 19 through 23 New York subtractions (see page 17) 25 Taxable rotunda agile of canter of state orb local income taxes IlrOnl line 4) 25 00 26 PeriSIOnS of NYS and bud governments and We Waal governmeu Ora page I7) 26 .00 27 Taxable amount of social security benefits (from line 15) 27 .00 28 Interest income on U.S. government bonds 28 .00 29 Pension and annuity income exclusion (see Page 18) 29 .00 30 New York's 529 college savings program deduction/eamIngs 30 .00 31 Other (Form IT-225, line 18) 31 .00 32 Add lines 25 through 31 33 New York adjusted gross Income (subtract fine 32 from fine 24) Standard deduction or itemized deduction (see page 20) 34 Enter your standard deduction (table on page 20) or your itemized deduction (from Form IT-201-D) Mark an X in the appropriate box: 0 Standard p Itemized 35 Subtract line 34 from line 33 (If line 34 is more than line 33, leave blank) 36 Dependent exemptions (enter the number of dependents listed in item H; see page 20) 37 Taxable Income (subtract line 36 from line 35) Hill III Ill 11 ill 13 .00 14 .00 15 .00 16 .00 17 1645880.00 18 29916.00 19 1615964.00 20 .00 21 .00 22 .00 23 .00 24 1615964.00 32 33 .00 1615964.00 34 11145.00 35 1604819.00 36 000.00 37 1604819.00 NO HANDWRITTEN ENTRIES, OTHER THAN SIGNATURE, ON THIS FORM EFTA00792136
Name(s) as shown on page 1 ANASTASIYA SIROOCHENKO Tax computation, credits, and other taxes 38 Taxable Income (from line 37 on page 2) 38 1604819.00 39 NYS tax on line 38 amount (see page 21) 39 141545.00 40 NYS household yedit (page 21, table 1,2, or 3) 40 .00 41 Resident credit (see page 22) 41 .00 42 Other NYS nonrefundable credits (Fonn1T-201-ATT, line 7) 42 .00 43 Add lines 40, 41, and 42 43 .00 44 Subtract line 43 from line 390 line 43 is more than line 39, leave blank) 44 141545.00 45 Net other NYS taxes (Form 17-201-An. line 30) 45 00 46 Total New York State taxes (add lines 44 and 45) 46 141545.00 Your social secur' number 7613003 11.17.17 **** IT-201(2017) Page 3 of 4 New York City and Yonkers taxes, credits, and surcharges, and MCTMT 47 NYC resident tax on line 38 amount (see page 22) 47 62078 .00 48 NYC household credit (Page 22, table 4, 5, or 6) 48 .00 49 Subtract line 48 from line 47 Of line 48 is more than line 47, leave blank) 49 62078 .00 50 Pan year NYC resident tax (Form IT-360.1) 50 .00 51 Other NYC taxes (Form 17-201-ATT, line 34) 51 .00 52 Add lines 49, 50, and 51 52 62078 .00 53 NYC nonrefundable credits (Form IT-201-ATT, line 10) 53 14997 .00 54 Subtract line 53 from line 52 (Vilna 53 Is more than line 52, leave blank) 54 47081 .00 Ma MCTMT net earnings base Mai 1519287 .00 54b MCTMT Mb 5166 .00 55 Yonkers resident income tax surcharge (see page 25) 66 .00 56 Yonkers nonresident eamings tax (Form Y-203) 56 .00 57 Part-year Yonkers resident income tax surcharge (Form IT-360.1) 67 .00 58 Total New York City and Yonkers taxes / surcharges and MCTMT (add lines 54 and 54b through 57) 59 Sales or use tax (see page 26; do not leave line 69 blank 4 , Voluntary contributions] (see page 27) 60a Return a Gift to Wildlife 60a .00 60b Missing/Exploited Children Fund 60b .00 60c Breast Cancer Research Fund 60c .00 60d Alzheimer's Fund 60d .00 60e Olympic Fund ($2 or $4; see page 27) 60e .00 601 Prostate and Testicular Cancer Research and Education Fund 601 .00 60g 9/11 Memorial 60g .00 60h Volunteer Firefighting & EMS Recruitment Fund 60h .00 60i Teen Health 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 York State, New York City, Yonkers, and sales or use taxes, MCTMT, and voluntary contributions (add fines 46, 58, 59, and 60) 201003171019 oic See instructions on pages 22 through 25 to compute New York City and Yonkers taxes, credits, and surcharges, and MCTMT. 52247.00 931 59 _00 0.00 .00 61 193792.00 NO HANDWRITTEN ENTRIES, OTHER THAN SIGNATURE, ON THIS FORM EFTA00792137
Page 4 of 4 IT-201 (2017) 62 Enter amount from line 61 Payments and refundable credits (see pages 28 through 31) 76801). It -ti -17 62 193792.00 63 64 65 66 67 Empire State child credit NYS/NYC child and dependent care credit 63 .00 64 .00 NYS earned income credit (BC) 65 .00 NYS noncustodial parent EIC Real property tax credit 66 .00 67 .00 68 College tuition credit 68 400 oo 69 NYC school tax credit (fixed amount) (also complete F on page 1) 69 .00 69a NYC school tax credit (rate reduction amount) 69a .00 70 NYC earned income credit 70 .00 70a NYC enhanced real property tax credit 70a .00 71 Other refundable credits (Font) IT-201-ATT, &le 18) 71 00 72 Total New York State tax withheld 72 00 73 Total New York City tax withheld 73 00 74 Total Yonkers tax withheld 74 .00 76 Total estimated tax payments and amount paid with Form IT•370 75 205000 .00 76 Total payments (add lines 63 through 75) Your refund, amount you owe, and account information (seepages 31 through 34) 14, LESS LN 81 77 Amount overpaid Of line 76 is more than line 62, subtract line 62 from line 76) 77 11263.00 78 Amount of line 77 to be refunded (— I direct deposit to checking or Mark one refund choice: LJ savings account (fie in Ina 83) I-- I Pars LJ check 78 .00 79 Amount of line 77 that you want applied to your 79a 2018 estimated tax (see instructions) 79 11263.0o Refund? Direct deposit is the easiest, fastest way to get Amount of line 77 that you want as a NYS 529 account deposit (submit Form I7-195) 794 .00 your refund. If applicable, complete Form(s)112 and/or IT-1099-R and submit them with your return (see page 12). Do not send federal Form W-2 with your return. 76 I 205400.00 so 81 82 83 Amount you owe (il line 761s less than fine 62, subtract line 76 from line 62). To pay by electronic funds withdrawal, mark an X in the box K and fill in lines 83 and 84. If you pay by check or money order you must complete Form IT-201-V and mail it with your return Estimated tax penalty (Include this amount in line 80 or reduce the overpayment on line 77; see page 32) Other penalties and interest (see page 32) Account information for direct deposit or electronic funds withdra val (see page 33). If the funds for your pnment (or refund) would co K me from (or go to) an account outside the U.S., mark an X in this K box (see pg. 33) See page 32 for payment options. 80 00 81 345 .00 82 .00 See page 35 for the proper assembly of your return. 8:3a Account type: Personal checking - or - Personal savings - or - D Business checking - or - Business savings 83b Reciting number 83e Account number 84 Electronic funds withdrawal (see page 33) Date Amount .00 Third-party designee? (see Instr.) Yesird Non nava, v.'s • Pald preparer must complete isonnoimonsi V I nrITPRIN Nepali tagriatunii DAVID WEISS Print designee's name DAVID WEISS Designee's phone number 212-695-5771 [email protected] Personal identification number (PIN) 13349 I 03 Prepare/re pinto name DAVID WEISS Fern's name Or yOlina. a mit-errpoyea) DAVID WEISS CPA, PLLC PmereesMINor&IN P00962062 mays* 183 MADISON AVE SUITE 803 NEW YORK NY 100164403 201004171019 employerwommomo.t. *****2756 oats • Taxpayer(s) must sign here • YOWWWUre Vote occupation ART DEALER Spouse's signature and occupation (it pint ream) unto 0 Ime hone numb' See Instructions for where to mail your return. NO HANDWRITTEN ENTRIES, OTHER THAN SIGNATURE, ON THIS FORM EFTA00792138
NEW YORK STATE 2017 See the instructions for completing Form IT•201•ATT in the instructions for Form IT•201. Submit this form with your Form IT-201. Department of Taxation and Finance Other Tax Credits and Taxes Attachment to Form IT-201 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 instructions) Your social secumy number Part 1 - 0 her New York State, New York City, and Yonkers ax credits Section A - New York State nonrefundable, non-carryover credits used 1 Accumulation distribution credit (submit computation) 2 Other nonrefundable, noncanyover credits Code Amount .00I El Code Total other nonrefundable, noncarryover credits (addlines 2a and 2b) Section B - New York State nonrefundable, carryover credits used 3 Longterm care insurance credit 4 Investment credit Amount 5 Solar energy system equipment credit 6 Other nonrefundable, carryover credits Code Amount 6a 6b 6c 6d 6e 6f 69 .00 .00 .00 .00 .00 .00 .00 6h 61 S 6k ei 6m 6n Code Total other nonrefundable. carryover credits (add lines 6a through 6n) 7 Total New York State nonrefundable credits used (add lines 1 through 6: enter here and on Form 17.201, line e) Amount .00 Whole dollars only 1 .00 21 .00 3 .00 4 .00 5 .00 .00 .00 .00 .00 .00 .00 .00 61 Section C - New York City nonrefundable, non-carryover credits used 8 New York City resident UBT credit 8a New York City resident GCT credit 9 New York City accumulation distribution credit (submit computation) 9a Partyear resident nonrefundable NYC child and dependent care credit 10 Total other New York City nonrefundable credits used (add lines 8.8a. 9. and 9a: enter here and on Form IT-201, line 53) .00 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 Add lines 11 and 12 Rg_ 12h 12i 12k 121 Code Amount 11 .00 .00 .00 .00 .00 .00 .00 1111111111111111 01111101111111111 (continued on page 2) 12 13 .00 .00 ** * * Yes No El 0 x EFTA00792139
