GHISLAINE MAXWELL FORM 4952 INVESTMENT EXPENSES STATEMENT 25 DESCRIPTION AMOUNT THE BLACKSTONE GROUP, LP - ROYALTY 6. SCHEDULE A DEDUCTIONS 34,522. TOTAL TO FORM 4952, LINE 5 34,528. FORM 4952 INVESTMENT INTEREST EXPENSE DEDUCTION SUMMARY STATEMENT 26 NAME DISALLOWED ALLOWED INVESTMENT INVESTMENT INVESTMENT INVESTMENT FORM OR INTEREST INTEREST INTEREST INTEREST SCHEDULE EXPENSE EXPENSE C/O EXPENSE EXPENSE FROM K-1 - THE BLACKST SCH A FROM K-1 - ALPHAKEYS M SCH E TOTALS 17. 0. 0. 17. 1,985. 0. 0. 1,985. 2,002. 0. 0. 2,002. FORM 4952AMT INVESTMENT INTEREST EXPENSE STATEMENT 27 DESCRIPTION CURRENT CARRYOVER FROM K-1 - THE BLACKSTONE GROUP, LP 17. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,985. TOTALS TO FORM 4952AMT, LINES 1 AND 2 2,002. FORM 8960 TRADE OR BUSINESS INCOME STATEMENT 28 ALPHAKEYS MILLENNIUM FUND, L.L.C. 1,736. AMOUNT TO FORM 8960, LINE 4B 1,736. 86 STATEMENT(S) 25, 26, 27, 28 EFTA00026379
GHISLAINE MAXWELL FORM 8960 NET GAINS FROM DISPOSITION OF PROPERTY USED STATEMENT 29 IN A NON-SECTION 1411 TRADE OR BUSINESS NAME OF TRADE OR BUSINESS AMOUNT ALPHAKEYS MILLENNIUM FUND, L.L.C. 5,310. TOTAL TO NET GAINS AND LOSSES WORKSHEET, LINE 2A 5,310. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 30 ALLOCABLE TO INVESTMENT INCOME BEFORE LIMITATIONS DESCRIPTION LINE AMOUNT UBS Y1-23574 9C 7,744. UBS Y1-23571 9C 5,074. UBS Y1-23568 9C 8,111. UBS Y1-23570 9C 4,832. UBS Y1-23571 9C 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C n 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L. 9C 252. TOTAL TO LINES 9 AND 10 WORKSHEET, PART I, LINE 1 34,522. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION STATEMENT 31 DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT UBS Y1-23574 9C 7,744. 1.0000 7,744. UBS Y1-23571 9C 5,074. 1.0000 5,074. UBS Y1-23568 9C 8,111. 1.0000 8,111. UBS Y1-23570 9C 4,832. 1.0000 4,832. UBS Y1-23571 9C 8,488. 1.0000 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. 1.0000 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUN 9C 252. 1.0000 252. TOTAL TO LINES 9 & 10 WKST, PART II 34,522. 34,522. 87 STATEMENT(S) 29, 30, 31 EFTA00026380
GHISLAINE MAXWELL FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY STATEMENT 32 ALLOCABLE TO INVESTMENT INCOME AFTER LIMITATION DESCRIPTION LINE AMOUNT UBS Y1-23574 9C 7,744. UBS Y1-23571 9C 5,074. UBS Y1-23568 9C 8,111. UBS Y1-23570 9C 4,832. UBS Y1-23571 9C 8,488. FROM K-1 - THE BLACKSTONE GROUP, LP 9C 21. FROM K-1 - ALPHAKEYS MILLENNIUM FUND, L.L.C. 9C 252. TOTAL TO LINES 9 AND 10 WORKSHEET, PART III, LINE 1 34,522. FORM 8960 MISCELLANEOUS ITEMIZED DEDUCTIONS PROPERLY ALLOCABLE TO INVESTMENT INCOME STATEMENT 33 DESCRIPTION LINE COLUMN A AMNT RATIO COLUMN C AMNT UBS Y1-23574 UBS Y1-23571 UBS Y1-23568 UBS Y1-23570 UBS Y1-23571 FROM K-1 - THE BLACKSTONE GROUP, LP FROM K-1 - ALPHAKEYS MILLENNIUM FUN TOTAL TO LINES 9 & 10 WORKSHEET, PART IV, LINE 1 9C 9C 9C 9C 9C141I 9C 9C 7,744. 5,074. 8,111. 4,832. 8,488. 21. 252. 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 1.0000 7,744. 5,074. 8,111. 4,832. 8,488. 21. 252. 34,522. 34,522. FORM 8582 OTHER PASSIVE ACTIVITIES - WORKSHEET 3 STATEMENT 34 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS NAME OF ACTIVITY NET UNALLOWED INCOME NET LOSS LOSS GAIN LOSS CARGOMETRICS TECHNOLOGIES TOTALS LLC 0. -118,351. -4,275. -122,626. 0. -118,351. -4,275. -122,626. 88 STATEMENT(S) 32, 33, 34 EFTA00026381
GHISLAINE MAXWELL FORM 8582 ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5 STATEMENT 35 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC FORM OR UNALLOWED SCHEDULE LOSS RATIO LOSS SCH E 122,626. 1.000000000 122,626. TOTALS 122,626. 1.000000000 122,626. FORM 8582 ALLOWED LOSSES - WORKSHEET 6 STATEMENT 36 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC FORM OR UNALLOWED ALLOWED SCHEDULE LOSS LOSS LOSS SCH E 122,626. 122,626. TOTALS 122,626. 122,626. FORM 8582 SUMMARY OF PASSIVE ACTIVITIES STATEMENT 37 R R FORM E OR PRIOR NET UNALLOWED ALLOWED A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS CARGOMETRICS SCH E TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626. TOTALS -118,351. -4,275. -122,626. 122,626. PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582, LINE 16 89 STATEMENT(S) 35, 36, 37 EFTA00026382
GHISLAINE MAXWELL FORM 8582-CR OTHER PASSIVE ACTIVITY CREDITS STATEMENT 38 WORKSHEET 4 NAME OF ACTIVITY PRIOR YEAR FROM CURRENT UNALLOWED TOTAL FORM YEAR CREDITS CREDITS CREDITS CARGOMETRICS TECHNOLOGIES6765/3800, LLC LINE 2 29. 29. TOTALS 29. 29. FORM 8582-CR ALLOCATION OF UNALLOWED CREDITS - WORKSHEET 8 STATEMENT 39 NAME OF ACTIVITY CARGOMETRICS TECHNOLOGIES LLC TOTALS FORM REPORTED UNALLOWED ON CREDITS RATIO CREDITS FORM 3800, LINE 3 29. 1.000000000 29. 29. 1.000000000 29. FORM 8582-CR ALLOWED CREDITS - WORKSHEET 9 STATEMENT 40 NAME OF ACTIVITY i r FORM REPORTED UNALLOWED ALLOWED ON CREDITS CREDITS CREDITS CARGOMETRICS TECHNOLOGIES LLC FORM 3800, LINE 3 29. 29. 0. TOTALS 29. 29. 0. 90 STATEMENT(S) 38, 39, 40 EFTA00026383
GHISLAINE MAXWELL FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 41 OTHER PASSIVE ACTIVITIES - WORKSHEET 3 CURRENT YEAR PRIOR YEAR OVERALL GAIN OR LOSS UNALLOWED NAME OF ACTIVITY NET INCOME NET LOSS LOSS GAIN LOSS CARGOMETRICS TECHNOLOGIES LLC 0. -118,351. -4,275. -122,626. TOTALS 0. -118,351. -4,275. -122,626. FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 42 ALLOCATION OF UNALLOWED LOSSES - WORKSHEET 5 NAME OF ACTIVITY FORM OR UNALLOWED SCHEDULE LOSS RATIO LOSS CARGOMETRICS LLC TECHNOLOGIES SCH E 122,626. 1.000000000 122,626. TOTALS 122,626. 1.000000000 122,626. FORM 8582 ALTERNATIVE MINIMUM TAX STATEMENT 43 ALLOWED LOSSES - WORKSHEET 6 NAME OF ACTIVITY k FORM OR UNALLOWED ALLOWED SCHEDULE LOSS LOSS LOSS CARGOMETRICS TECHNOLOGIES LLC SCH E 122,626. 122,626. TOTALS 122,626. 122,626. 91 STATEMENT(S) 41, 42, 43 EFTA00026384
