Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency
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
EFTA00791995
DirextDepoWVNIARepon
Name: ANASTASIYA SIROOCHENKO
Unit FO'111 Name of Financial Institution Account Type Routing Number Account Number Debit/Deposit
Date Amount
FED 1040 CHECKING
S .021000021 *****0359
t DEBIT
10/10/18 9,916.
IIIIII:ID Number. * * * - **
703481 05-23-17
EFTA00791996
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
(212) 695-5771
OCTOBER 10, 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
([email protected]), 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YOUR BALANCE DUE OF $9,916 WILL BE AUTOMATICALLY WITHDRAWN
FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER OCTOBER 10,
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
III. 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.
EFTA00791997
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 $400,000
YOUR COPY OF THE
SUGGEST THAT YOU
VERY TRULY YOURS,
DAVID WEISS RETURN IS ENCLOSED FOR YOUR FILES. WE
RETAIN THIS COPY INDEFINITELY.
EFTA00791998
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
(212) 695-5771
OCTOBER 10, 2018
ANASTASIYA SIROOCHENKO
288 WEST 4TH ST
NEW YORK, NY 10014
DEAR ANASTASIYA:
ENCLOSED IS YOUR 2017 FORM 114, REPORT OF FOREIGN BANK AND
FINANCIAL ACCOUNTS.
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. RETURN FORM 114A TO US ON
OR BEFORE OCTOBER 15, 2018.
YOUR COPY OF THE FORM IS ENCLOSED FOR YOUR FILES. WE SUGGEST
THAT YOU RETAIN THIS COPY INDEFINITELY.
VERY TRULY YOURS,
DAVID WEISS
EFTA00791999
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
EFTA00792000
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
Amen
I Part I 1 Filer information
2 Type of filer ANASTAS20170001
a W Individual b Partnership c Corporation d I=1 Consolidated e Fiduciary or other • Enter type
3 U.S. Taxpayer Identification Num
*** -** -9816
If filer has no US Identification 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth
MWDDNYYY
07/30/1987 Passport
c Other In SSNATIN a Type: CI Foreign TIN
EIN
b Number Country of Issue number complete item 4
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.)
288 WEST 4TH ST
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 ILI Enter number of accounts Do not complete Part II or Part III, but maintain records of the Information.
No ILM
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
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 aLXJ Bank bU Securities cl I Other Enter type below
11,781. Li
17 Name of financial institution In which account is held
UNICREDIT BANK AUSTRIA AG
18 Account number or other designation
*********6463 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
Signature I 44a Check here LXJ if this report is completed b a third party preparer and complete the third arty proposer section.
44 Filer signature naa rap I be eleCtranIcaily
signed when sled 45 Filer title. if not reporting a personal account 146 Date (MM/DD Ma date will auloitnneMn the
nswisaanuol elgnea
Third Party
Preparer
Use Only 47 Preparer's last name
WEISS 48 First name
DAVID 49 MI 50 Checks I if
so-mow/3O)00962062 51 TIN 51a TIN type I XI PTIN
SSNATIN Foreign
52 Contact phone no.
212-695-5771 sza ext. 53 Firm's name
DAVID WEISS CPA, PLLC 54 Firm's TIN
**-***2756 54a TIN type LXJ EIN
Foreign
55 Mailing address (number. stree . apt. or suite no.)
183 MADISON AVE SUITE 803 56 City
NEW YORK 57 State
NY 58 ZIP/Postal Code
10016-4403 59 Country
US
723141 04.01.17
EFTA00792001
OMB No. 1545 0074
as my signature on my tax year 2017 electronically filed income tax return. Form 8879 Department of the Treasury
Internal Revenue Service IRS e-file Signature Authorization
► Return completed Form 8879 to your ERO. (Do not send to IRS.)
► Go to www.Irs.gov/Form8879 for the latest Information. 2017
Submission Identification Number (SID)
Taxpayer's name
ANASTASIYA SIROOCHENKO
Spouses name Social security number
***4 "4-9816
Spouse's social security number
IPartI Tax Return Information - Tax Year Ending December 31,2017 (whole dollars only)
1 Adjusted gross income (Form 1040, line 38: Form 1040A, line 22; Form 1040EZ, brie 4; Form 1040NR, line 37) 1 1,540,837.