768062 09.05- 17 1T-201 -ATT (2017) (page 2) YOU' sOCNI &Minty number * * * * * Part 1, Section D - New York State, New York City, Yonkers, and MCTMT refundable credits (continued) 14 Enter amount from line 13 on page 1 15 New York State claim of right credit 16 New York City claim of right credit 17 Yonkers claim of right credit 17a MCTMT (metropolitan commuter transportation mobility tax) claim of right credit 18 Total New York State, New York City, Yonkers, and MCTMT other refundable credits (add lines 14 through 17a; enter here and on Form IT-201, One 71) Part 2 - Other New York State taxes (submit all applicable forms) If you are subject to other New York State taxes, complete Part 2. 19 New York State tax on capital gain portion of lump•sum distributions (Form IT-230) 20 Other New York State taxes Code Amount 20a 201a 20c 20d 20e 201 .00 .00 .00 .00 .00 .00 1_0a 20h 201 a 20k 201 Code Amount 14 .00 15 .00 16 .00 17 .00 7a .00 18 .00 19 .00 .00 .00 .00 .00 .00 .00 Total other New York State taxes (add Ones 20a th ough 200 21 Add lines 19 and 20 22 See instructions for line 22 23 Enter amount from Form IT-201, line 39 24 26 20I .00 21 .00 22 23 .00 .00 Subtract line 23 from line 22 Of line 23 is more than line 22, leave blank) Subtract line 24 from line 21 Of line 24 is more than line 21. leave blank) 26 New York State separate tax on lumpsum distributions (Form IT-230) 24 25 .00 .00 26 1 .00 27 Resident credit against separate tax on lumpeum distributions I27 I 28 Subtract line 27 from line 26 .00 29 This line intentionally left blank 30 Net other New York State taxes (add lines 25 and 28: enter here and on Form IT-201, line 45) Part 3 - Other New York City taxes 28 00 29 110 (submit all applicable forms) 31 This line intentionally left blank 32 New York City resident separate tax on lumpsum distributions (Fora) IT-230) 33 New York City tax on capital gain portion of lump.sum distributions (Form IT-230) 34 Total other New York City taxes (add lines 32 and 33; enter here and on Form IT-201, line 51) 241002171019 III 11 III .00 31 32 33 .00 .00 L34 .00 NO HANDWRITTEN ENTRIES ON THIS FORM EFTA00792140
NEW YORK STATE 2017 21]Ml• OD CR V Department of Taxation and Finance Resident Itemized Deduction Schedule IT-201-D Submit this form with Form IT-201. See instructions for completing Form 11201O in the instructions for Form IT•201. Name(s) as shown on your Form 11201 You' social security number ANASTASIYA SIROOCHENKO ***** 1 Medical and dental expenses (federal Schedule A, line 4) 2 Taxes you paid (federal Schedule Aline 9) 3 Interest you paid (federal Schedule A, line 15) 4 Gifts to chanty (federal Schedule A, fine 19) 6 Casualty and theft losses (federal Schedule A line 20) 6 Job expenses/miscellaneous deductions (federal Schedule A, fine 27) 7 Other miscellaneous deductions (federal Schedule A, line 28) 8 Enter amount from federal Schedule A, line 29 TATEMENT 1 9 State. local. and foreign income taxes (or general sales tax, if Ael)kah and ether subtraction adjustments (see Instructions) 10 Subtract line 9 from line 8 11 Addition adjustments (see instructions) 12 Add lines 10 and 11 13 Itemized deduction adjustment (see instructions) 14 Subtract line 13 frcrn line 12 STATEMENT 2 15 College tuition itemized deduction (see Form IT-272) 16 New York State itemized deduction (add lines 14 and 15; enter on Form 1T-201, line 34) 201005171019 ~IIIl 111111 II II 1111111 III 1 III H III Whole dollars only 1 .00 2 227641.00 3 .00 4 22290.00 5 .00 6 .00 7 .00 8 209297.00 9 190627.00 10 18670.00 11 4500 oo 12 23170.00 13 12025 oo 14 11145.00 15 .00 16 11145.00 NO HANDWRITTEN ENTRIES ON THIS FORM EFTA00792141
NEW YORK STATE 2017 Submit Form IT-219 with your return. Form IT-201. Form IT-203. or Form IT-205. Department of Taxation and Finance Credit for New York City Unincorporated Business Tax Name(s) as shown on return ANASTASIYA SIROOCHENKO Part 1 - Partner (see instructions) 768)11 Il•!3-17 1 T ▪ 2 1 9 Taxpayer identification number (SSfil or EINi Name of partnership (as shown on Form NYC-204) Partnership year end (torn Fan NYC.204) Partnership BN 1 Enter the amount from Form NYC.204, line 23 (see Instr.) 2 Enter the amount from Form NYC-204, line 20 (see Instr.) 3 Add Ines 1 and 2 4 Enter your percentage of total distributive shares from Form NYC•204, Schedule C, column I. Enter amount as a decimal and round to the fourth decimal place (for example. 17.5% =.1750) 6 Multiply line 3 by line 4 (if more than one business, see instructions) 00 00 .00 4 5 .00 Part 2 - Individual A 6 Resident individual: Enter the amount from Form NYC-202. line 21, or Form NYC.202S. line 8 (see inStr.) Part-year resident Individual: Enter the amount from Worksheet A, line 5 (on page 2) 8 65206.00 Part 3 - Beneficiary's share of unincorporated business taxes(see Instructions) 7 Beneficiary - Enter your share of New York City unincorporated business taxes imposed on the estate or trust (see instructions) Employer identification number Name of estate or trust LA .00 Part 4 - Computation of credit 8 Fiduciaries: Enter the amount from Schedule A, Fiduciary line, column D (on page 2; see instr.) All others: Add lines 5, 6. and 7 (partners, see instructions) 9 Enter your taxable income from: Full-year NYC resident Individuals - Form IT-201, line 37 Part-year NYC resident Individuals - Form IT360.1. line 47 Full-year NYC resident estates or trusts - Form 17.205, line 5 Part-year NYC resident trusts - Form IT205A. line 10. col. (b) 8 65206.00 9 1604819.00 10 If line 9 above is: — $42,000 or less, enter 1.000 (100%) — more than $42.000. but less than $142,000, complete Worksheet B (on page 2) — $142,000 or more. enter .230 (23%) 11 Multiply line 8 by line 10. New York City resident individuals - Continue on line 12 below. NYC part-year resident individuals: Stop; enter line 11 amount on Form IT-360.1, line 54. Estates and trusts: Stop: enter line 11 amount on Form IT205, line 22 New York City full-year resident Individuals 12 Amount from Form IT•201. fine 49 13 Amount from Form IT-20VATT, line 32 14 Amount from Form IT-20VATT, line 33 15 Add lines 12. 13, and 14 16 Enter the lesser of line 11 or 15, and transfer the amount to Form IT-201•ATT, line 8 10 .230 11 14997.00 12 62078.00 13 .00 14 .00 15 62078.00 16 14997.00 219001171019 EFTA00792142
IT-219 (2017) (Page 2) 768212 11.13-17 1 2 3 4 5 Worksheet A Enter the amount from Form INC-202, line 21, Form NYC-202EIN, line 21, or Form NYC•202S, line 8 Individuals: Enter the amount from Form IT560.1, line 6, column B Trusts: Enter the amount from Form IT-205A, Schedule 4, line 16, column C 1 .00 (see instructions) 2 .00 Individuals: Enter the amount from Form IT-360.1,11e 6, column A Trusts: Enter the amount from Form IT-205A, Schedule 4, line 16, column A (see instructions) 3 .00 Divide line 2 by line 3 and round the result to the fourth decimal place 4 Multiply line 1 by line 4. This is the pait•year resident tax imposed on the unincorporated business. Estates and trusts: Include this amount (below) in Schedule A. Totals line, column D. All others: Transfer this amount to line 6 on page 1 5 .00 Worksheet B 1 Base percentage 100% 1 1.000 2 Enter your taxable income from page 1, line 9 2 .00 3 Base amount $42500.00 4 5 6 7 Subtract line 3 from line 2 4 .00 Divide line 4 by $100,000 and rand to the third decimal place Multiply line 5 by .770 Subtract line 6 from Ilne 1. Transfer this decimal amount to page 1. line 10 7 Schedule A (for estates and trusts only) Fiduciary's and beneficiary's share of New York City unincorporated business tax A Name and address of beneficiary B Beneficiary's identifying number C Allocation percentage D Beneficiary's eligible unincorporated business taxes Totals 100% .00 .00 .00 .00 Fiduciary .00 III III III 11 III EFTA00792143