GHISLAINE MAXWELL FORM 8582AMT SUMMARY OF PASSIVE ACTIVITIES - AMT STATEMENT 44 R R FORM E OR PRIOR NET UNALLOWED ALLOWED A NAME SCHEDULE GAIN/LOSS YEAR C/O GAIN/LOSS LOSS LOSS CARGOMETRICS SCH E TECHNOLOGIES LLC -118,351. -4,275. -122,626. 122,626. TOTALS -118,351. -4,275. -122,626. 122,626. PRIOR YEAR CARRYOVERS ALLOWED DUE TO CURRENT YEAR NET ACTIVITY INCOME TOTAL TO FORM 8582AMT, LINE 16 FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY FOREIGN INTEREST INCOME STATEMENT 45 DESCRIPTION AMOUNT BARCLAYS 16,736. ION444‘l CATER ALLEN PRIVATE BANK 5,519. TOTAL FOREIGN INTEREST INCOME 22,255. FORM 1116 U.S. AND FOREIGN SOURCE INCOME SUMMARY TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS STATEMENT 46 DESCRIPTION THE BLACKSTONE GROUP, LP ALPHAKEYS MILLENNIUM FUND, L.L.C. TOTAL PARTNERSHIP/S-CORPORATION INCOME/LOSS INCOME LOSS 121. -3,721. 121. -3,721. 92 STATEMENT(S) 44, 45, 46 EFTA00026385
2015 TAX RETURN FILING INSTRUCTIONS NEW YORK INCOME TAX RETURN FOR THE YEAR ENDING DECEMBER 31, 2015 Prepared for GHISLAINE MAXWELL C/O MARKS PANETH LLP-685 3RD AV NEW YORK, NY 10017 Prepared by MARKS PANETH LLP 685 THIRD AVENUE NEW YORK, NY 10017 Amount of tax Total tax Less: payments and credits Plus: interest and penalties OVERPAYMENT $ 15,560 Auk 24 634 0 9, .074 Overpayment Miscellaneous Donations 0 Credited to your estimated tax 9,074 Refunded to you 0 Make check payable to NOT APPLICABLE Mail tax return and check (if applicable) to THIS RETURN HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE SIGN, DATE, AND RETURN FORM TR-579-IT TO OUR OFFICE. WE WILL 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 17, 2016. Special Instructions 521;081 04•01• IS EFTA00026386
NEW YORK STATE 2015 Department of Taxation and Finance New York State E-File Signature Authorization for Tax Year 2015 For Forms IT-201, IT-201-X, IT-203, IT-203-X, IT-214, NYC-208, and NYC-210 Electronic return originator (ERG): do not mail this form to the Tax Department. Keep it for your records. Taxpayers name: GHISLAINE MAXWELL Purpose Form TR57SIT must be completed to authorize an ERO toe-file 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 11201, ResWent Income Tax Return, IT-201-X, Amended Resident Income Tax Return,11-203, Nonresident and Part-Year Resident Income Tax Return,11-203-)( Amended Nonresident and Pad-Year Resident Income Tax Return, IT-214, Claim for Real Property Tax Credit, NYC-208, Claim for New York City Enhanced Real Property Tax Credit, or Ny0210, Claim for New York City School Tax Credit. For returns filed jointly, both spouses must complete and sign Form TR-5791T. Spouse's name: (Jointly filed return only) 588351 11.2545 EROs must complete Part C prior to transmitting electronically filed income tax returns (Forms IT-201, 11-201-X. IT-203, IT-20&X.17214, NYC-208, and NYC-210). 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 Web site at wnw.tax.ny.gov to view this document. Do not mall 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 IT-370, 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 2015 Form IT-370. Part A - Tax return Information 1 Federal adjusted gross Income (from applicable line) 2 Refund 1. 2. 3 Amount you owe 3. 243496 0 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 2015 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 2015 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 authorize 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 2015 electronic return, and I authorize my financial institution to withdraw the amount from my 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 only) Date: Part C Declaration of electronic return originator (ERO) and paid preparer Under penalty of perjury, I declare that the information contained in this 2015 New York State electronic personal income tax return is the information furnished to me by the taxpayer. If the taxpayer furnished me a completed paper 2015 New York State retum signed by a paid preparer, I declare that the information contained in the taxpayer's 2015 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 2015 New York State electronic personal income 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 preparer's signature: Print name: BLECHER , ALAN Date: Date: TR-579-IT (12/15) 1 1019 EFTA00026387
er NEW YORK , STATE 2015 Department of Taxation and Finance Application for Automatic Six-Month IT-370 Extension of Time to File for Individuals (with instructions) 5683°°94645 Instructions New for 2015 Selfemployed individuals engaging in business within the Metropolitan Commuter Transportation District (MCTD) must now submit then application for automatic six•month extension of time to file, along with any required payment for metropolitan commuter transportation mobility tax (MCTMT). using Form IT-370 rather than Form MIA?, Application for Automatic Six-Month Extension of Time To File a Metropolitan Commuter Transportation Mobility Tax Return. Form MTA•7 is obsolete. General information Purpose Ale Form IT370 on or before the due date of the return to get an automatic six•month extension of time to file Form IT201. Resident income Tax Return, or