2 Total tax (Form 1040. line 63; Form 1040A, line 39; Form 1040EZ, line 12; Form 1040NR, line 61) 2 556,671.
3 Federal income tax withheld from Forms W2 and 1099 (Form 1040, line 64; Ft:10111040A, line 40;
Form 1040EZ, line 7; Form 104014R, line 62a)
4 Refund (Form 1040, line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040SS, 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 9 671.
I Part II l 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. It 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 1-888-353-4537. 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 n 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: cheek one box only * INCLUDES LATE PENALTIES AND INTEREST:
M I authorize DAVID WEISS CPA, PLLC to enter or generate my PIN
ERO firm name Enter five digits, but
as my signature on my tax year 2017 electronically filed income tax return. 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. 9,916.
6 4 9 8 1
Your signature ► Date ► 10/10/2018
Spouse's PIN: cheek one box only
I authorize to enter or generate my PIN
ERO firm name 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.
Spouse's 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-Ile Providers of Individual Income Tax Retums. 1 3 7 6 9 9 1 3 3 4 9
ER0's signature OP. DAVID WEISS CPA, PLLC Date ►
719990 11-10.17 ERO Must Retain This Form - See Instructions
Don't Submit This Form to the IRS Unless Requested To Do So
INA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017)
EFTA00792002
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 13769913349
(enter EFIN plus 5 self-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
preparer has any knowledge.
Consent to Disclosure
I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my retum/form
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, If applicable, by entering my Self-Select
PIN below.
Taxpayers PIN: 49816 Date 10102018
Spouse's PIN:
71998e 04-01.17
EFTA00792003
Form 114a
Department of the Treasury
Financial Crimes Enforcement
Network (FinCEN) I
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 fomi 114a may be digitally signed
Part I I Persons who have an obligation to file a Report of Foreign Bank and Financial Accounts)
1. Owner last name or entity's legal name
SIROOCHENKO 2. Owner first name
ANASTASIYA 3. Owner
4. Spouse last name Of jointly filing FBAR • see instructions below) 5. Spouse first name 6. Spouse
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. 2017 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 (FriCEN) a
Report of Foreign Bank and Fnancial 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
*** -** -9816 10. TIN a
type b
c Li F'
OForegn EIN
SSWITIN
MM DD YYYY
11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a Li EIN
type b 0 SSN/ITIN
c 0 Foreign MM DD YYYY
Part II I 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 18. Preparer PTIN
P00962062
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) employers (En ity) name
DAVID WEISS CPA, PLLC 25. Employer EIN
**-***2756 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 individual(s)rentity grant ng the authorization (Part I) and the individuaVentity that will file the
FBAR. The Preparer/filing entity must be registered with FinCEN BSA E•File system. (See http://bsaefiling.fincentreas.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 keens 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 FBAR 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 )0,
Complete Part II. items 15 through 18 with the preparer's information. The address, items 19 through 23, is that of the prepare( 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(d).
DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO.
720011 0441.17 Rev. 10.7 May 21.2015
EFTA00792004
ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY.
INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE
WORDS "2017 FORM 4868" ON YOUR CHECK.
MAIL AS SOON AS POSSIBLE TO:
INTERNAL REVENUE SERVICE CENTER
III. BOX 37009
HARTFORD, CT 06176-7009
718711 06.15.17
• DETACH HERE •
4868 Department Otte, Traaluy
Intornal Inryinnun Snrvictr Fix Cale Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return ysw 7017 a caw tar year nngnring 2017, andln0 2017 Part I I Identification
1 War nannIal
ANASTASIYA SIROOCHENKO
288 WEST 4TH ST
NEW YORK, NY 10014
2 Yaw nodal **Curtly meta 3 $00ufra's facial Sneurily note
*** -** -9816 Part II 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 Ile' 500,000.
8 Check here if you are 'out of the country and a U.S.
citizen or resident ill. LJ
9 Check bona ll you 100 Form 11)4C.IR a 1040NR.E7 and did not Wan*
..pops as an employee subjact to IJ S Inconur tax voihnokling i. LJ
********* YF SIRO 30 0 201712 670
EFTA00792005
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 ►
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 wilt 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 inckide any income tax withholding on this line
8 Subtract line 7 from fine 6. If zero or less, enter to -
9 SelforoploymeM 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 credit,
refundable American opportunity credit, and refundable credit from Form 8885
c Total 2018 estimated tax. Subtract line 11b from line 11a. If zero or less. enter 41. Pio
12a Multiply line 11c by 90% (66 2/3% for farmers and fishermen) 02al 593,273.
b Required annual payment based on prior year's tax (see instructions) 112b I 612,339.
