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Caution: Forms printed from within Adobe Acrobat products may not meet IRS or state taxing agency
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CLIENT'S COPY
EFTA00792081
Direct Deposit/Debit Report
Namt. ANASTASIYA SIROOCHENKO
Unit Form Name of Financial Institution Account Type Routing Number Account Number it/Depos Deb
Date it Amount
DEBIT
FED 1040 CHECKING 021000021 *****7618 09/12/18 38,287.
DEBIT
FED 1040 CHECKING 021000021 *****5168 09/12/18 38,287.
DEBIT
FED 1040 CHECKING 021000021 *****0359 09/12/18 38,287.
g IIIII ID Number. ***_**
EFTA00792082
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
(212) 695-5771
SEPTEMBER 12, 2018
ANASTASIYA SIROOCHENKO
DEAR ANASTASIYA:
ENCLOSED ARE YOUR 2017 INCOME TAX RETURN AND 2018 ESTIMATED
TAX VOUCHERS.
SPECIFIC FILING INSTRUCTIONS ARE AS FOLLOWS.
FEDERAL INCOME TAX RETURN:
THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING AND THE
PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. AFTER REVIEWING
THE RETURN FOR COMPLETENESS AND ACCURACY, PLEASE SIGN AND
RETURN FORM 8879 TO OUR OFFICE BY MAIL, E-MAIL
OR FAX (212-695-5772). WE WILL
THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE IRS, AND NO
FURTHER ACTION IS REQUIRED. RETURN FEDERAL FORM 8879 TO US
AS SOON AS POSSIBLE (BY OCTOBER 15, 2018).
YOUR BALANCE DUE OF $38,287 WILL BE AUTOMATICALLY WITHDRAWN
FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER SEPTEMBER 12,
2018. REFER TO FORM 1040 ON THE DIRECT DEPOSIT/DEBIT REPORT
FOR COMPLETE ACCOUNT INFORMATION.
FEDERAL ESTIMATED TAX VOUCHERS:
SEPARATELY MAIL VOUCHER 2 OF FORM 1040-ES AS SOON AS
POSSIBLE.
MAIL TO - INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37007
HARTFORD, CT 06176-7007
ENCLOSE YOUR CHECK FOR $200,000, PAYABLE TO THE UNITED STATES
TREASURY. INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE WORDS
"2018 FORM 1040-ES" ON YOUR CHECK.
FOR YOUR REFERENCE WE HAVE LISTED ALL ESTIMATED TAX PAYMENTS
AND THEIR ORIGINAL DUE DATES BELOW. VOUCHERS REQUIRING NO
PAYMENT SHOULD NOT BE FILED.
EFTA00792083
VOUCHER NO. 1 BY 04/17/18 NO PAYMENT REQUIRED
VOUCHER NO. 2 BY 06/15/18 $200,000
VOUCHER NO. 3 BY 09/17/18 NO PAYMENT REQUIRED
VOUCHER NO. 4 BY 01/15/19 NO PAYMENT REQUIRED
YOUR COPY OF THE
SUGGEST THAT YOU
VERY TRULY YOURS,
DAVID WEISS RETURN IS ENCLOSED FOR YOUR FILES. WE
RETAIN THIS COPY INDEFINITELY.
EFTA00792084
2017 TAX RETURN FILING INSTRUCTIONS
U.S. INDIVIDUAL INCOME TAX RETURN
FOR THE YEAR ENDING
DECEMBER 31, 2017
Prepared for
ANASTASIYA SIROOCHENKO
Prepared by
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
Amount of tax Total tax $ 584,587
Less: payments and credits $ 547,000
Plus: interest and penalties $ 700
BALANCE DUE $ 38,287
Overpayment Miscellaneous Donations $
Credited to your estimated tax $
Refunded to you $
Make check
payable to NOT APPLICABLE
Mail tax return
and check (if
applicable) to THIS RETURN HAS QUALIFIED FOR ELECTRONIC FILING AND THE
PRACTITIONER PIN PROGRAM HAS BEEN ELECTED. AFTER REVIEWING TI
RETURN, PLEASE SIGN AND RETURN FORM 8879 TO OUR OFFICE. WE W3
THEN TRANSMIT YOUR RETURN ELECTRONICALLY TO THE IRS.
Return must be
mailed on
or before RETURN FEDERAL FORM 8879 TO US BY OCTOBER 15, 2018.
Special
Instructions DO NOT MAIL THE PAPER COPY OF THE RETURN TO THE IRS.