Form 11203, Nonresident and Pan-Year Resident Income Tax Return. Note: We no longer accept a copy of the federal extension form in place of Form IT370. If you are requesting an extension of time to file using Form IT-370, you may still file Form IT•201 or Form IT203 electronically, provided you meet the conditions for electronic fling as listed in the instructions for the forms. It you have to file Form Y.203, Yonkers Nonresident Earnings Tax Return, the time to file Is automatically extended when you fie Form IT,370. For more information on who is required to file Form Y203, see the instructions for the form. We cannot grant an extension of time to fie for more than six months if you live in the United States. However, you may qualify for an extension of time to file beyond st< months under section 157.3(b)(1) of the personal income tax regulations because you are outside the United States and Puerto Rico, or you intend to claim nonresident status under section 605(b)(1)(A)00 of the Tax Law (548.day rule). as explained in the instructions for Form IT-203 under Additional information. Also see the special condition code instructions for the return you will be filing (Form IT201 or Form IT-203). When to file File one completed Form 17370 on or before the filing deadline for your return (extension applications filed after the filing deadline for the return are invalid). Generally, the filing deadline is the fifteenth day of the fourth month following the close of your tax year (April 18, 2016, for calendarlear filers). However, you may file Form ITS70 on or before: • June 15, 2016, if you qualify for an automatic twomonth extension of time to file your federal and New York State income tax returns because you are out of the country (for additional information, see When to file/Important dates on the back cover of the instructions for the return you are filing) and you need an additional four months to file (October 17, 2016): • June 15, 2016. if you are a U.S. nonresident alien for federal income tax purposes and you qualify to file your federal and New York State Income tax returns on June 15, 2016, and you need an additional six months to file (December 15, 2016): or • July 14, 2016. (if your due date is April 18, 2016) or September 13, 2016 (if you are a nonresident alien and your due date is June 15, 2016), if you qualify for a 90.day extension of time to file because your spouse died within 30 days before your retum due date and you need additional time to file. However, you must file your return on or before October 17. 2016, if your due date is April 18. 2016. or on or before December 15, 2016, if you are a nonresident alien and your due date is June 15. 2016. See Special condition codes on page 2. If you qualify for an extension of time to file beyond six months. you must file Form IT•370 on or before the filing deadline for your return. .bito llow to file Complete Form 11%370 and file it, along with payment for any tax due, on or before the due date of your return. Use the worksheet on page 3 to determine if a payment is required. V Detach (cut) here• Do not submit with your return. 2015 NEW YORK Department of Taxation and Finance STATE Application for Automatic Six-Month Extension of Time to File for Individuals IT-370 Paid paperer/ Mark an X In tha box and complete pegs 2 Your scent sacunty number (SSM Spotc,e's SSN (only a Nog a pm room) Your test name and middle i111S GHISLAINE Your last name MAXWELL Spouse's Wet name and middleinitial CMS's last name Mailing address (number and *veal or PO boxl Apartment number C/0 MARKS PANETH LLP -685 3RD AV City. village. or post *Moe We inisectersi NEW YORK Slate NY ZIP coda 10017 E.mall: Enter your 2-climactor spacial 'Sender, Cede It applicable (see InstructionM Mark an X m the box to each tax that yOu we subject to: •I= NYS lax El NYC lax El Seekers tax D mcimr LI I Sales and use tax 2 Total payment Dollen 0 0 Cents 3701151019 1111111 1111 1111111 111111111 EFTA00026388
Page 2 of 2 IT-370 (2015) 568302 09.16-15 Spouses who file separate returns must complete separate Forms IT•370. Do not include your spouse's SSN or name on your separate Form IT•370. Payment of tax • To obtain an extension of time to file. you must make full payment of the properly estimated tax balances due. Payment may be made by check or money order. See Payment options below. Penalties Late payment penalty If you do not pay your tax liability when due (determined with regard to any extension of time to pay). you will have to pay a penalty of 1/2 of 1% of the unpaid amount for each month or part of a month it is not paid, up to a maximum of 25%. The penalty will not be charged if you can show reasonable cause for paying late. This penalty is in addition to the interest charged for late payments. Reasonable cause will be presumed with respect to the addition to tax for late payment of tax if the requirements relating to extensions of time to file have been complied with, the balance due shown on the :looms tax return, reduced by any sales or use tax that is owed, is no greater than 10% of the total New York State, New York City, Yonkers. and MCTMT tax shown on the income tax return, and the balance due shown on the income tax return is paid with the return. Late filing penalty • If you do not file your Form IT•201 or Form 11.203 when due (determined with regard to any extension of time to file), or if you do not file Form IT•370 on time and obtain an extension of time