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 fine 12c, you may owe a penalty for not paying enough estimated
tax. To avoid a penalty, make sure your estimate on line f 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 durng 2018 (including income tax withholding
on pensions, annuities, certain deferred income, etc.)
14a Subtract line 13 from line 12c ADJUSTED TO: 14a 593,280.
Is the result zero or less?
0 Yes. Stop here. You are not required to make estimated tax payments.
CE No. Go to line 14b.
b Subtract Ina 13 from Ina 11c 1 1,540,763.
2a 32,000.
2b
2c
3 32,000.
1,508,763.
4 523,932.
5
6
7
8
9
10
11a 523,932.
523,932.
58,046.
11,295.
593,273.
11b
11c 593,273.
12c 593,273.
13
14b 593,273.
Is the result less than $1,000?
0 Yes. Stop here. You are not required to make estimated tax payments.
M No. Go to line 15 to figure your required payment.
16 If the first payment you are required to make is due April 17. 2018. enter 1/4 of Inc, 14a (minus any
2017 overpayment that you are applying to this instalkoent) here, and on your estimated tax
payment vouchers) if you are paying by check or money order
'When figuring your 2018 estimated taxes, and estimating your deductions, you might want to take into account that the standard
deduction for all filing statuses has increased substantially and many itemized deductions have been eliminated or the deduction
amount has been reduced. See the items under What's New.
AMOUNT ALREADY PAID 16
Form 1040-ES (2018) 200,000.
7104D1 03-06.1$
EFTA00792006
01040-ES
Depanment al the Treasury
internal Revenue Service I2018 Estimated Tax Payment 1
Voucher OTOS 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 check or money order.
Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher.
Your first name and initial
ANASTASIYA Your last name
S IROOCHENKO Caiendaryear - Due April 17, 2018
Amount of estimated tax you are paying
by check or
money order.
ts 0.1 our social security number
***—** -9816
It pint payment, complete tor spouse
Spouse's first name and initial Spouse's last name Spouse's social security number
Address (number, street, and apt. no.)
288 WEST 4TH ST
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
III. BOX 37007
HARTFORD, CT 06176-7007
710411 03-06-15
EFTA00792007
€ 1040-ES
0 Dopanment of the lo:as..0
WormMovenuoSovice 12018 Estimated Tax Payment 2Voucher cus No, 1545.0074
ile only if you are making a payment of estimated lax by check or money order. Mail this
oucher with your check or money order payable to 'United States Treasury.- Write
our social security number and '2018 Form 1040-ES' on your check or money order.
Do not send cash. Enclose, but do not staple or attach, your payment with this voucher.
Your first name and initial
ANASTASIYA Your last name
S IROOCHENKO Calendaryear - Due June 15, 2018
Amount of estimated tax you are paying
by check or
money order.
IfSour social security2 9 O,O number0 0 1
***_**_9816
It joint payment, complete tor spouse
Spouse's first name and initial Spouse's last name Spouses social security number
Address (number, street, and apt. no.)
288 WEST 4TH ST
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 structlons.
CUT HERE
MAIL TO: INTERNAL REVENUE SERVICE CENTER
III. BOX 37007
HARTFORD, CT 06176-7007
710412 03-06.15
EFTA00792008
€ 1040-ES 0 oopmmentottnah“, wammweivesaidep 2018 Estimated Tax Payment dr)
Voucher 0 O&M W. 1545.0074
File only if you are making a payment 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 and '2018 Form 1040-ES' on your chec or money order.
Do not send cash. Enclose, but do not staple or attach, your payment with this voucher. Calendar year-Due Sept. 17, 2018
Amount of estimated t
by check or
money order. you are paying
0.
our social security number
***—** -9816 Your first name and initial
ANASTASIYA Your last name
S IROOCHENKO
It pint payment, complete tor spouse
Spouse's first name and initial Spouse's last name Spouse's social security number
Address (number, street, and apt. no.)