YOUR BALANCE DUE OF $38,287 WILL BE AUTOMATICALLY WITHDRAWN
FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER SEPTEMBER 12,
2018. REFER TO FORM 1040 ON THE DIRECT DEPOSIT/DEBIT REPORT
FOR COMPLETE ACCOUNT INFORMATION. E
LL
700051 04-01.17
EFTA00792085
2018 ESTIMATED TAX FILING INSTRUCTIONS
U.S. ESTIMATED INDIVIDUAL INCOME TAX
FOR THE YEAR ENDING
DECEMBER 31, 2018
Prepared for
ANA TA IYA IR HENKO
Prepared by
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
Amount of tax Total Estimated Tax S 200,000
Less credit from prior year S ' 0
Less amount already paid on 2018 estimate S 0
Balance due 5 200,000
Payable in full or In Installments as follows:
Installment Amount Due Date
No. 1 $ 0 APRIL 17, 2018
No.2 $ 200,000 JUNE 15, 2018
No.3 $ 0 SEPTEMBER 17, 2018
No. 4 $ 0 JANUARY 15, 2019
Make check
payable to UNITED STATES TREASURY
Mail voucher
and check (if
applicable) to INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37007
HARTFORD, CT 06176-7007
Special
Instructions INCLUDE YOUR SOCIAL SECURITY NUMBER AND THE
1040-ES" ON YOUR CHECK.
VOUCHERS NEED NOT BE SIGNED. WORDS "2018 FORM
70OD21 04 •
EFTA00792086
TAX RETURN FILING INSTRUCTIONS
REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS
Prepared for
ANASTASIYA SIROOCHENKO
Prepared by
DAVID WEISS CPA, PLLC
183 MADISON AVE SUITE 803
NEW YORK, NY 10016-4403
Form must be
filed on
or before RETURN FORM 114A TO US ON OR BEFORE OCTOBER 15, 2018.
Special
Instructions YOUR FORM 114 HAS BEEN PREPARED FOR ELECTRONIC FILING. PLEASE
SIGN, DATE, AND RETURN FORM 114A TO OUR OFFICE. WE WILL THEN
TRANSMIT YOUR FORM TO THE FINCEN.
700397
040147
EFTA00792087
FINANCIAL CRIMES
ENFORCEMENT NETWORK
BSA E-Filing - Report of
Foreign Bank and Financial
Accounts (FBAR)
ANASTAS20170001
Filing Name ANASTASIYA SIROOCHENKO
Submission Type NEW
PIN NOT REQUIRED FinCEN Form 114
Check here if this report is submitted by an authorized third party, and complete the 3rd party preparer section on page one of the
report. The E-tile system will auto complete item 46.
NOTE: The FBAR must be received by the Department of the Treasury on or before April 17. 2018. An automatic extension to October 15.2018
is available.
This report filed late for the following reason (Check only one):
a 0 Forgot to file
b
c
d C
O
O Did not know that I had to file
Thought account balance was below reporting threshold
Did not know that my account qualified as toregn
e ILI Account statement not received in time
z ILI Account statement lost (Replacement requested)
Late receiving missing required account information
Unable to obtain joint spouse signature in time
Unable to access BSA Efiling system
Other (please provide explanation below)
773151 05-21-17
EFTA00792088
FinCEN Form 114 REPORT OF FOREIGN BANK
AND FINANCIAL ACCOUNTS
Do NOT file with your Federal Tax Return 1 This report is for calendar
year ended 12/31
2017
mi n
I Part I 1 Filer information
2 Type of filer ANASTAS20170001
a W Individual b Partnership c Corporation d Consolidated e Fiduciary or other • Enter type
3 U.S. Taxpayer Identification Num
If filer has no U.S Identification
number complete item 4 3a TIN type
SSNATIN
ON 4 Foreign identification (Complete only if item 3 is not applicable)
a Type: C] Passport I= Foreign TIN ILI Other
b Number c Country of Issue 5 Individual's date of birth
MWDDNYYY
07/30/1987
6 Last name or organization name
SIROOCHENKO 7First name
ANASTAS I YA 8 Middle initial 8a Suffix
9 Mailing address (number, street. and apt. or suite no.)
10 City
NEW YORK 11 State
NY 12 ZIP/Postal Code
10014 13 Country
USA
14 a) Does the filer have a financial interest in 25 or more financial accounts?
Yes I= Enter number of accounts Do not complete Part II or Part III, but maintain records of the information.
No IM
b) Does the filer have signature authority over but no financial interest in 25 or more financial accounts?
Yes I= Enter number of accounts Comp. Part IV, items 34 through 43 for each person on whose behalf the filer has sign. authority.