to file, you win have to pay a penalty of 5% of the tax due for each month, or part of a month, the return is late, up to a maximum of 25%. However• if your return is not filed within 60 days of the time prescribed for filing a return (including extensions). this penalty win not be less than the lesser of 5100 or 100% of the amount required to be shown as tax due on the return reduced by any tax paid and by any credit that may be claimed. The penalty will not be charged if you can show reasonable cause for filing late. Interest Interest will be charged on income tax. MCTMT. or sales or use tax that is not paid on or before the due date of your return. even if you received an extension of time to file your return. Interest is a charge for the use of Ilxxay and in most cases may not be waived. Interest is compounded daily and the rate is adjusted quarterly. Fee for payments returned by banks The law allows the Tax Department to charge a $50 fee when a check, money order. or electronic payment is returned by a bank for nonpayment. However• if an electronic payment is returned as a result of an error by the bank or the department, the department won't charge the fee. If your payment is returned, we will send a separate bill for $50 for each return or other tax document associated with the returned payment. Privacy notification See our Web site or Publication 54, Privacy Notification. Specific instructions Name and address box' Enter your name (both names if filing a joint application). address and social security number(s). Failure to provide a social security number may invalidate this extension. If you do not have a social security number, enter do not have one. If you do not have a social security number, but have applied for one, enter applied for. 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. Special condition codes • If you are out of the country and need an additional four months to file (October 17. 2016). enter special condition code Ed. If you are a nonresident alien and your filing due date is June 15, 2016. and you need an additional six months to file (December 15. 2016), enter special condition code fa If you qualified for a 9Oday extension of time to file because your spouse died, and you need additional time to file (on or before October 17, 2016, or in the case of a nonresident alien, on or before December 15. 2016). enter special condition code 00. Also enter the applicable special condition code, Ed. Ea or (19 on Form IT•201 or Form IT•203 when you file your return. • DetachIcutThere • Do not submit with Your return IT-370 (2015) (page 2) Payment options • Ful payment must be made by check or money order of any balance due with this automatic extension of time to file. Make the check or MLR rofy order payable in U.S. funds to New York State Income Tax and write your social security number and 2016 Income Tax on it. For online payment options. see our Web site (at www.tany.goln. Paid preparers • Under the law, all paid preparers must sign and complete he paid prepare/ section of the form. Paid preparers may be subject to civil and/or criminal sanctions if they fail to complete this section in full. When completing this section, enter your New York tax preparer registration identification number (NYTPRIN) if you are required to have one. If you are not required to have a NYTPRIN, enter in the NYTPRIN act code box one of the specified 2-digit codes listed below that indicates why you are exempt from the registration requirement. You must enter a NYTPRIN or an exclusion code. Also, you must enter your federal preparer tax identification number (PTIN) if you have one; if not, you must enter your social security number. V Paid preparer must complete ova instructions) V Data: Noon's slow. 0 IIIP. Pro/00meg NYIPRIN name (Or Mgt 6 640-001PIOYOW F MARKS PANETH LLP V Pc mars PTIN or AddrieS 685 THIRD AVENUE NEW YORK, NY 10017 e Empi“.icr ltlfintlf CATO) A.Ifill'rty 113518842 'vu ra 01 E.rnaii: Code Exemption type Code Exemption type 01 Attorney 02 Employee of attorney 03 CPA 04 Employee of CPA 05 PA (Public Accountant) 06 Employee of PA 07 Enrolled agent 08 Employee of enrolled agent 09 Volunteer lax preparer 10 tmpioyee ot business preparing that business return See ou Web site for more information about the tax preparer registr lion requirements. 3702151019 1111111 11111 11111111 111111111 EFTA00026389
IT-370 (2015) Page 1 of 1 Worksheet Instructions Complete the following worksheet to determine if you must make a payment with Form IT-370. If you enter an amount on lines 1,2, 3, or 4 of this worksheet. mark an X in the appropriate box on IT-370. Line 1 • Enter the amount of your New York State income tax liability for 2015 that you expect to enter on Form IT-201, line 46. or Form IT-203, line 50. Line 2 • Enter the amount of your New York City income tax liability for 2015 that you expect to enter on Form IT-201, line 54. or Form IT-203. line 52a. Line 3 • Enter the amount of your Yonkers income tax liability for 2015 that you expect to enter on FormIT201, lines 55.56. and 57: or Form IT-203. lines 53 and 54. Line 4 • Enter the amount of your MCTMT liability for 2015 that you expect to enter on Form 11%201, line 54b. or Form IT-203, line 52c. Line 5 • Enter the amount of sales and use tax, if any, that you will be required to report when you file your 2015 return. See the instructions for your NYS income tax return for information on how to compute your sales and use tax. Also enter this amount on line 1 on IT-370. Line 7 • Enter the amount of 2015 tax already paid that you expect to enter on Form IT-201, line 76, or Form IT-203, line 66 (excluding the amount paid with Form IT-370). 