288 WEST 4TH ST
City, state, and LIP 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
III. BOX 37007
HARTFORD, CT 06176-7007
710471 03-06-15
EFTA00792009
€ 104O-ES
0 Depanment of the Treaty 2018 Estimated Tax Payment A
Voucher 01101 No. 15400074
File only if you are making a p yment of estimated tax by check or money order. Mail this
voucher with your check or m ney order payable to 'United States Treasury.' Write
your 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.
400,0001
Your first name and initi I Your last name
ANASTASIYA IROOCHENKO our social security number
***_**_9816
It joint payment, complet tor spouse
Spouses first name and Mal Spouse s last riattt Spouses social security number
Address (number, street, and apt. no.)
ea. 288 WEST 4TH ST
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
III. BOX 37007
HARTFORD, CT 06176-7007
710422 03-06.15
EFTA00792010
1040 Form 1040-ES - Self-Employment Tax Worksheet
Taxpayer Spouse
1. Estimated income and profits subject to self-employment tax 1,572,867.
2. Multiply the amount on line 1 by .9235 1,452,543.
3. Muttiply the amount on line 2 by .029 42,124.
4. Social security tax maximum income 128,400.
5. Estimated wages subject to social security tax
6. Subtract line 5 from tine 4 128,400.
7. Enter the smaller of tine 2 or line 6 128,400.
8. Multiply the amount on line 7 by .124 15,922.
9. Add line 3 and line 8 58,046.
10. Total estimated self-employment tax 58,046.
Adjusted Gross Income Worksheet
Mar
Adjusted gross income 2017 1,540,837.
Add back: deductible part of year self-employment tax 2017 28,949.
Change in adjusted gross Income
Adjustment to capital gains/losses
Minus: deductible part of year estimated self-employment tax 2018 29,023.
Estimated year adjusted gross income IUfg 1,540,763.
O
70205
03.06-18
EFTA00792011
1040 Form 1040-ES - Additional Medicare Tax Liability Worksheet
Earned Income Calculation
1 Enter taxpayer's net self employment earnings (but not less than zero) plus medicare
wages 1,452,543.
2 If married filing jointly, enter spouse's net self employment earnings (but not less than
zero) plus medicare wages
3 Add lines 1 and 2 1,452,543.
4 Enter $200,000 ($250,000 if married filing jointly or $125,000 if married filing
separately) 200,000.
5 Subtract line 4 from line 3. If less than zero, no additional medicare tax is due 1,252,543.
Multiply line 5 by .009. This is your Additional Medicare Tax liability. Enter the result here and on Form 1040ES, line 12 11,273.
Investment Income Calculation
1 Net investment income
2 Net gain from the sale of assets. Do not include any gain from the sale of assets
used in a trade or business that is not a passive activity. Do not enter less than zero
3 Add lines 1 and 2
4 Enter your adjusted gross income
5 Enter any amounts from Form 2555, lines 45 and 50 or Form 2555EZ, line 18
6 Add lines 4 and 5
7 Enter $200,000 ($250,000 if married filing Jointly or $125,000 if married filing
separately) 200,000.
8 Subtract line 7 from line 6
9 Enter the lesser of line 3 or fine 8
10 Multiply line 9 by 3.8% (.038). This Is your net Investment tax. Enter the result here and on Form 1040ES, line 12 585.
585.
1,540,763.
1,340,763.
585.
22.
m02 r0
0401.17
EFTA00792012
E 1040 U.S. Individual Income Tax Returnlr a2017 XTENSIO
oke No. 1545.0074 IIGRANTED TO 10/15/18
Pis Nele Only - Do nal write& staple iota epode
Fot me y 1-044 31. 20 17, or obx. ter, year Mon nng 20W. es ding 20 See generate 1116truCbons.
Your first name and initial
ANASTASIYA Last name
SIROOCHENKO 'ow social security number
***4**49816
If a joint return, spouse's first name and initial Last name scettws social socially number
liome address (number and street). If you have a
288 WEST 4TH ST ox, see instructions- I Apt. no. A Mansura the SSW) above
and on One 6c ore wrap.