768091 10-O2.17 r iNEW YORK STATE 2017 Department of Taxation and Finance Claim for College Tuition Credit or Itemized Deduction Full-year New York State residents only Submit your completed Form IT-272 with Form IT•201. See Form IT'272.1, Instructions for Form IT-272. Your name as shown on return (first name first) Your social securit ANASTASIYA SIROOCHENRO *** * Spouse's name Pat name first) Spouse's social security number Note: If you are married and filing separate New York State returns, you must also enter your spouse's name and social security number. I T ▪ 2 7 2 1 Are you claimed as a dependent on another taxpayer's New York State tax return for this tax year? El Yes K No W • If Yes, stop; you do not qualify for the college tuition credit or the college tuition itemized deduction. • If No, continue with question 2. 2 Were you (and your spouse if filing a Joint retum) a New York State resident for all of this tax yea? • If Yes, continue with Part 1 below. • If No, stop; you do not qualify for the college tuition credit. However, you may qualify for the college tuition itemized deduction. For more information, see the instructions for Form 11203. Yes QX No K Part 1 - In the spaces provided below, complete lines A through H for up to three eligible students for whom you paid qualified college tuition expenses. (If you are claiming expenses for more than three eligible students, see instructions.) A Eligible student's name 1- Student 1 2- Student 2 3- Student 3 ANASTAS I YA S IRO Eligible student's social security B number (SSN) *****9816 Is the student claimed as a dependent C on your NYS return? (see instructions) Yes I--I No M Yes [ —I No I--I Yes [ —I No I--I D EIN of college or university (see Instr.) 135598093 E Name of coll or univ ' (see Instr.) TRUSTEES OF COL Were expenses for undergraduate F tuition? (see instructions) Yes IT' No n Yes I--I No I--I Yes El No I--I Amount of qualified college tuition G expenses (see instructions) 39018.00 .00 .00 H Enter the lesser of line G or 10.000 10000.00 .00 .00 3 Total qualified college tuition expenses (Add line H. columns 1, 2, and 3; include amounts from any additional sheets. Complete Part 2or Part 3 on page 2.) 272001171019 3 10 00 Om NO HANDWRITTEN ENTRIES ON THIS FORM EFTA00792144
IT•272 (2017) (page 2 of 2) 76E+097 10.02.17 Part 2 - Complete Part 2 if your total qualified college tuition expenses on line 3 are less than $5,000. 4 Credit limitation ($200) 6 Enter the lesser of line 3 or line 4. This is your college tuition credit • If you did not itemize your deductions on your federal return, enter the line 5 amount on Form IT.201. line 68. • If you itemized your deductions on your federal return, continue with Part 4. Part 3 - Complete Part 3 if your total qualified college tuition expenses on line 3 are $6,000 or more. 6 Enter the amount from line 3 7 Multiply line 6 by 4% (.04). This is yourcollege tuition credit • If you did not Itemize your deductions on your federal return, enter the line 7 amount on Form IT•201, line 68. • If you itemized your deductions on your federal return, continue with Part 4. Part 4 - College tuition itemized deduction election 4 200.00 5 .00 6 10000 00 7 400 oo If you itemized your deductions on your federal return, you may elect to claim the college tuition Itemized deduction instead of the college tuition credit. To compute your college tuition itemized deduction, complete Worksheet 1 in the instructions for this form. To determine if you will receive a greater tax benefit from the itemized deduction or credit. complete Worksheet 2 in the instructions for this form. 8 Mark an X in this box only if you elect to claim the college tuition Itemized deduction • If you marked an X in the box at line 8. enter the amount from Worksheet 1. line 5 On the instructions for this form), on your itemized deduction schedule. Do not enter the college tuition credit from line 5 or 7 above on Form I7201. You are entitled to claim either the deduction or the credit, but not both. • If you did not mark an X in the box at line 8 and you elect to claim the college tuition credit instead of the college tuition itemized deduction, enter the line 5 or line 7 amount on Form IT201, line 68. 8 Important: If you are claiming the college tuition credit or the college tuition itemized deduction, you must submit Form 11272 with your return. 272002171019 NO HANDWRITTEN ENTRIES ON THIS FORM EFTA00792145
2017 NEW YORK STATE 1 pName(s) as shown on return ANASTASIYA SIROOCHENKO art 1 - All filers must complete this pal* t(sea instructions, Form IT-2105.9-I. for assistance) Department of Taxation and Finance Underpayment of Estimated Tax By Individuals and Fiduciaries New York State • Now York City • Yonkers • MCTMT IT-2105.9 Identification number (SSN or EIN) **** 1 Total tax from your 2017 return before withholding and estimated tax payments (caution. see instructions) 2 Empire State child credit (from Form IT-201, fine 63) 3 NYS/NYC child and dependent care credit (from Form IT-201, line 64) 4 NY State earned income credit (EIC) (from Form IT-201, line 65) 5 NY State noncustodial parent EIC (from Form IT-201, fine 66) 6 Real property tax credit (from Fenn IT-201, line isn 7 College tuition credit (from Form IT-207, line 68) 7a Total amount of any check(s) received from the Tax Department for any school or property tax credits (see instructions) 8 NY City school tax credit &Cm Form ir.2or. Inn 69 and ea. or Form m-203. HMO 50 Odd 604.1 9 NY City earned income credit (from Form IT-201, fine 70) 9a NY City enhanced real property tax credit (from Form IT-201, line 70a) 10 Other refundable credits (Ir0rh Fpm mail. moll: Form mzes, unser: or Form rr-ws. Me 33) 11 Add lines 2 through 10 12 Current year tax (subtract line 11 from final) 13 Multiply line 12 by 90% (.00 14 Income taxes withheld Mom Form rt.201.11nos 72. 73. and 74: Farm 17.203. lags 62.63. and 64: or FormFT-205.nm* 31.35. and 36) 15 Subtract line 14 from line 12. If the result is less than $300, do not complete the rest of this form (see instruction) 16 Enter your 2016 tax (caution: see instructions) 17 Enter the smaller of line 13 or line 16 Part 2 - Short method for computing the penalty - Complete lines 18 through 24 if you paid withholding tax and/or paid four equal estimated tax instalments (on the due dates), or if you made no payments of estimated tax. Otherwise, you must complete Part 3 - Regular method. 18 Enter the amount from line 14 above 18 .00 19 Enter the total amount of estimated tax payments you made (see instructions) 19 .00 20 Add lines 18 and 19 20 .00 21 Total underpayment for yew. Subtract line 20 from line 17 (if zero or less, you do not owe the penalty) 21 .00 22 Multiply line 21 by .04985 and enter the result 22 .00 23 If the amount on line 21 was paid on or after April 15. 2018. enter 0. If the amount on Me 21 was paid before April 15, 2018, make the following computation to find the amount to enter on this Wm: Amount on line 21 x number of days paid beforeApt 15, 2018 x .00020 = 23 24 Penalty. Subtract line 23 from line 22 241 2 3 4 .00 .00 .00 .00 .00 8 7 400.0o 7a .00 .00 .00 .00 .00 8 9 ga 10 13 1740 5 3.0o 19 379 2.00 11 400.0o 12 19339 2.00 14 .00 19339 2.00 16 118 59.00 17 118 5 9.00 Enter here and on Form 1T-201, line 81: Form M203, line 71: or Form 17205, line 42. Part 3 - Regular method - Schedule A - Computing your underpayment (Schedule B is on page 2) Payment due dates A 4/15/17 8 6/15/17 C 9/15/17 D 1/15/18 25 Required installments. Enter %of line 17 in each column. in you used the annualized income Installment method. see Instructions.) 26 Estimated tax paid and tax withheld (see instructions) 25 296 5.00 2 9 6 5.00 29 6 5.00 2 9 6 4.00 26 .00 .00 .00 20 5000.00 Complete lines 27 through 29, one column at a time, starting In column A. 27 Overpayment or underpayment from prior period 27 - 2965.00 - 593 0.00 - 8895.00 28 If line 27 is an overpayment, add lines 26 and 27; if line 27 is an underpayment, subtract line 27 from line 26 (see Instr.) 29 Underpayment (subtract line 28 from fine 25) or overpayment (subtract line 25 from line 28; see instructions) 28 .00 - 2965.00 -5930.00 196105.00 29 - 296 5.00 - 593 0.00 - 8 8 9 5.00 193141.00 III111111iiiiiiiiiii 11111 III EFTA00792146
IT-2105.9 (2017) (page 2) 768052 10-24-17 Part 3 - Regular 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 line 31 30 31 32 2965.00 37 oc. Second Installment (June 15 - September 15, 20 7) 33 June 15 • September 15 = (92 365) x 7.5% = .01890 June 15. =( 365) x 7.5% = 34 Multiply line 30. column 8 by line 33 33 34 5930.0o 112 8895.00 Third installment (September 15, 2017 • January 15, 2018) 35 September 15. January 15 = (122 + 365) x 7.5% = .02506 ti -a- September 15. I 365) x 7.54t a 36 Multiply line 30. column C by line 35 Fourth Installment (January 15 - April 15, 2018) 37 January 15 • April 15 = (90* 365) x 7.5% = .01848 January 15 • *365)x 7.5% = • 35 36 1963:i .00 37 38 Multiply line 30, column D by line 37 39 Penalty. Add lines 32. 34, 36, and 38. Enter here and on Form IT•201, line 81: SEE ATTACHED UNDERPAYMENT WKSHT Form IT•203, Me 71: or Form IT-205. line 42 39 .00 345.00 059002171019 Submit this form with your New York State return. 38 EFTA00792147