1 New Yet Mato Income lax liability tot 2015 2 New York City income lax liability kw 2015 3 Yonkers income lax liability lot 2015 4 &cum liability to 2015 5 Seen anti um tax due Mt 2015 (enter ells amount how and on the a on IT-37C6 5. Total taxes (add l I though Total 2015 Income tax already mkt TOW payment istestract line 7 (tom Me 6 and en* tile amount hAra and an We 2 en 77-370) r Ilne 7 $ more than line 5. e0W 0 6 7 8 1. 2. 3. 4. Worksheet Note: You may be subject to penalties if you underestimate the balance due. How to claim credit for payment made with this form Include the amount paid with Form IT-370 on Form IT-201. line 75, or Form 11-203. line 65. For more information, see the line instructions for the return you file. 558303 Where to file If you are enclosing a payment with Form IT-370, mail to: Extension Request PO Box 4125 Binghamton NY 13902-4125 If you are not enclosing a payment with Form IT-370, mail to: Extension Request-NR PO Box 4126 Binghamton NY 13902-4126 Private delivery services If you choose, you may use a private delivery service. instead of the U.S. Postal Service, to rrei in your form and tax payment. However, if, at a later date, you need to establish the date you filed or paid your tax, you cannot use the date recorded by a private delivery service unless you used a delivery service that has been designated by the U.S. Secretary of the Treasury or the Commissioner of Taxation and Finance. (Currently designated delivery services are listed in Publication 55, Designated Private Delivery Services. See Need help? below for information on obtaining forms and publications.) If you have used a designated private delivery service and need to establish the date you filed your form, contact that private delivery service for instructions on how to obtain written proof of the date your form was given to the delivery service for delivery. See Publication 55 for where to send the form covered by these instructions. Need help? Visit our Web site at www.tax.ny.gov e get information and manage your taxes online • check for new online services and features Telephone assistance Automated income tax refund status: (518) 457-5149 Personal Income Tax Information Center: (518) 457-5181 To order forms and publications: (518) 457-5431 Text Telephone (TTY) Hotline (for persons with heating and speech disabilities using a TTY): (518) 485-5082 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. 10-1945 EFTA00026390
2015 NEW YORK STATE Now York State • New York City • Yonkers • MCTMT For the full year January 1, 2015, through December 31, 2015, or fiscal year beginning and ending Department of Taxation and Finance Resident Income Tax Return For help comoletinft your return, see the instructions Form 11-201-I Your lest name All You last name PO, a pint return. enter spaces name on linebelow) Your date of birth Immdcartry) Your social seamy number GHISLAINE MAXWELL Spouse's first name All SAO last negro Spouse's due o both trttorldiforl Spouse's Social Wintry number Mailing address (see InstructiOnS. page 13) Inumlow and street co PO be, ) Apayment nurnixe New Yak State county of residence C/O MARKS PANETH LLP -685 3RD A NY City. villagp. a post orrice State ZIP cods Country Of not li NW Slates) School district nano NEW YORK NY 10017 MANHATTAN Taxpayer's permanent home address on Instructions. G,V) 13)(number and start or rural route) Apartment numter School detrict code hurts 369 City, village. or post °Moe State al. code Infs.:150,401001h rnmO11!)0 SONSISdliCOlOtati SWAIM)/ pzezol NY IT-201 A Filing status (mark an X in one box): O W Single D Married filing joint return (enter spouse's social security number above) 0 K Married filing separate return (enter spouse's social security number above) 0 K Head of household (with qualifying person) D Qualifying widow(er) with dependent child B Did you itemize your deductions on your 2015 federal income tax return? Yes❑ No D C Can you be claimed as a dependent on another taxpayer's federal return? Yes D No El H Dependent exemption information (see Page 15) First name MI Last name Relationship Social security number Date of birth (mmddyyYY) D1 Did you have a financial account located in a foreign country? (see page 14) Yes El No El D2 Yonkers residents and Yonkers part-year residents only: (1) Dld you receive a property tax freeze credit? El Yes No (see page 74) El (2) If Yes, enter the amount 00 E (1) Did you or your spouse maintain living quarters in NYC during 2015? (see page 14) Yes El No El (2) Enter the number of days spent In NYC in 2015 (any part of a day spent in NYC Is considered a day) F NYC residents and NYC part-year residents only (see page 14): (1) Number of months you lived in NYC in 2015 (2) Number of months your spouse lived in NYC in 2015 G Enter your 2-character special conclition code(s) if applicable (see page 14) 12 If more than 7 dependents. mark an X in the box. 201001151019 For office use only EFTA00026391