City. town or pool *Moo stole. and ZIP code. It you have a anelgn acittoess. So correcene yams below.
NEW YORK, NY 10014 Presidential blection Lampolge
Check hate II you, or your spouse
it tiling jointly wanl $310 go to
this fund Chianti g o box below
Foreign country name Foreign province/state/county Foreign postal code will not change your tax or rotund.
You C Spouse
Filing Status
Check only
one box. 1 IX.J Single
2 Q Married filing jointly (even if onl one had income)
3 Q Married filing separately. Enter spouses SSN above
and full name here. ►
6a Yourself. If someone can claim you as a dependent, do not check box 6a
b O Spouse
c Dependents:
(t) Fast name 4 LJ 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 ILI Qualifying widow(er) (see instructions)
Exemptions
If more than four
dependents, see
instructions and ri
check here So
d Total number of exemptions claimed
Income 7 Wages, salaries, tips, etc. Attach Form(s) W-2 ' 7
8a 8a Taxable interest Attach Schedule 8 it required
Attach Form(s)
W-2 here. Also b
9a Tax-exempt interest Do not include on line 8s. 18b Ordinary dividends. Attach Schedule B if required I
9a
attach Forms b Qualified dividends 19b
W-2G and 10 Taxable refunds, credits, or offsets of state and local income taxes 10 1099-R if tax
was withheld. 11 Alimony received 11
12 Business income or (loss). Attach Schedule C or C-EZ 12
13 Capital gain or (loss). Attach Schedule D U required. If not required, ohm* here 13 If you did not
get a W-2, 14 Other gains or (losses). Attach Form 4797 14
see instructions. 15a 'FLA distnbutions [15a b Taxable amount 15b
16a Pensions and annuities 16a I
b Taxable amount 16b
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E 17
18 Farm income or (loss). Attach Schedule F 18
19 Unemployment compensation 19
20a Social security benefits 120a I I b Taxable amount 20b
21 Other income. List type and amount 21
22 Combine the amounts in the tar right column for lines 7 through 21. This is /our total Income ► 22
23 Educator expenses 23
Adjusted 24 Conan business expenses of reservist. patterning artists. and rote-bans gennmen 1officials Attach Form 2106 or 2106-EZ 24
Gross 25 Health savings account deduction. Attach Form 8889 25
Income 26 Moving expenses. Attach Form 3903 26
27 Deductible part of self-employment tax. Attach Schedule SE 27 28,949.
28 Self-employed SEP, SIMPLE, and qualified plans 28
29 Self-employed health insurance deduction 29 3,836.
30 Penalty on early withdrawal of savings 30
31a Alimony paid b Recipient's SSN 31a
32 IRA deduction 32
33 Student loan interest deduction 33
34 Tuition and fees. Attach Form 8917 34
35 Domestic production activities deduction. Attach Form 8903 35
36 Add lines 23 through 35 36
710301 02-22O8 37 Subtract line 36 from line 22. This is your adjusted gross Income 37 Last name (2)Orneridenre Serial
security number O.04endenEs
relatkentalp 10
you Boxes aced
on Ea and Ea
No of children
thig 6c ho.
min age 17 p lend with you
1004019 NI hr4 did not Ma with grardt you due tO Ovate
a Separation
Pee InStruCt1C081
Dependents ore 6c
not entered above
Add numbers
on lines._
above P'
755.
1,572,867.
1,573,622.
32,785.
1,540,837.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. F-tym 10400017,
EFTA00792013
Fam1040(mm ANASTAS I YA SIROOCHENKO ***-**-9816 Page 2
Tax and
Credits 38 Amount from
39a Check
ii:
b if your spouse line 37 (adjusted gross income)
Total boxes
checked llo, 39a
here lb, 39b 38 1 , 540 , 8 37 .