UNDERPAYMENT OF ESTIMATED TAX WORKSHEET NY ANASTASIYA SIROOCHENKO c),(8). • ii))) *** ** -Data (8) Amount (C) Adyusted Balance Due i D: 3 0,e E Da I ' Penady Rate -0- 04/15/17 2,965. 2,965. 61 .000205479 37. 06/15/17 2,965. 5,930. 92 .000205479 112. 09/15/17 2,965. 8,895. 107 .000205479 196. 12/31/17 205,000. -196,105. 01/15/18 2,964. -193,141. Penalty Due (Sum of Column F). 345. • Date of estimated tax payment. withholding credit date or installment due date. 71?ill 04.01.17 EFTA00792148
ANASTASIYA SIROOCHENKO NY IT-201 WORKSHEET 2 - SUBTRACTION ADJUSTMENT LIMITATION STATEMENT 1 1. ENTER AMOUNT FROM FEDERAL ITEMIZED DEDUCTION WORKSHEET, LINE 9 2. ENTER AMOUNT FROM FEDERAL ITEMIZED DEDUCTION WORKSHEET, LINE 3 3. DIVIDE LINE 1 BY LINE 2 AND CARRY THE RESULT TO FOUR DECIMAL PLACES 4. AMOUNT OF STATE, LOCAL AND FOREIGN INCOME TAXES FROM FEDERAL SCHEDULE A, LINES 5 AND 8 5. AMOUNT OF SUBTRACTION ADJUSTMENTS (FROM ITEMIZED DEDUCTIONS) THAT ARE INCLUDED IN TOTAL FEDERAL ITEMIZED DEDUCTIONS FROM FEDERAL SCHEDULE A, LINE 29, BEFORE ANY FEDERAL DISALLOWANCE 6. ADD LINE 4 AND LINE 5 7. MULTIPLY LINE 6 BY LINE 3 8. SUBTRACT LINE 7 FROM LINE 6 9. ENTER ANY OTHER SUBTRACTION ADJUSTMENTS TO ITEMIZED DEDUCTIONS 10. ENTER THE AMOUNT FROM WORKSHEET 1, LINE 5 (SEE BELOW) 11. ADD LINES 8, 9, 10. ENTER THE TOTAL ON FORM IT-201-D, LINE 9 40,634 249,931 0.1626 227,641 0 227,641 37,014 190,627 0 190,627 WORKSHEET 1 LONG-TERM CARE ADJUSTMENT 1. AMOUNT OF LONG-TERM CARE PREMIUMS INCLUDED ON FEDERAL SCHEDULE A, LINE 1 2. AMOUNT FROM FEDERAL SCHEDULE A, LINE 1 3. DIVIDE LINE 1 BY LINE 2 AND CARRY THE RESULT TO FOUR DECIMAL PLACES 4. AMOUNT FROM FEDERAL SCHEDULE A, LINE 4 5. MULTIPLY LINE 4 BY LINE 3 0 STATEMENT(S) 1 EFTA00792149
ANASTASIYA SIROOCHENKO NY IT-201-D ITEMIZED DEDUCTION WORKSHEET - ADDITION ADJUSTMENTS STATEMENT 2 DESCRIPTION AMOUNT 2015 NYC TAXES PAID IN 2017 4,500. TOTAL TO FORM IT-201-D, LINE 11 4,500. STATEMENT(S) 2 EFTA00792150
NEW YORK STATE 2017 Department of Taxation and Finance Partnership, Limited Liability Company, and Limited Liability Partnership Filing Fee Payment Form T68361 Ha. IT IT-204-LL For calendar year 2017 or tax year beginning I and ending Legal name SUBLIME ART LLC Trade name of business if different from legal name above Identification number (see instructions) Address (number and street or rural mute) Change of business information Mark X here if you have changed your mailing address and have not previously notified us saint) Date business started 0 2 0 8 2 013 Contact person's telephone number 2128687200 v Sage, or post 0 ice NEW YORK Principal business activity ART DEALER State NY ZIP code 10014 Enter your 2-digit special condition code If applicable (see instructions) Mark an X in the box identifying the entity for which you are filing this form (mark only one box): Regular partnership 0 Limited liability company (LLC) or limited liability partnership (LLP) Part 1 - General information (mark an X in the appropriate box(es)) Mark applicable box(es): (see instruction) O Amended Form IT•204•LL O Refund O Final Form IT-2O411 1 Did this entity have any income, gain, loss, or deduction derived from New York sources during the 2017 tax year? Yes 0 No O If you answered No, stop; you do not owe a fee. Do not file this form. 3 Has there been a transfer or acquisition of the controlling interest in the entity during the last three years? Yes No Yes B No 2 Did this entity have an interest In real property in New York State during the last three years? ta Part 2 - Partnerships, and LLCs and LLPs treated as partnerships for federal income tax purposes LLCs that are disregarded entities for federal income tax purposes: Skip Part 2 and continue with Part 3. 4 Enter the amount from line 15, column ES, of the New York source gross income worksheet in the instructions 5 NYS filing fee - Enter the amount from the appropriate filing fee table in the instructions Make check or money order for the line 5 amount payable to NYS filing fee; write your EIN and 2017 filing fee on the remittance and submit it with this form. 4 .00 5 .00 Part 3 - LLCs that are disregarded entities for federal income tax purposes 6 LLC disregarded entity: Enter the identification number (EIN or SSN) of the entity or individual who will be reporting the income or loss 6 ** * * * ** * * 7 LLC disregarded entity NYS filing fee - Enter 25 on this line Make check or money order for $25 payable to NYS filing fee; write your EIN or SSN and 2017 filing fee on the remittance and submit it with this form. 7 25.00 Certification: I certify that all information contained on this form is true and correct to the best of my knowledge and belief. • Paid preparer must complete (see instr.) V Da1s Prop,vo's sionaturoDAV ID WEISS tam's name to yOurS. solf-arroolOyarn DAVID WEISS CPA, PLLC Prof:woesPIN or 551 ** * **** * * mews 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 240001171019 11111 III Employ. klontrlication ourohrr ** * * * axe, coao • Sign here • S4gnoluro of °antral wine( Date 0 ma none nurrioce E-mail File this form with payment on or before the 15th day of the third month following the close of your tax year (see instructions). Mail to: STATE PROCESSING CENTER, PO BOX 4148, BINGHAMTON NY 13902.4148. For private delivery services, see Publication 55. Designated Private Delivery Services. EFTA00792151
NEW YORK STATE 2017 Department of Taxation and Finance Partnership, Limited Liability Company, and Limited Liability Partnership Filing Fee Payment Form 768361 11.043. IT IT-204-LL For calendar year 2017 or tax year beginning I and ending legal name LVIV ENTERPRISES LLC Identification number (see instructions) Trade name of business if different from legal name above number and street or rural route) City, village, or post office NEW YORK Principal business activity RENTAL REAL ESTATE Change of business infommtlon Mark X here if you have changed your mailing address and have not previously notified us isa knit) Date business started 12 0 2 2 014 Contact person's telephone number 2128687200 State NY ZIP code 10014 Enter your 2-digit special condition code If applicable (see instructions) Mark an X in the box identifying the entity for which you are filing this form (mark only one box): Regular partnership 0 Limited liability company (LLC) or limited liability partnership (LLP) Part 1 - General information (mark an x in the appropriate box(es)) Mark applicable box(es): (see instructions) O Amended Form IT-20411 O Refund O Final Form IT-2O4U 1 Did this entity have any income, gain, loss, or deduction derived from New York sources during the 2017 tax year? Yes ID No O If you answered No, stop; you do not owe a fee. Do not file this form. 3 Has there been a transfer or acquisition of the controlling interest in the entity during the last three years? Yes No Yes B No 2 Did this entity have an interest In real property in New York State during the last three years? ta Part 2 - Partnerships, and LLCs and LLPs treated as partnerships for federal income tax purposes tics that are tfisregarded entities for federal income tax purposes: Skip Part 2 and continue with Part 3. 4 Enter the amount from line 15, column ES, of the New York source gross income worksheet in the instructions 5 NYS Ming fee - Enter the amount from the appropriate filing fee table in the instructions Make check or money order for the line 5 amount payable to NYS riling fee; write your EIN and 2017 filing fee on the remittance and submit it with this form. 4 .00 5 .00 Part 3 - LLCs that are disregarded entities for federal income tax purposes 6 LLC disregarded entity: Enter the identification number (EIN or SSN) of the entity or individual who will be reporting the income or loss 6 ** * * * ** * * 7 LLC disregarded entity NYS filing fee - Enter 25 on this line Make check or money order for $25 payable to NYS Nine fee; write your FIN or SSN and 2017 filing fee on the remittance and submit it with this form. 7 25.00 Certification: I certify that all information contained on this form is true and correct to the best of my knowledge and belief. • Paid preparer must complete (see Instr.) • Irv1p preppies swtetia.DAV ID WEISS fin's name Ia S541-errOlOrKil DAVID WEISS CPA, PLLC Propteet'aPIIN or SSN ** * **** * * Arises,* 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 F•mail. l 240001171019 ' ° 11111 III Employe' Klentilication tomb rr * * * * I exa. cola 03 • Sign here • Srgnaturoot genteel partner Daze Daytime phone manta F mail File this form with payment on or before the 15th day of the third month following the close of your tax year (see instructions). Mail to: STATE PROCESSING CENTER, PO BOX 4148, BINGHAMTON NY 13902.4148. For private delivery services. see Publication 55. Designated Private Delivery Services. EFTA00792152