Page 2 of 4 IT-201 (2015) VOX SOON ud nurrace 568002 11.1745 Federal income and adjustments (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 line 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 distriputions. 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 Nee Papa IS) 'Identify: 17 Add lines 1 through 11 and 13 through 16 18 Total federal adjustments to income gee page IS)) Identlfy: Whole dollars only 1 00 2 63088 00 3 182240 00 4 00 5 00 6 -500 00 7 -3000 oo a 5310 00 9 00 10 00 11 -3642 oo 121 Igo 13 14 15 16 17 18 243496 00 00 00 00 00 00 19 Federal adjusted gross Income (subtract line 18 from Ana 17) New York additions (see Page 16) 20 Interest income on state and local bonds and obligations (but not those of NYS or its local governments) 21 Public employee 4140) retirement contributions from your wage and tax statements (see page 16) 22 New York's 529 college savings program distributions (see page 16) 23 Other (Form IT-225, line 9) 24 Add lines 19 through 23 New York subtractions (see Page TV 1 25 taxable rotunda crochet oeftsets ol state and INS Income taxes Orme 4) 26 Pensions et NYS and local governments and rite Nana government (a• page I7) 27 Taxable amount of social security benefits (from Me 15) 28 Interest income on U.S. government bonds 29 Pension and annuity income exclusion (see page 18) 30 New York's 529 college savings program deduction/eamIngs 31 Other Form 1T-225, line 18) 32 Add lines 25 through 31 33 New York adjusted gross Income (subtract tine 32 from fine 24) 19 243496 00 20 21 22 23 24 10000 00 00 00 00 00 25 26 27 28 29 30 31 00 00 00 00 00 00 00 893 15 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: Standard El 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 32 33 106 253602 908 00 00 252694 34 101679 oo 35 151015 oo 36 000 00 37 151015 00 EFTA00026392
Namefs) as shown on page 1 Your soc" n i r GHISLAINE MAXWELL Tax computation, credits, and other taxes sGsno3 11.17.15 IT-201 (2015) Page 3 of 4 38 Taxable income (from fine 37 on page 2) 38 151015 00 39 NYS tax on line 38 amount (see page 21) 39 10042 00 40 NYS household credit (page 21, table 1, 2, or 3) 40 00 41 Resident credit (see page 22) 41 00 42 Other NYS nonrefundable credits (Form IT-201-ATT, Hne 7) 42 00 43 Add lines 40, 41, and 42 43 00 44 Subtract line 43 from line 39 Of line 43 ls more than line 39, leave blank) 44 10042 00 45 Net other NYS taxes (Form IT-201-A7T, fine 30) 45 00 46 Total New York State taxes (add lines 44 and 45) 46 10042 00 New York City and Yonkers taxes, credits, and surcharges, and MCTMT 47 NYC resident tax on line 38 amount (see page 22) 47 5391 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 5391 00 50 Part•year NYC resident tax (Form 1T-360.1) 50 00 51 Other NYC taxes (Form IT-201-ATT, line 34) 51 00 52 Add lines 49, 50, and 51 52 5391 00 53 NYC nonrefundable credits (Form 1T-201•ATT, line 10) 53 00 54 Subtract line 53 from line 52 (if gm 531s more than line 52, leave blank) 54 5391 00 Ma MCTMT net earnings base Mel 54b MCTMT Mb 00 55 Yonkers resident income tax surcharge (see page 25) . 55 00 56 Yonkers nonresident earnings tax (Form V-203) 56 00 57 Part-year Yonkers resident income tax surcharge (Form lT-360. 57 00 58 Total New York City and Yonkers taxes / surcharges and MCTMT (add lines 54 and 54b through 57) sal 59 Sales or use tax (see page 26; do not leave fine 59 ) 59 Voluntary contributions 60a Return a Gift to Wildlife 60a 00 60b Misstig/Exploited Children Fund 60b 00 60c Breast Cancer Research Fund 60c 00 60d Alzheimer's Fund 60d 00 60a Olympic Fund (52 or 34; see page 27) 60e 00 601 Prostate and Testicular Cancer Research and Education Fund 601 00 60g 9/11 Memorial 60g 00 60h Vaunteer Firefighting & EMS Recruitment Fund 60h 00 601 Teen Hearth 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 60 Total voluntary contributions (add fines 60a through 60m) too 61 Total New York State, New York City, Yonkers, and sales or use taxes, MCTMT, and voluntary contributions (add lines 46, 58, 59, and 60) 61 15560 00 (see page 27) See instructions on pages 22 through 25 to compute New York City and Yonkers taxes, credits, and surcharges, and MCTMT. 5391 00 127 00 201003151019 III II III EFTA00026393
Page 4 of 4 IT-201 (2015) Your soc' securi numb r %S004 It. '? '!, 82 Enter amount from line 61 Payments and refundable credltel (see page 28) 63 Empire State child credit 63a Family tax relief credit 64 NYS/NYC child and dependent care credit 65 NYS earned income credit (EIC) 66 NYS noncustodial parent EIC 67 Real property tax credit 68 College tuition credit 69 NYC school tax credit (also complete F on page 1; see page 29) 70 NYC earned income credit 70a NYC enhanced real property tax credit 71 Other refundable credits (Form 1T-201-ATT, Me 18) 72 Total New York State tax withheld 73 Total New York City tax withheld 74 Total Yonkers tax withheld 76 Total estimated tax payments and amount paid with Form IT-370 76 Total payments (add lines 63 through 75) Your refund, amount you owe, and account information 62 15560 00 63 00 63a 00 64 00 65 00 66 00 67 00 68 00 69 63 00 70 00 70a 00 71 00 72 00 If applicable, complete Form(s) IT-2 73 00 and/or IT-1099-R and submit them 74 00 with your return (seepage 12). 