0 You were born before January a 1953, O Blind. 1v
Dan
on lor . ochicti
• People vino
oho* any box Spouse was born before January 2, 1953, Blind. J
itemizes on a separate return or you were a dual-status alien, check
on line 3ga ig 40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) 40 198,261. 39b inwho can
41 1,342,576. be darned DS a 41 Subtract line 40 from line 38 *attenant see
42 0 . InStructIdonia. 42 Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see inst
43 Taxable income. Subtract tine 42 from line 41.11 line 42 is more than line 41_,_ enter -0- 43 1,342,576.
44 Tax. Check if any from: a Form(s)Et814 b Form 4972 c LJ 44 487,479.
45 Alternative minimum tax. Attach Form 6251 45
• hi °Minh' 46 Excess advance premium tax credit repayment Attach Form 8962 46 Single or
Myriad Nog
somway. 47 Add lines 44, 45, and 46 ,,,,,,,,, bi. 47 487,479.
48 46.3.50 48 Foreign tax credit Attach Form 1116 if required
Mantled Ming jointly of 49 Credit for child and dependent care expenses. Attach Form 2441 49
50 Quadra/Ng
wIdowlari. 50 Education credits from Form 8863, line 19
51 SI2.7C0 51 Retirement savings contributions credit Attach Form 8880
Stead of
household. 52 Child tax credit Attach Schedule 8812, it required 52
53 $9.3.50 53 Residential energy credits. Attach Form 5695
54 Other credits from Form' a 3800 b Q 8801 c CI 54
55 Add lines 48 through 54. These are your total credits 55
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter-0- IIII• At ► 56 487,479.
57 Self-employment tax. Attach Schedule SE 57 57,897.
Other 58 Unreported social security and Medicare tax from Form: a04137 608919 58
Taxes 59 Additional tax on IRAs, other qualified retirement plans, et. Attach Form 5329 if required 59
60a Household employment taxes from Schedule H 60a
b First-time homebuyer credit repayment Attach Form 5405 it required 60b
61 Health care: individual responsiaility (see instructions) Full-year coverage El 61
62 Taxes from: a Fl Form 8959 b II Form 8960 c Q last: enter code(s) STATEMENT 3 62 11,295.
63 Add lines 56 through 62. This is your total tax Olo 63 556,671.
Payments 64 Federal income tax withheld from Forms W-2 and 1099 64
65 2017 estimated tax payments and amount applied from 2016 return 65 47,000. STATEMENT 6
Kyouharea
qualityhg
cloud, attach
Schedule FIG. a Earned income credit (EIC) l
combat pay election 1661,66a
b Nontaxable
67 Additional 67 child tax credit Attach Schedule 8812
68 American opportunity credit from Form 8863, line 8 68
69 Net premium tax credit Attach Form 8962 69
70 Amount paid with request for extension to file 70 500,000.
71 Excess social security and tier 1 RRTA tax withheld' 71
72 Credit for federal tax on fuels. Attach Form 4136 72
73 Credits from Form: a02439 b gy•yrysC 08885 d0 73
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments Ito 74 547,000.
Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid 76
m.,0(uslit, 76a Amount of line 75 you want refunded to you. It Form 8888 is attached, check here ► Tea
sea III• b:tAill Ili" c TWO IMI OTolarg I1
Sating, Illih d ZIT: r'''''"`u*" 77 Amount of line 75 you want applied to your 2018 estimated tax I. I 77 I
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions lb. 78 9,671.
You OWe 79 Estimated tax penalty (see instructions) I 79 I 0 .
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? I X I Yes Complete DelOn:.tor
Designee F„',92,7"110.DAVID WEISS Pirlii0212 -695 -5771 en6j2Iiii.433491 Personal KJ I..
Sign &evil:rains of mug'. I &dm NI I hoop:rinal VERO/Map acconoanymmtoOlicsa ynotrd aoccultmenpalS.tioninft the besiol nylnookcIpt and bile hey aro Pue.correct and
at wady Id al arm gnis and SOIICIS 0trainImam' dragIto tax year. °Motion ol 'cepa (Mho dun tow ba) is ndonall nformiboo of ,cosh rower has ny
aytime phoneMeeker
numb., D Here YOU' Orehre Date
Jommiwra Sea InsruCtiong I T DEALER Keep a COpy Spousal, Signature. IT a phi retain, both must sir barn I SpnrM'sOcaapa on