New York IT-204-LL ACH Debit Report Name: ANASTASIYA SIROOCHENKO Business Name Name of Financial Institution Account Type Routing Number Account Number Date Amour: BUSINESS SUBLIME ART LLC CHECKING 021000021 185997618 09/12/18 25. LVIV ENTERPRISES BUSINESS LLC CHECKING 021000021 669955168 09/12/18 25. . : IIIIi . * BUSINESS BANK ACCOUNT ID Number: ***_** 788201 04.01.17 EFTA00792153
DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 (212) 695-5771 SEPTEMBER 12, 2018 ANASTASIYA SIROOCHENKO DEAR ANASTASIYA: ENCLOSED ARE YOUR 2017 NEW YORK CITY U.B.T. RETURN AND 2018 ESTIMATED TAX VOUCHERS. THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN FORM NYC 579-UBTI TO OUR OFFICE BY MAIL, E-MAIL (EFILE8DAVIDWEISSCPA.NET), OR FAX (212-695-5772). WE WILL THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE NYC DOF, AND NO FURTHER ACTION IS REQUIRED. DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE NYC DOF. IF AFTER THREE WEEKS YOU HAVE NOT RECEIVED YOUR REFUND, YOU MAY CONTACT THE NYC DOF AT . RETURN FORM NYC 579-UBTI TO US AS SOON AS POSSIBLE (BY OCTOBER 15, 2018). NO PAYMENT IS REQUIRED AS YOU ARE TO RECEIVE A REFUND IN THE AMOUNT OF $2,829. NEW YORK CITY U.B.T. ESTIMATED TAX VOUCHERS: SIGN AND SEPARATELY MAIL THE DECLARATION OF ESTIMATED TAX FORM AS SOON AS POSSIBLE. ENCLOSE YOUR CHECK FOR $32,620, PAYABLE TO NYC DEPARTMENT OF FINANCE. INCLUDE YOUR SOCIAL SECURITY NUMBER ON YOUR CHECK. ADDITIONAL ESTIMATED TAX PAYMENTS WILL ALSO BE DUE. PAYMENTS SHOULD BE MAILED TO THE FOLLOWING ADDRESS ON OR BEFORE THE DATES INDICATED. MAIL TO - NYC DEPARTMENT OF FINANCE UNINCORPORATED BUSINESS TAX P.O. BOX 3923 NEW YORK, NY 10008-3923 FOR YOUR REFERENCE WE HAVE LISTED ALL ESTIMATED TAX PAYMENTS AND THEIR ORIGINAL DUE DATES BELOW. VOUCHER NO. 1 BY 04/17/18 $16,310 VOUCHER NO. 2 BY 06/15/18 $16,310 EFTA00792154
VOUCHER NO. 3 BY 09/17/18 $16,310 VOUCHER NO. 4 BY 01/15/19 $16,310 YOUR COPY OF THE RETURN IS ENCLOSED FOR YOUR FILES. WE SUGGEST THAT YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS EFTA00792155
2017 TAX RETURN FILING INSTRUCTIONS NEW YORK CITY U.B.T. RETURN FOR THE YEAR ENDING DECEMBER 31, 2017 Prepared for ANASTASIYA SIROOCHENKO Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total tax $ 65 206 Less: payments and credits S 70,000 Plus: interest and penalties S 1,965 OVERPAYMENT S 2,829 Overpayment Miscellaneous Donations $ 0 Credited to your estimated tax $ 0 AOMM, Refunded to you $ ' ' 2,829 Make check payable to NOT APPLICABLE Mail tax return and check (if applicable) to THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING. AFTER YOU HAVE REVIEWED YOUR RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN, DATE AND RETURN FORM NYC 579-UBTI TO OUR OFFICE. WE WILL THEN SUBMIT YOUR ELECTRONIC RETURN TO THE NYC DOF. Return must be mailed on or before RETURN FORM NYC 579 -UBTI TO US BY OCTOBER 15, 2018. Special Instructions DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE NYC DOF. IF AFTER THREE WEEKS YOU HAVE NOT RECEIVED YOUR REFUND, YOU MAY CONTACT THE NYC DOF AT . TOOOSI 04-01.11 EFTA00792156
2018 ESTIMATED TAX FILING INSTRUCTIONS NEW YORK CITY U.B.T. ESTIMATED TAX FOR THE YEAR ENDING DECEMBER 31, 2018 Prepared for ANASTASIYA SIROOCHENKO Prepared by DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 Amount of tax Total Estimated Tax S 65,240 Less credit from prior year S ' 0 Less amount already paid on 2018 estimate S 0 Balance due 65,240 Payable in full or in installments as follows: Installment Amount Due Date No.1 $ 16,310 APRIL 17, 2018 No.2 $ 16410 JUNE 15, 2018 No.3 $ 16 .;310 SEPTEMBER 17, 2018 No.4 $ 16:3.10 JANUARY 15, 2019 Make check payable to NYC DEPARTMENT OF FINANCE Mail voucher andcheck(ff applicable)to NYC DEPARTMENT OF FINANCE UNINCORPORATED BUSINESS TAX P.O. BOX 3923 NEW YORK, NY 10008-3923 Special Instructions SIGN AND MAIL EACH VOUCHER ON OR BEFORE THE DATE INDICATED ABOVE. ENCLOSE YOUR CHECK FOR THE SPECIFIED AMOUNT, PAYABLE 1 NYC DEPARTMENT OF FINANCE. INCLUDE YOUR SOCIAL SECURITY NUMBER ON YOUR CHECK. 700021 044)1.1T EFTA00792157
NYC - 5UBTI DECLARATION OF ESTIMATED UNINCORPORATED BUSINESS TAX (FOR INDIVIDUALS, ESTATES AND TRUSTS) For CALENDAR YEAR 2018 beginning and ending 2018 First name and nivel ANASTASIYA Last memo Nanle SIROOCHENKO Dbatta — SOCIAL SECURITY NUMBER * * * * * Business name SUBLIME ART LLC BVSNESS CCU F NUMHI-1i AS I= Ill-H41 HE- T LH N ESTATES ANO TRYSTS ONLY. ENTER EMPLOYER IDENTIFICATION NUMBER Business address (numbs, and Sheet' AckteSS 244 FIFTH AVENUE #1590 Change - City and Slate N SW YORK, NY ZIP Cuba 10001 CnonhY la nOT MS/ Business Telephone Number Taxpayer's Email Address A Payment 1. Estimate of 2018 tax Amount included with form • Make payable to: NYC Department of finance A. 1. 2. Amount to be paid with this declaration (Payable to: NYC DEPARTMENT OF FINANCE) 2. ayment AmG n. 16310. 65240. 16310. Signature col taxpayer Tina Data To receive proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 ESTIMATED TAX WORKSHEET • KEEP THIS PORTION FOR YOUR RECORDS • 1. Net income from business expected in 2018 (see instructions) 2. Exemption (see instructions) 3. Line 1 less line 2 (estimated taxable business income) 4. Tax • enter 4% of line 3(see instructions) 5a. Business Tax Credit (00 ) (Check applicable box below and enter credit amount) Tax on line 4 is $3,400 or less. Your credit is the entire amount of tax on line 4. Tax on line 4 is $5,400 or over. No credit is allowed. Enter "0". Tax on line 4 is over $3,400 but less than $5,400, use formula for credit amount: Tax on line 4 X 1$5.400 minus tax on line 4) Ea. $2,000 fib, Other credits (see instructions) 5b. 5c. Total credits (add lines 5a and 5b) 5c. 6. Estimated 2018 Unincorporated Business Tax pine 4 less line 5c) Enter here. on line lb. and on line 1 of declaration above ADjUSTED 2017 Unincorporated Business Tax 7a. 65206. 7b. Estimate of 2018 tax from line 6 ... COMPUTATION OF INSTALLMENT - flor 1 cr. , rick mow box beton and cote' amount hdicated. Noel year taxpayerssee instructions. 8. II this declaration X April 17, 2018, enter 1/4 of line 7b Is due on: June 15, 2018, enter 1/3 of line lb 9. Enter amount of overpayment on 2017 return which you e ected to have applied as a credit against 2018 estimated tax 10. Amount to be paid with this declaration pine 8 less line 9) (Payable to: NYC DEPARTMENT OF FINANCE) 1. 2. 3. 4. Make remittance payable to the order of: NYC DEPARTMENT OF FINANCE Payment must be made in U.S. dollars, drawn on a U.S. bank. 794571 11-15.17 Sept. 17, 2018, enter 1/2 of line 7b Jan. 15, 2019, enter amount of line 7b TO 6. 7b. 8. 9. 10. 65240. 65240. 16310. 16310. MAILING INSTRUCTIONS MAIL YOUR DECLARATION FORM TO: NYC DEPARTMENT OF FINANCE UNINCORPORATED BUSINESS TAX P.O. BOX 3923 NEW YORK. NY 10008.3923 NYC-51.18T1 2018 EFTA00792158
NYC - 5UBTI 0 a a. DECLARATION OF ESTIMATED UNINCORPORATED BUSINESS TAX (FOR INDIVIDUALS, ESTATES AND TRUSTS) For CALENDAR YEAR 2018 beginning and ending 2018 Fast name and init4 ANASTASIYA Last Are Narita Olari94 — SIROOCHENKO SOCIAL SECURITY NUIME P * Rat _ * Business name SUBLIME ART LLC BUSINESS COOE NUMBER A$ PER TEDERN RE T ma N Business micireits (number and AtrO011 AdctOSS 244 FIFTH AVENUE #1590 Crlarige —. City and State NEW YORK, NY ZIP Coma 10001 County lit not US/ ESTATES AND TRUSTS ONLY, ENTER EMPLOYER IDENTIFICATION Ntptilit R Business Telephone Monte Taxpayer's Email *Mies, A Payment I Amount included with form Make payable to: NYC Department of Finance 16310. 1. Estimate of 2018 tax 2. Amount to be paid with this declaration (Payable to: NYC DEPARTMENT OF FINANCE) 2. 65240. 16310. Signatue 01 taxpayer ntie Date To receive proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 794572 11.15.17 EFTA00792159
NYC - 5UBTI DECLARATION OF ESTIMATED UNINCORPORATED BUSINESS TAX (FOR INDIVIDUALS, ESTATES AND TRUSTS) For CALENDAR YEAR 2018 beginning and ending 2018 First name and nem, ANASTASIYA LaSt name Noma SIROOCHENKO Clan,_ SOCIAL SECURITY NUMBER * * * _ * * Business name SUBLIME ART LLC MANESS COOE NUMBER AS PER I- EDE HAI RE TL,HN Business waken (number and neap Acklen 244 FIFTH AVENUE #1590 Charge City and Mate NEW YORK, NY ZIP coda 10001 ConyatMC V$/ ESTATES AND RIVETS ONLY. ENTER EMPLOYER IDENTIFICATION NUMBER Business Telephone Number TaxpayieS Email Aldine A. Payment 1. Estimate of 2018 tax Amount included with form • Make payable to: NYC Department of Finance 2. Amount to be paid with this declaration (Payable to: NYC DEPARTMENT OF FINANCE) A. ayman n. 16310. 65240. 16310. Signature of taxpayer Tithe Data To receive proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 794572 11.15.17 EFTA00792160