75 24571 00 (see pages 31 through 33) 77 Amount overpaid Of line 76 is more than line 62, subtract line 62 from line 76 78 Amount of line 77 to be refunded r direct r debit' check Mark one refund choice: Lj deposit „ p3) -or- Li card -Or- K check 79 Amount of line 77 that you want applied to your 2016 estimated tax (see instructions) 80 Amount you owe (il line 761s less than line 62, subtract line 76 front line 62). To pay by electronic funds withdrawal, mark an X in the box D and fig in lines 83 and 84. If you pay by check 76 24634 00 77 9074 00 78 00 79 9074 00 81 82 83 See page 31 for information about your three refund choices. See page 32 for payment options. or money order you must complete Form IT2014/ and mail it with your return 80 00 Estimated tax penalty (include this amount in line 80 See page 35 for the proper 00 or reduce the overpayment on Me 77: see page 32) assembly of your return. Other penalties and interest (see page 32) 82 00 Account information for direct deposit or electronic funds withdra If the funds for your payment (or refund) would come from (or go to) val (see page 33). an account outside the U.S., mark a n X in this box (see pg. 33) 83a Account type: D Personal checking - or - D Personal savings - or - D Business checking • or - D Business savings 83b Routing number 83c Account number 84 Electronic funds withdrawal (see page 33) Date Amount 00 Third-party Print designee's name desigmwonseeinstrJ BLECHER, ALAN Teen( No nEmit • Paid preparer must complete(w.nvflomi iirkrrwl PrepartOS SWOOP* Preparers printed name BLECHER, ALAN Frm's name to yowl/ tl Plit-OelplOyeM MARKS PANETH LLP Personal identification number (PIN) Ieau rode .' 01 Proper • PlIN or mews 685 THIRD AVENUE NEW YORK, NY mpitypoltrilitoolionnumhor 113518842 Dal frmI 201004151019 111 o III V Taxpayor(s) must sign here Your signature • Your OCCupatiOn CONSULTANT Spouse's signature awl Gott/DOWD tl Pint (OWN Date Elms See instructions for where to mall your return. EFTA00026394
04 2 r,• !fi 2015 NEW Department of Taxation and Finance 1T-201-D YORK Resident Itemized Deduction Schedule STATE Submit this form with Form IT-201. See instructions for completing Form 11.201O in the instructions for Form IT•201. Name(s) as shown on your Form IT•201 GHISLAINE MAXWELL Your socl 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 charity (federal Schedule A, fine 19) 5 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 9 State. local. and foreign income taxes (or general sales tax, if appllcati 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 insatructinna) ihtb. 14 Subtract line 13 frcrn line 12 15 College tuition itemized deduction (see Form IT-272) STATEMENT 1 STATEMENT 2 16 Now York State itemized deduction (add lines 14 and 15; enter on Form IT-201, line 34) illimiliiii°IiI1111111111111 11111 y. ' et' h 1 1 /1fr Whole dollars only 1 00 2 119703 oo 3 1700 4 5353 00 5 00 6 40652 00 7 00 8 165725 oo 9 34571 00 10 131154 oo 11 4418 00 12 135572 00 13 33893 oo 14 101679 00 15 00 16 101679 oo EFTA00026395
er nIEW YORK STATE 2015 Department of Taxation and Finance New York State Modifications Attachment to Form IT-201, IT-203, IT-204, or IT-205 SCR-391 V•02-L. 1T-225 Name(s) as shown on return Identifying number as shown on return GHISLAINE MAXWELL Complete all pals that apply to you; see Instructions (Form 11-225-I). Submit this form with Form IT-201, IT-203, IT-204, or IT-205. Mark an X in the box identifying the return you are filing: 11201 QX 11203 ri 11-204 IT-205 Schedule A - New York State additions Omer whole dollars only) Part 1 - Individuals, partnerships, and estates or trusts 1 New York State additions la lb it ld 10 if Ig Number A- 111 A- 209 A - A - A - A - A - A - Total amount 90 00 16 00 00 00 00 00 00 2 Total (add column A, lines la through 1g) B - NYS allocated amount 00 00 00 00 00 00 00 3 Total of Schedule A, Part 1, column A amounts from additional Form(s)M225. If any 4 Add lines 2 and 3 Part 2 - Partners, shareholders, and beneficiaries Form IT-201 filers: do not enter EA-103 or EA-113 Form IT-203 filers: do not enter EA•113 Form IT-205 filers: do not enter EA•113 or FA•201 5 New York State additions 5a 5b 5e 5d 5e 5f 59 Number EA - EA - EA - EA - EA - EA - EA - A - Total amount 00 00 00 00 00 00 00 2 106 00 3 00 4 106 00 B - NYS allocated amount 00 00 00 00 00 00 00 6 Total (add column A, lines 5a through 5g) 7 Total of Schedule A. Part 2, column A amounts from additional Form(s) 1225. If any 8 Add lines 6 and 7 9 Total additions (add lines 4 and 8; see instructions) 225001151019 6 00 7 00 00 9 106 00 (continued) EFTA00026396
IT-225 (2015) (page 2) 588397 12.02.15 Schedule B - New York State subtractions (enter whole dollars only) Part 1 - Individuals, partnerships, and estates or trusts 10 New York State subtractions 10a 10b 10c 10cl 10e 10t 109 Number s- 213 S - S - S - S - S - S - A - Total amount 15 00 00 00 00 00 00 00 B - NYS allocated amount 00 00 00 00 00 00 00 11 Total (add column A, lines 10a through 10g) 12 Total of Schedule B. Part 1. column A amounts from additional Form(s) IT-225. if any 13 Add lines 11 and 12 11 15 00 12 00 13 15 00 Part 2 - Partners, shareholders, and beneficiaries Form IT-201 filers: do not enter ES-103, ES-104, ES-106, ES-107, or ES•125 Form IT-203 filers: do not enter ES-106, ES-107, or ES•125 Form IT-205 filers: do not enter ES-125 14 New York State subtractions 14a 14b 14c 14d 14e 14t 14g Number ES - ES - ES - ES - ES - ES - ES - A - Total amount 00 00 00 00 00 00 00 B - NYS allocated amount 00 00 00 00 00 00 00 15 Total (add column A, lines 14a through 14g) 16 Total of Schedule B. Part 2. column A amounts from additional Form(s) IT-225. if any 17 Add lines 15 and 16 18 Total subtractions (add lines 13 and 17; see instructions) 225002151019 15 00 16 00 kid 00 18 15 00 EFTA00026397