tot yew
record& If the RS sent you en Wendy
Protection Pal
enter ti hate
Preparers stratum hrinTaTilla groprew's name
Paid
Preparer DAVID WEISS DAVID WEISS
Use Only fem'snama Os DAVID WEISS CPA, PLLC Date Choc* I I
sell-employed PTIN
P00962062
1777.1W4* - * * * 2 7 5 6
183 MADISON AVE SUITE 803 primer* 212-695-5771
now202-2218 FIM.CA"cdC Oh NEW YORK, NY 10016-4403
SEE STMT FOR INT AND PEN NOT INCLUDED. TOTAL DUE $9916
EFTA00792014
F.. 2210
Depattmem ol lea TIO0SUY
Internal Revenue Service Underpayment of Estimated Tax by
Individuals, Estates, and Trusts
80 Go to www.irs.gov/Form2210 for instructions and the latest information.
OP, Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ, or 1041. 00.WW.1545.00n
2017 MIACMIOM
SOCIWMONA06
Name(s) shown on tax r turn
ANASTASIYA SIROOCHENKO Identifying number
***-**-9816
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 lirNo
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 in 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 Et, 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 W as a worksheet and enter
your penalty amount on your tax retum, but file only page 1 of
Form 2210.
Part I Required Annual Payment
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) irt
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 501,004.
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 4 87,479.
69,192.
556,671.
6
7
8
9 556,671.
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 EJ You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210.
C M 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 C 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 Q 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)
7125W01-05-18
EFTA00792015
Form2210(2M7) ANASTASIYA SIROOCHENKO
Regular Method (See the instructions if you are filing Form 1040NR or 1040NR-EZ.)
Section A - Figure Your Underpayment Payment Due Dates
(a)
4/15117 (b)
6115/17 (c)
9/15117 (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 Withheld. For craumn (p)ant/. add SAW
the amount from lino 19 on line 23. 2 line 19 Is usual top more than
line 18 for all payment wind& Stop IlenX you dull oh. 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, it any, from line 26 in the previous
column
21 Add fines 19 and 20
22 Add the amounts on limo 24 and 251n dm molars column
23 Subtract line 22 from line 21. If zero or less, enter -0-.
For column (a) only, enter the amount from fine 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 41,820.
19 47,000.
20
21 47,000.
22
23 0 . 0 . 0 . 47,000.
24
25
26 ***-**-9816 Page3
c ion F3 - 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 27 0.
Form 2210(2017)
712491 01425-18
EFTA00792016
Form 2210 (2017) ANASTASIYA SIROOCHENKO ***-**-9816 Page 4
Schedule Al - Annualized Income Installment Method (See the instructions.)
Estates and trusts, don't use the period ending dates shown to the (a) (b) (c) (d)
right. Instead, use the following: 2/28/17, 4/30/17, 7/31/17, and 1/1/17 - 3/31/17 111/17 - 5/31/17 111/17 - 8131117 1/1/17 - 12/31/17
11/30/17.
Part I I Annualized Income Installments
1 Enter your adjusted gross income for each period (see instructions)
(Estates and trusts, enter your taxable income without your
exemption for each period) 1 0. 0. 0.1,540,837.
2 Annualization amounts. (Estates and trusts, see instructions)
3 Annualized income. Multiply line 1 by line 2
4 If you itemtre, enter itemized deductions for the period shown in
each column. All others enter -0-, and skip to line 7. Exception:
Estates and trusts, skip to line 9 and enter amount from line 3
5 Annualization amounts
6 Multiply line 4 by tine 5 (see instr. if line 3 is more than $156,900) ,
7 In each column, enter the full amount of your standard deduction
from Form 1040, line 40, or Form 1040k line 24. (Form 1040NR
or 1040NR-EZ filers, enter -0-. Exception: Indian students and
business apprentices, see instructions.)
8 Enter the larger of line 6 or ine 7 2 4 2.4 1.5 1
3 0. 0. 0.1,540,837.
4 59,160. 98,600. 157,760. 198,261.
5 4 2.4 1.5 1
6 236,640. 236,640. 236,640. 198,261.
7 0. 0. 0. 6,350.
8 0. 0. 0. 198,261.
9 Subtract line 8 from line 3
10 In each column, multiply $4,050 by the total number of exemptions
claimed (see instructions if line 3 is more than $156,900). (Estates,
trusts, and Form 1040NR or 1040NR-EZ filers, see instructions.) ,
11 Subtract line 10 from line 9. if zero or less, enter-0-
12 Figure your tax on the amount on line 11 (see instructions)
13 Self-employment tax from line 34
(complete Part II below)
14 Enter other taxes for each payment period including, if applicable,
Additional Medicare Tax and/or Net Investment Income Tax 9 0. 0. 0.1,342,576.