NYC - 5UBTI DECLARATION OF ESTIMATED UNINCORPORATED BUSINESS TAX (FOR INDIVIDUALS, ESTATES AND TRUSTS) For CALENDAR YEAR 2018 beginning and ending 2018 First name and nivel ANASTASIYA Last name Name SIROOCHENKO Chard, — SOCIAL SECURITY NUMBER * * * * * (easiness name SUBLIME ART LLC BUSINESS CCUF N UM HI-li AS FER EWEHAI HE T LH N (easiness address (number and stmen AddreSS 244 FIFTH AVENUE #1590 Change — City and Mate NEW YORK, NY ZIP cot* 10001 Cony la n0 VS/ ESTATES AND MATS ONLY. ENTER EMPLOYER IDENTIFICATION NUMBER (easiness Telephone Molter Taxpayer's Email Address A. Payment 1. Estimate of 2018 tax Amount included with form • Make payable to: NYC Department of Finance 2. Amount to be paid with this declaration (Payable to: NYC DEPARTMENT OF FINANCE) A. 16310. 65240. 16310. Signature of taxpayer Tithe Date To receive proper credit, you must enter your correct Social Security Number or Employer Identification Number on your declaration and remittance. DETACH ON DOTTED LINE & MAIL UPPER PORTION. RETAIN LOWER PORTION FOR YOUR RECORDS 05 794572 11.15.17 EFTA00792161
Estates and Trusts using an EIN as their primary Identifier must use Form NYC-202EIN NYC - 202 OnerimeRol fonts UNINCORPORATED BUSINESS TAX RETURN TOR INDIVIDUALS AND SINGLE-MEMBER LLC$ For CALENDAR YEAR 2017 beginning First name and initial Last name ANASTASIYA SIROOCHENKO In Care Of Cnanca Business name SUBLIME ART LLC Business address (number and street) 244 FIFTH AVENUE 111590 City and State NEW YORK, NY Business Telephone Number Adrift/SS Ching. ZIP Code 10001 Country or no US) Dalt ',ismsWin n YNCOB661/1 01, (NOM mdtd in NYCOB.61M and ending 2017 TAXPAYER'S ADDRESS SOCIAL SECURITY NUMBER BUSINESS CODE NUMBER FROM FEDERAL SCHEDULE u Amended reiwn If trie purpose at the anwerfed return la to report a IRS change Date of Final a state chteme. chock the apcmpriate bow NYS mango Determination Final return - Coned operations Attach copy of your entire lodetal Form 1040 and statement showing disposlibin at business prosody. Engaged Ina fully exempt unincorporated business activity Engaged in a venially exempt unincomorated business away -- Claim any 9/11/IM feted iederai tax conelfts Noe instructions) Enter 2-clwacter SPhdal comicial corks. If Mee mstructions) SCHEDULE A Computation of Tax BEGIN WITH SCHEDULE B ON PAGE 3. COKIPLE1E ALL OTHER SCHEDULES. TRANSFER APPLICABLE AMOUNTS TO SCHEDULE A IA Payment I Amount being paid electronically with this return A. 1. Business income (from page 3, Schedule B, line 27) 1. 2. Business allocation percentage from Schedule C, line 5. (If not allocating, enter 100%) 2. 100 . 00 % 3. If line 2 is less than 100%. enter income or loss on NYC real property(see instructions) 3. 4. PayrnOnt Arnemnt 1645140. 4. Balance (line 1 less line 3) 5. Multiply line 4 by the business allocation percentage on line 2 5. 6. Amount from line 3 (NYC real property income and gain not subject to allocation) (see instructions) 6. 7. Investment income (from page 3. Schedule B. line 26) 7. 8. Investment allocation percentage (from page 4, Schedule D, line 2) 8. 9. Multiply line 7 by the investment allocation percentage from line 8 (see Thstructions) 9. 10. Total before NOL deduction (sum of lines 5. 6 and 9 or line 1 and line 9) (see instructions Arline 2) 10. 11. Deduct: NYC net operating loss deduction (from Form NYC-NOLDUBTI, line 7) (see instructions) 11. 12. Balance before allowance for taxpayer's services (line 10 less line 11) 12. 13. Less: allowance for taxpayer's services • do not enter more than 20% of lkw 12 or $10,000, whichever is less (see instructions) 13. 14. Balance before exemption (line 12 less line 13) 14. 15. Less: exemption • $5,000 (taxpayer operating more than one business or short period taxpayer, see insuuctions) 15. 16. Taxable income gine 14 less line 15)(see instructions) 16. 17. Tax before business tax credit (4% of amount on line 16) 17. 18. Less: business tax credit (select the applicable credit condition from the Business Tax Credit Computation schedule on the bottom of page 2 and enter amount) (see instructions) 18. 19. UNINCORPORATED BUSINESS TM (line 17 less line 18) (see instructions) 19. 1645140. 1645140. 0.0 1645140. 1645140. 10000. 1635140. 5000. 1630140. 65206. 65206. 794521 11.22-17 THIS RETURN MUST BE SIGNED. (SEE PAGE 5 FOR SIGNATURE BOX AND MAILING INSTRUCTIONS.) 60211705 05 EFTA00792162
Form NYC-202 2017 Page 2 Name ANASTASIYA SIROOCHENKO SSN 20a. Credits from Form NYC,114.5 (attach form) (see instructions) 20a. 20b. Credits from Form NYC•114.6 (attach form) (see instructions) 20b. 20c. Credits from Form NYC•114.8 (attach lam) (see instructions) 20c. 20d. Credits from Form NYC•114.10 (attach form) (see instructions) 20d. 20e. Credits from Form NYC•114.12 (attach form) (see instructions) 20e. 21. Net tax after credits (line 19 less sum of lines 20a through 20e) 21. 22. Payment of estimated Unincorporated Business Tax, Including carryover credit from preceding year and payment with extension, NYOECI 22. 23. If line 21 is larger than line 22. enter balance due 23. 24. If line 21 is smaller than line 22 enter overpayment 24. 25a. Interest (see instructions) 25b. Additional charges (see instructions) 25c. Penalty for underpayment of estimated tax (attach form NY0221) 26. Total of lines 25a, 25b and 25c 27. Net overpayment (line 24 less line 26) (see Instructions) 28. Amount of line 27 to be: (a) Refunded • Direct deposit • NI out line 28c OR (b) Credited to 2018 Estimated Tax on Form NYO5UBT 28c. Routing Account Number Number 29. Total remittance due (see instructions) 30. NYC rent deducted on federal tax return or NYC rent from Schedule C 31. Gross receipts or sales from federal return 25a. 25b. 25a. - 176-r 26. 27. 28a. 28b. X Paper check . ACCOUNT TYPE Savings 29. 30. 31. 65206. 70000. 4794. 1965. 2829. 2829. 0. 3230000. Business Tax Credit Computation 1. If the amount on page 1. line 17, is S3.400 or less, your credit on line 18 is the entire amount of tax on line 17. (NO TAX WILL BE DUE.) 2. If the amount on page 1. line 17, is 55.400 or over, no credit is allowed. Enter `0' on line 18. 3. If the amount on page 1, line 17, is over $3,400 but less than $5,400. your credit is computed by the following formula: amount on pg. 1, line 17 X ( $5,400 minus tax on line 17 )= $2,000 your credit Prepayments of Estimated Tax Computation PREPAYMENTS CLAIMED ON SCHEDULE A, LINE 22 DATE AMOUNT A. B. C. D. E. F. G. Payment with declaration, Form NYC•5UBTI (1) Payment with Notice of Estimated Tax Due (2) Payment with Notice of Estimated Tax Due (3) Payment with Notice of Estimated Tax Due (4) Payment with extension, Form NYOECT Overpayment credited from preceding year TOTAL of A. B. C. D. E. F (enter on Schedule A. line 22) 0 1 - 16 -18 70000. 70000. 60221705 759522 11.22.17 05 EFTA00792163
Form NYC-2O2 2017 Name ANASTASIYA SIROOCHENKO SSN Page 3 SCHEDULE B Computation of Total Income Part 1 Items of business income, gain, loss or deduction 1- Net profit (or loss) from business, farming or professions as reported for federal tax purposes from federal Schedule C, GEZ or F (Form 1O4O) (see instructions) 1. 2. If entering income from more than one federal Schedule C, C•EZ or F (Form 1040), check this box 2. X Enter the number of Schedules C, C•EZ or F attached: ► 2 3. Gain (or loss) from sale of business personal property or business real property wadi ism Saadi*. 0 a ram 47v7) 3. 4. Net amount of rental or royalty income from business personal property or business real property (attach federal Schedule E) (see instructions) 4. 5. Other business income (or loss) (attach schedule) (see instructions) 5. 6. Total federal income (or loss) (combine lines 1 through 5) 6. 7. Subtract net income or gain (or add net loss) from rental, sale or exchange of real property situated outside New York City, if included in line 3 or 4 above (attach schedule) (see instructions) 7. 8. Total income before New York City modifications (combine lines 6 and 7) 8. Part 2 I New York City modifications (see instructions for Schedule B, part 2) ADDITIONS 9. All income taxes and Unincorporated Business Taxes 10a. Relocation credits 10b. Expenses related to exempt income 10c. Depreciation adjustments (attach Form NYC-399 and/or NYC-399Z) 10d. Real estate additions (see instructions) 11. Other additions (attach schedule) (see instructions) 12. Total additions (add lines 9 through 11) SUBTRACTIONS 13. All income tax and Unincorporated Business Tax refunds (included in part 1) 13. 14. Wages and salaries subject to federal jobs credit (see instructions) 14. 15. Depreciation adjustment (attach Form NYC-399 and/or NYC-399Z) 15. 16. Exempt income included in part 1 (attach schedule) Art 16. 17. 5O% of dividends(see instructions) 17. 18. Real estate subtractions (see instructions) 18. 19. Other subtractions (attach schedule) (see instructions) 19. 20. Total subtractions (add lines 13 through 19) 20. 21. NYC modifications (combine lines 12 and 2O) 21. 22. Total income (combine lines 8 and 21) 22. 1645140. 23. Less: Charitable contributions (not to exceed 5% of line 22)(see Instructions) 23. 24. Balance (line 22 less line 23) 24. 1645140. 25. Investment income • (complete lines a through g below) (see Instructions) (a) Dividends from stocks held for investment 25a. (b) Interest from investment capital (nclude nonexempt governmental obligations) (Neste on rider) 25b. (c) Net capital gain (loss) from sales or exchanges of secuMies held for investment 25c. (d) Income from assets included on line 3 of Schedule D 25d. (e) Add lines 25a through 25d inclusive 25e. (f) Deductions directly or indirectly attrbutable to investment income 251. (g) Interest on bank accounts included in income reported on line 25d 25g. 26. Investment income (line 25e less line 250 (enter on page 1, Sch. A, line 7) 26. 27. BUSINESS INCOME (line 24 less line 26) (enter here and transfer amount to pg 1, Sch. A, fine 1) 27. 1645140. 9. 10a. 10b. 10c. 10d. 11. 12. 1645140. 1645140. 1645140. 60231705 794531 11.7247 05 EFTA00792164