Department of Taxation and Finance Underpayment of Estimated Tax 2015 By Individuals and Fiduciaries New York State • Now York City a Yonkers a MCTMT Name(s) as shown on return II, GHISLAINE MAXWELL art 1 - All filers must complete this part (see instructions. Form IT 2105.9.1. for assistance) NEW YORK STATE IT-2105.9 Identification number (SSN or EiN) 1 Total tax from your 2015 return before withholding and estimated tax payments (caution: see instructions) 2 Empte State child credit (from Form IT-201, fine 63) 3 NYS/NYC child and dependent care credit (from Form IT-201, fine 64) 4 NY State earned income credit (EIC) (from Form IT-201, Nne 65) 5 NY State noncustodial parent EIC (from Font) IT-201, fine 66) 6 Real property tax credit (from Form IT-201, line 67) 7 College tuition credit (from Form IT-201, line 68) 7a Property tax freeze credit (see Instructions) 7b Family tax relief credit (from Form IT-201, AS 62a) 8 NY City school tax credit (from Form IT-201, line 69, or Form IT-203, line 60) 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 7th) 10 Other refundable credits Nom Fan, rt.201.11n0 I:Forma-203.nm CI: oFpm lr-205,M53) 11 Add fries 2 through 10 12 Current year tax (subtract AS 11 from AS 1) Ali- 13 Multiply line 12 by 909E (.90) 2 3 4 5 6 7 .00 .00 .00 .00 .00 .00 .00 .00 7a 7b e 9 63.0o .00 .00 .00 9a 10 131 13833.0o 14 Income taxes withheld (Iron Form IT.201. Mee 72.75.000 74; Fpm IT-203. lines 62.63.040 64: or Form 11.205. linos 34. 35. 000 36) 15 Subtract line 14 from line 12. If the result Is less than $300, do not complete the rest of this form (see Instructions) 16 Enter your 2014 tax (caution: see instructions) 110% 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 estimated tax installments (on the due dates), or If you made no payments of estimated tax. Otherwise, you must complete Part 3 - 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 yea'. Subtract line 20 from line 17 (if zero or less, you do not owe the penal y) 21 .00 22 Multiply line 21 by .05000 and enter the result 22 00 23 If the amount on line 21 was paid on or alter April 15. 2016. enter 0. If the amount on line 21 was paid before April 15, 2016, make the following computation to find the amount to enter on this line: Amount on line 21 x number of days paid before April 15, 2016 x .00020 = 23 .00 24 Penalty. Subtract line 23 from file 22 24 I 00 Enter here and on Form IT-201, line 81: Form 11%203. line 71: or Form IT205. line 42. Part 3 - Regular method - Schedule A - Computing your underpayment (Schedule e is on page 2) Payment due dates A 4/15/15 B 6/15/15 C 9/15/15 D 1/15/16 25 Required installments. Enter Y. of line 17 in each column. 47f you used the annualized income installment method, see instructions.) 25 3458.00 3458.00 3458.00 3459.00 26 Estimated tax paid and tax withheld (see instructions) Complete lines 27 through 29, one column at a time, starting in column A. 27 Overpayment or underpayment from prior period 26 17571 .00 2000 .00 5000 .00 27 14113 .00 12655 .00 14197 au 28 It line 27 is an overpayment, add lines 26 and 27: it line 27 is an underpayment, subtract line 27 from line 26 (see Instr.) 29 Underpayment (subtract line 28 from line 25) or overpayment (subtract line 25 from line 28: see inst uctions) 28 17571 .00 16113 .00 17655 .00 14197.00 29 14113 .00 12655 .00 14197 .00 1073800 IIII1111ci 5oliiiiii°11 III nu 15433.0o 11 63 oo 12 15370.0o 14 .00 15370.0o 16 16130.0o 17 13833.0o paid four equal Regular method. EFTA00026398
IT-2105.9 (2015) (page 2) 568052 11-17-15 Part 3 - Regular method - Schedule B - Computing the penalty Payment due dates 30 Amount of underpayment (from line 29) First Installment (April 15 - June 15, 2015) 31 April 15 • June 15 = (61 t 365) x 7.5% = .01253 April 15 • It 365)x 7.5%= • 32 Multiply line 30. column A by line 31 A 4/15/15 30 .00 8 6/15/15 .00 C 9/15/15 .00 D 1/15/16 31 32 Second Installment (June 15 • September 15. 2015) 33 June 15. September 15 = (92 * 365) x 7.5% = .01890 June 15. = 365) x 7.5% = • 34 Multiply line 30. column B by line 33 Third installment (September 16, 2016 - January 15, 2018) 35 September 15 • December 31 = (107 + 365) x 7.5% = .02198 January 1 • January 15 = (15 366)x 7.5% = .00306 02504 Total September 15 - = ( 365) x 7.5% = January 1 • ( * 366) x 7,5% = • 33 34 36 Multiply line 30. column C by line 35 Fourth installment (January 15 - April 15, 2018)._ 37 January 15 April 15 = (91 366) x 7.5% = .01864 January 15- =(I *366)x 7.5% egg • Total 38 Multiply line 30, column D by line 37 39 Penalty. Add lines 32, 34, 36, and 38. Enter here and on Forni IT-201. tine 81: Form IT-203, line 71: or Form IT-205, line 42 059002151019 Submit this form with your New York State return. 35 36 uJ 37 38 .00 39 0.00 EFTA00026399
GHISLAINE MAXWELL NY IT-201-D ITEMIZED DEDUCTION WORKSHEET - ADDITION ADJUSTMENTS STATEMENT 1 DESCRIPTION AMOUNT INTEREST EXP. RELATED TO U.S. OBLIGATIONS 90. BOND PREMIUM 4,328. TOTAL TO FORM IT-201-D, LINE 11 4,418. 14 STATEMENT(S) 1 EFTA00026400
GHISLAINE MAXWELL NY IT-201-D WORKSHEET 3 - ITEMIZED DEDUCTION ADJUSTMENT STATEMENT 2 1. NEW YORK ADJUSTED GROSS INCOME FROM FORM IT-201, LINE 33 OR FORM IT-203, LINE 32 2. FILING STATUS 1 OR 3 ENTER $100,000, OR FILING STATUS 4 ENTER $150,000, OR FILING STATUS 2 OR 5 ENTER $200,000 3. SUBTRACT LINE 2 FROM LINE 1 4. ENTER THE LESSOR OF LINE 3 OR $50,000 5. DIVIDE LINE 4 BY $50,000 AND CARRY THE RESULT TO 4 DECIMAL PLACES 6. ENTER 25% OF FORM IT-201-D, LINE 12 (IT-203-D, LINE 13) 7. MULTIPLY LINE 5 BY LINE 6 AND TRANSFER THIS AMOUNT TO FORM IT-201-D LINE 13 (IT-203-D, LINE 14) 252,694. 100,000. 152,694. 50,000. 1.0000 33,893. 33,893. 15 STATEMENT(S) 2 EFTA00026401