10 4,050. 4,050. 4,050. 0.
11 . 0. 0. ,342,576.
12 . 0 . 0. 487,479.
13 0. 0. 0. 57,897.
14 0 . 0 . 0. 11,295.
15 Total tax. Add lines 12, 13, and 14
16 For each period, enter the same type of credits as allowed on Form
2210, Part I, lines 1 and 3 (see instructions)
17 Subtract line 16 from line 15. If zero or less, enter -0-
18 Applicable percentage
19 Multiply line 17 by line 18
Complete lines 20-25 of one column before going
to line 20 of the next column.
20 Enter the total of the amounts in all previous columns of line 25
21 Subtract line 20 from line 19. If zero or less, enter -0-
22 Enter 25% (0.25) of 9 on page 1 of Form 2210 in each column
23 Subtract line 25 of the previous column from line 24 of that
column
24 Add lines 22 and 23
25 Enter the smaller of tine 21 or line 24 here and on Form 2210,
Part IV, line 18 ► 15 0 . 0 . 0. 556,671.
16 0 . 0 . 0 . 0 .
17 0 . 0 . 0. 556,671.
18 22.5% 45% 67.5% 90%
19 0. 0. 0. 501,004.
20 0 . 0 . 0 .
21 0 . 0 . 0. 501,004.
22 10,455. 10,455. 10,455. 10,455.
23 10,455. 20,910. 31,365.
24 10,455. 20,910. 31,365. 41,820.
25 0. 0. 0. 41,820.
nnua ize e - mp oymen Tax (Form 1040 and Form 1040NR filers only)
26 Net earnings from self-employment for the period (see instructions)
27 Prorated soc ial security tax limit
28 Enter actual wages for the period subject to social security tax or
the 6.2% portion of the 7.65% railroad retirement (tier 1) tax.
Exception: If you filed Form 4137 or Form 8919, see instructions
29 Subtract line 28 from line 27. If zero or less
📷 Images in this document (86 detected; 6 largest described)
AI-generated factual descriptions of embedded images (llava:13b). These are searchable across the corpus.
[Image 1] The image shows a scanned document, which appears to be a tax form. The form includes various sections with checkboxes and fields for taxpayer information, income details, and tax calculations. There are also lines for signatures and a section for the taxpayer's declaration. The form is titled "2014 U.S. Individual Income Tax Return" and includes the IRS logo at the top. The visible text includes
[Image 2] The image shows a tax form titled "Alternative Minimum Tax for Individuals." It is a document scan with visible fields for personal information, income details, and tax calculations. The form includes sections for filing status, exemptions, and various income and deduction categories. There are also spaces for the taxpayer's signature and the preparer's signature. The form is structured with numbe
[Image 3] The image shows a document that appears to be a tax form or a financial statement. It contains various sections with headings such as "Taxpayer Identification Number," "Filer's Name," "Address," "City," "State," "ZIP Code," "Date," and "Signature." There are also numerical columns with figures, which likely represent income, deductions, and tax amounts. The form includes checkboxes for different t
[Image 4] The image shows a document that appears to be a tax form, specifically an "Underpayment of Estimated Tax" form. The form is titled "2017 IT-203.5" and is from the state of New York. It is a standard form with checkboxes, lines for numerical entries, and spaces for written information. The form includes sections for the taxpayer's name and address, the tax year, and various calculations and informa
[Image 5] The image is a black and white scan of a document titled "Schedule C (Form 1040) Profit or Loss from Business." It appears to be a tax form used for reporting income and expenses from a business. The form includes sections for gross income, expenses, and net profit or loss. There are also lines for various types of income and expenses, such as sales, cost of goods sold, and other expenses. The for
[Image 6] The image shows a document that appears to be a tax form. It contains various sections with checkboxes and fields for information such as filing status, dependents, income, and deductions. There are also lines for totals and a section for signature. The form includes a barcode at the bottom, and there is a watermark or logo in the upper right corner that reads "DRAFT." The visible text includes "F