Form NYC-202 2017 Page 4 Name ANASTASIYA SIROOCHENKO SSN ALLOCATION OF BUSINESS INCOME Taxpayers who carry on business both inside and outside New York City should complete Schedule C. Parts 1.2 and 3 (below). Taxpayers who do not carry on business both inside and outside New York City should omit Schedule C. Parts 1 and 2 (below), enter 100% on Part 3 line 5 and enter 100% on Schedule A line 2. SCHEDULE C I Complete this schedule If business is carried on both inside and outside New York City p art I List location of each place of business INSIDE New York office, public warehouse, contractor, converter. etc. City, nature of activities at each loca ion (manufacturing, sales office. executive , and number of employees, their " ages salaries and duties at each location. Complete Address Rent Nature of Activities Empioyees Wages, Salaries, Etc. Duties I I I I Total Illl• Part 2 List location of each place of business UU I bilk New York City, nature of activitle at each location (manufactunng. sales office. executive office. public warehouse, contractor. converter, etc). and number of employees. their wages, salaries and duties at each location. Complete Address Rent Nature of Activities n i.,. Emaye u es Wages, Salaries, Etc. Duties I I I I Total Part 3 I Formula Basis Allocation of Income DESCRIPTION OF ITEMS USED AS FACTORS amps vale 07010 rail and Tangicaa persona( Warty of Me business Nee Ind) a. Business real property owned Ia. b. Business real property rented from others ever x a, lb. e. Business tangible personal property owned 1c. d. haws tingitiansal Parartaltera Wien Pent ir Id. e. Total of lines 1a • 1d le. f. Multiply Column C of line 1e by 3.5 If. 2a. au.st..1.,,..ot 4,, ....atMye 2a. 2b. Munich/ Column C of line 2a by 3.5 2b. at. owing the year v...tft 3a. 3b. Multiply Column C of line 3a by 93 3b. Weighted Factor Allocation 4a. Add Column C. lines 1f, 2b and 3b 42. Olvkle Me la by Ira it no %COM we to 19 Mang. Wade Wie na by the total of trw wore of me taws 4b. present Enter as percentage. Round to ina new one hundredth W a percentage pat 41/. Business Allocation Percentage 5. Enter percentage from line 4b. Transfer to page 1. Schedule A. line 2. See instructions 5. 6. IS ANY PLACE OF BUSINESS LISTED IN PARTS 1 AND 2 LOCATED IN YOUR HOME? 7. DID YOU CLAIM A DEDUCTION FOR EXPENSES OF AN OFFICE IN YOUR HOME? COLUMN A - NEW YORK CITY COLUMN B - EVERYWHERE COLUMN C PERCENTAGE IN NEW YORK CITY (COLUMN A DIVIDED BY COLUMN B) YES YES NO NO SCHEDULE D I Investment Capital and Allocation and Cash Election DESCRIPTION OF INVESTMENT no 0, AiteaS Cr tyrioad of SOCuonen C Aunr70)0 yalont Llaatio$ Attributable to kiveStnInnt Capital E Not Mange value Kean C minis wan DI P . Ism,•a All0C0tIon Percentage yam Stemmed to NYC (odurnn E X Oolurnn PI L'S I LAO Si (ILA c). .i Sr yilh • EN RIDERIF artfr.c.C.M. 1. Tools (Including Redd on WS) • PR 2. Investment allocation percentage 3. Cash - ITO Veal cash as Immanent capital. " you mat include non ins In. 4. Investment capital. Total of lines 1E line 1G divided by line I P. and 3E 1E, round to the nearest one hundredth of a percentage point) la, 60241705 ATTACH FEDERAL SCHEDULE C, SCHEDULE C-EZ OR SCHEDULE F, FORM 1040 TO THIS RETURN 724532 II -22.17 05 EFTA00792165
Form NYC-202 2017 Page 5 Name ANASTASIYA SIROOCHENKO SSN SCHEDULE E If you are taking a Net Operating Loss Deduction this year, please attach Form NYC-NOLD-UBTI SCHEDULE F The following information must be entered for this return to be complete. 1. 2. 3. Nature of business or profession: ART DEALER New York State Sales Tax ID Number: Did you file a New York City Unincorporated Business Tax Retum for the following years: 2015: X YES NO 2016: X YES NO — — If 'NO,' state reason: 4. Enter home address: NEW YORK NY 5. If business terminated during the current taxable year, state date terminated. (mmddiry) (Attach a statement showing disposition of business property.) 6. Has the Internal Revenue Service or the New York State Department of Taxation and Finance Increased or decreased any taxable Income (loss) reported in any tax period, or are you currently being audited?,„ YES X NO If 'YES', by whom? Internal Revenue Service State period(s): Beg.: ZIP Code: 10014 End.: New York State Department of Taxation and Finance State period(s): Beg.: End.: 7. Has Form NYC•115 (Report of FederalfState Change in Taxable Income) been filed? Only applicable for years prior to 1/1/15. For years beginning on or after 1/1/15, file an amended return. (see Thstructions) YES 8. Did you calculate a depreciation deduction by the application of the federal Accelerated Cost Recovery System (ACRS)? YES 9. Were you a participant in a 'Safe Harbor Leasing" transaction during the period covered by this return? YES 10. Does this taxpayer pay rent greater than $200,000 for any premises in NYC in the borough of Manhattan south of 96th Street for the purpose of carrying on any trade, business, profession, vocation or commercial activity? 11. If 'YES', were all required Commercial Rent Tax Returns filed? Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return: CERTIFICATION X NO X NO X NO YES X NO YES NO I hereby 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(' kcal StaniyKumbutt Fri% PREPARERS USE —1). ONLY Prepares aphalure % ,a'S DAVID Primed name WEISS Check It sell. employed pm Date DAVID WEISS CPA, PLLC 183 MADISON AVE SUITE 803 NEW YORK, NY 10016-4403 A Firm's name (or yours, rf self-employed) A Address A ZIP Code AreandbmIMMI'mlidilemey **_** MAILING INSTRUCTIONS Attach copy of federal Form 1040, Schedule C, Schedule C-EZ or Schedule F. If this is a final return, attach an entire copy of federal Form 1040. Make remittance payable to the order of NYC DEPARTMENT OF FINANCE. Payment must be made in U.S. dollars and drawn on a U.S. bank. To receive proper credit, you must enter your correct Social Security Number on your tax return and remittance. The due date for the calendar year 2017 return is on or before April 7, 20 8. For fiscal years beginning in 2017, file on or before the 15th day of the fourth month following the close of the fiscal year. ALL RETURNS EXCEPT REFUND RETURNS NYC DEPARTMENT OF FINANCE UNINCORPORATED BUSINESS TAX P.O. BOX 5564 BINGHAMTON, NY 13902-5564 REMITTANCES PAY ONLINE WITH FORM NYC-200V AT NYC.60V/ESERVICES OR Mall Payment and Form NYC-200V ONLY to: NYC DEPARTMENT OF FINANCE P.O. BOX 3933 NEW YORK, NY 10008-3933 RETURNS CLAIMING REFUNDS NYC DEPARTMENT OF FINANCE UNINCORPORATED BUSINESS TAX P.O. BOX 5563 BINGHAMTON, NY 13902-5563 60251705 794555 1142-t7 06 EFTA00792166
NYC - 221 litP13 3:17IIIM3 UNDERPAYMENT OF ESTIMATED UNINCORPORATED BUSINESS TAX ATTACH TO YOUR TAX RETURN For CALENDAR YEAR 2017 or FISCAL YEAR beginning Print or Type • Name , and ending 2017 ANASTAS I YA S I ROOCHENKO SOCIAL SECURITY MJMEIER OR PARTNERSHIPS. ESTATES A5O TRUSTS ONLY EINEM EMPLOYER IDENTIFICATION NUMBER Computation of Underpayment I 1. 2017 tax (from NYO202 or NYC2028N, Schedule A, line 19; NY0204, Schedule A. line 21; or NYC -2025, Schedule A, line 8) 1. 65206. 2. Credits (from NY0202 or NYO202EIN, Schedule A, lines 20a, 20b, 20c, 20d and 20e or NYC.204, Schedule A, lines 22a, 22b, 22c. 22d and 22e) 2. 3. Line 1 less line 2 3. 65206. 4. 90% of line 3 4. 58685. Enter quarterly due dates of installments a 1- FIRST 2- SECOND I 06-15-17 3- THIRD 4 FOURTH I 04-18-17 I 09-15-17 I 01-15-18 5, Divide amount of line 4 by the number of installments required for the year. Enter _ the result in the appropriate columns • • • D. 6. knout paid or credited for each period 6. 7. Overpayment of previous installment 7. 8. Total of lines 6 and 7 8. 9. Overpayment (line 8 less line 5) 9. 10. Underpayment pine 5 less line 8) 10. 14671 . 14671 . 14671 . 14672 . 70000. 70000. 55328 . 14671 . 14671 . 14671 . —> COMPUTATION CONTINUES ON PAGE 2 [Exceptions that Avoid the Underpayment Penalty I Total comu iative amount paid or credited from the beginning of the taxable year through the installment dates that correspond to the 15th day of the 4th. 6th and 9th months of the taxable year and the 15th day of the first month of the succeeding taxable year ATTCEPTI011 1 • I . Plitt years tax (201E) i • 5440.I i - Flasr QUARTER 2- SECOND QUARTER a. THIRD QUARTER 4. FOURTH QUARTER 0. O. 0. 70000 . 25% 01 2016 tax 1360. 50% 012016 tax 2720. 75% 012016 tax 4080. 100% 01 2016 tax 5440. • EXCEPTION 2 - Tax on prior year's facts and law using 2017 rates (attach computation) • EXCEPTION 3 - Tax on annualized 2017 income (attach computation) • EXCEPTION 4 - Tax on 2017 income over short periods (attach computation) • EXCEPTION 5 - Tax on recurring seasonal 2017 income (attach computation) Enter 25% al tax Enter 50% ol tax Enter 75% al tax Enter 100% of (a, Enter 22.50% 01 tax Enter 4596 ot tax Enter 67.50% or tax Enter 90% of tax Enter 90% at lax Enter 90% Cl tax EXCEPTION MET 60611705 7944111 11-15-17 NO NO NO N/A inc.,,' 261 05 EFTA00792167
Form NYC-221 - 2017 Page 2 COMPUTATION OF PENALTY t- FIRST 2- SECOND 1 06 - 15 - 17 3- THIRD 4- FOURTH 04 - 18 - 17 09 - 15 - 17 01 - 15 - 18 11. Enter the date of payment a the 15th day of the 4th month after the close of the taxable year, whichever is earlier 12. Number of days from due date of instalment to the date shown on line 11 13. mem:mita dayson lane 12 ars 4/152017 and bean 7/1/2012 13. 14. Number of days on line 12 after 6/30/2017 and before 10/1/2017 14. 15. Number of days on line 12 after 9/30/2017 and before 1/1/2018 15. 16. Number of days on line 12 after12/31/2017 and before 4/1/2018 16. 17. Number of days on line 12 after 3/31/2018 and before 7/1/2018 17. 18. Number of days on line 12 after 8/30/2018 and before 10/1/2018 18. 19. Number of days on line 12 after 9/30/2018 and before 1/1/2019 19. 20. Monts of days on line 12 afar 1231/2015 and WOO 3/15/7019 11. 12. 20. 21. Number of days on line 13 x 8% x amount on line 10 365 21. 22. Number of days on line 14 x 8% x amount on line 10 365 23. Number of days on line 15 x 8% x amount on line 10 365 22. 23 24. Number of days on line 16 x •% x amount on line 10 365 24 SEE UNDER PAYMENT OF ES TIMATED TAX WORKSHEE 25. Number of days on line 17 x x amount co line 10 365 25. 26. Number of days on line 18 x x amount co line 10 365 26. 27. Number of days on line 19 x •% x amount on line 10 365 27. 28. Number of days on line 20 x •% x amount on line 10 365 28. 29. Add lines 21 through 28 29. 30. To complete this line, refer to the instructions for line 30 30 196. 592. 1177. 31. Add the amounts on line 29 (or line 30, if applicable) for quarters through 4. Enter total and transfer amount to Form NYC-202 or NYC-202EIN, Schedule A, line 25c or Farm NYC-204, Schedule A, line 27c (see instructions for line 30) 31. 60521705 1965. 'For information regarding interest rates, call 311. If calling from outside of the five NYC boroughs, please call 212-NEW-YORK (212-639-9675). You may also consult the Department of Finance website at nyc.gov/finance 794482 I 1- 1 r 05 EFTA00792168
UNDERPAYMENT OF ESTIMATED TAX WORKSHEET NYC ANASTASIYA SIROOCHENKO derm riltrr *** ** -Daie (Bt Amount (C) Adjusted Balance Due i Ba'treteOtte :E) Dd ' Penalty Rate -0- 04/15/17 14671. 14671. 61 .000219178 196. 06/15/17 14671. 29342. 92 .000219178 592. 09/15/17 14671. 44013. 122 .000219178 1177. 01/15/18 14672. 58685. 01/15/18 -70000. -11315. Penalty Due (Sum of Column F). 1965. • Date of estimated lax payment, withholding credit date or installment due date. 7 125 11 EFTA00792169
NYC DrouteRniof For07 NYC 579-UBTI NEW YORK CITY DEPARTMENT OF FINANCE 2017 Signature Authorization for E-Filed Unincorporated Business Tax Return for Individuals ELECTRONIC RETURN ORIGINATORS (ER0): DO NOT MAIL THIS FORM TO THE DEPARTMENT OF FINANCE. KEEP THIS FOR YOUR RECORDS. FIRST NAME AND INITIAL ANASTASIYA LAST NAME SIROOCHENKO SOCIAL SECURITY NUMBER EMAIL ADDRESS: TYPE OF FORM: NYCSUBTI NYC•EXT — NY0202S — X NYC202 — Financial Institution Information - must be included if electronic payment is authorized AMOUNT OF AUTHORIZED DEBIT: FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER: Part A - Declaration and authorization of Taxpayer for Forms NYC-202, NYC-202S, NYC-EXT or NYC-5UBT1 Under penalty Unincorporated knowledge and electronically Internal Revenue Business Tax New York City designated financial Business Tax X I authorize as my _ As the of perµiry, I declare that I am the taxpayer and that I have examined the information Business Tax return. including any accompanying schedules, attachments and belief, the electronically filed document is true, correct and complete. The ERO filed Unincorporated Business Tax return or other report checked above to the New Service. I authorize the ERO to enter my PIN as my signature on the 2017 New return or other report, as indicated above or I will enter my PIN as my signature on Unincorporated Business Tax owed by electronic funds withdrawal. I authorize the agents to initiate an electronic funds withdrawal from the financial institution return or other report, and I authorize the financial institution to debit the amount DAVID WEISS CPA, PLLC to enter on its 2017 New York City electronically filed statements or other report, and to the best of my has my consent to send the 2017 New York City York City Department of Finance through the York City electronically filed Unincorporated the document indicated above. If I am paying the New York City Department of Finance and its account indicated on the Unincorporated from that account. my PIN above Tax return or other report, as indicated above. tift) HAM NAM signature on the 2017 Unncorporated Busness Tax return or other report. as indicated taxpayer I will enter my PIN as my signature on the 2017,Unincorporated Business Signature of Taxpayer Official title Date Part B - Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in the abovenamed taxpayers 2017 New York City electronically filed unincorporated business tax return or other report checked above is the information furnished to me by the taxpayer. If the taxpayer furnished me with a completed 2017 New York City paper unincorporated bushess tax return or other report signed by a paid preparer. I declare that the information contained in the taxpayer's 2017 New York City electronically filed unincorporated business tax return or report is identical to that contained in the paper return. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2017 New York City electronically filed unincorporated business tax return or other report, and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me. ERO EFIN/PIN: Enter your sixdigit EFIN followed by your five digit PIN: DAVID WEISS CPA, PLLC DAVID WEISS CPA, PLLC ERO's Signature Print Name Date DAVID WEISS Paid Preparers Signature Print Name Date PURPOSE - A completed Form NYC•579•UBTI provides documentation that an ERO has been authorized to electronically file the Unincorporated Business Tax return or other report. The taxpayer may designate the ERO to electronically sign the return or other report by entering the taxpayer's personal identification number (PIN). The form also authorizes payment of tax due on an electronically submitted return or report by an automatic clearing house (ACH) debit from a designated checking or savings account of the taxpayer. You cannot revoke this authorization. GENERAL INSTRUCTIONS Part A - Past A must be completed by the taxpayer before the ERO transmits the electronically filed Form NYC•202 (Unincorporated Business Tax Return for Individuals and Single Member LI_Cts); NY0202S (Unincorporated Business Tax Return for Individuals): NYOUT (Application for Month Extension to File Busness Income Tax Return); or NYOSUBTI (Declaration of Estimated Unincorporated Business Tax for Individuals. Estates and Trusts). EROs/paid preparers must complete Part B prior to transmitting electronically filed unincorporated business tax returns or reports (Forms NY0202. NY0202S, NYOUT or NYOSUBTI). Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case. Do not mail Form NY0579•UBTI to the Department of Finance. The EROs/paid preparers must keep the completed Form NY0579•LIB11 for three years from the due date of the return or report or the date the return or report was filed, whichever is later, and must present It to the Department of Finance upon request. 794911 11-15-17 PorO.579-Mm 2017 06 EFTA00792170