No IM
I Part III Information on financial account(s) owned separately
15 Maximum value of account during calendar year 15a Amount
unknown 16 Type of account aLLI Bank bLJ Securities cl I Other Enter type below
Lai
17 Name of financial institution in which account is held
UNICREDIT BANK AUSTRIA AG
18 Account number i nation
******** 19 Mailing address (number, street, apt. or suite no.) of financial institution in which account is held
SCHOTTENGASSE 6-8
20 City
VIENNA 21 State, if known 22 Foreign postal code, if known
1010 WIEN 23 Country
AUSTRIA
ISignature 144a Check here LXJ if this report is completed b a third party preparer and complete the third party preparer section.
44 Filer signature 1I. repon v. I be elocircniceny
*kiwi when filed 45 Filer title. if not reporting a personal account 46 Dattlate wlepa Mn the
HMO le aottonelIteignel
Third Party
Preparer
Use Only 47 Preparer's last name
WEISS 48 First name
DAVID 49 MI 50 Check LJ if
selfomployedp0096 51 TIN
2062 51a TIN type I XI PTIN
0 SSNATIN Foreign
52 Contact phone no.
212-695-5771 52e Ext. 53 Firm's name
DAVID WEISS CPA, PLLC 54 Firm's TIN
**-**IIIIII 54a TIN type LXJ EIN
Foreign.
55 Mailing address (number. stree , apt. or suite no.,
183 MADISON AVE SUITE 803 r 56 City
NEW YORK 57 State
NY 58 ZIP/Postal Code
10016 -4403 59 Country
US
723141 04.01-17
EFTA00792089
OMB No. 1545 0074
Form 8879 Department of the Treasury IRS e-file Signature Authorization
► Return completed Form 8879 to your ERO. (Do not send to IRS.)
Internal Revenue Service ► Go to www.Irs.gov/Form8879 for the latest Information. 2017
Submission Identification Number (SID)
Taxpayer's name
ANA STAS I YA S I ROOCHENKO
Spouses name Social security number
***.i.**
Spouses social security number
PartI
1 Adjusted gross income (Form 1040. line 38; Form 1040A, line 22; Form 1040€Z. line 4; Form 1040NR, line 37) 1 1,615,964.
2 Total tax (Form 1040, line 63; Form 1040A. line 39; Form 1040EZ, line 12; Form 1040NR. line 61) 2 584,587.
3 Federal income tax withheld from Forms W2 and 1099 (Form 1040, line 64; RIM 1040A, line 40;
Form 1040EZ. line 7; Form 1040NR, lie 62a)
4 Refund (Form 1040, line 76a; Form 1040A. line 48a; Form 1040EZ, Me 13a; Form 1040-5S, Part I• line 13a;
Form 1040NR. line 73a)
5 Amount you owe (Form 1040. line 78: Form 1040A. tine 50: Form 1040EZ. line 14; Form 1040NR. line 75) 5 38 287 . Tax Return Information - Tax Year Ending December 31, 2017 (Whole dollars only)
4
I Part III Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax
year ending December 31, 2017, and to the best of my knowledge and belief, it is true, correct, and accurately lists all amounts and sources of income I received during
the tax year. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider,
transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the
transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated
Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of
my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full
force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment I must contact the U.S. Treasury Financial Agent
at 1-888-3534537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement) date. I also authorize the financial
institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the
payment. I further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic
Funds Withdrawal Consent
Taxpayer's PIN: check one box only
®l authorize DAVID WEISS CPA, PLLC to enter or generate my PIN
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return. don't enter a Izeros
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are entering your own
PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature ►
Spouse's PIN: cheek one box only
I authorize to enter or generate my PIN
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return. Date iteo 09/12/2018
Enter five digits, but
don't enter all zeros
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are entering your own
PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouses signature ► Date ►
Practitioner PIN Method Returns Only - continue below
Part III I Certification and Authentication - Practitioner PIN Method Only
ERO's EFIN/PIN. Enter your six•digit EFIN followed by your frve•digit self•selected PIN.
Don't enter all zeros
I certify that the above numeric entry is my PIN. which is my signature for the tax year 2017 electronically filed income tax return for the taxpayer(s)
indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Pub. 1345,
Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.
ERO's signature Nab DAVID WEISS CPA, PLLC Date ►
719995 11-10-17 ERO Must Retain This Form - See Instructions
Don't Submit This Form to the IRS Unless Requested To Do So
IRA For Paperwork Reduction Act Notice, see your tax return instructions. Form 8879 (2017)
EFTA00792090
Tax Year 2017 e-file Jurat/Disclosure
for Form 1040, 1040A, 1040EZ, or 1040NR
using Practitioner PIN method
(with or without Electronic Funds Withdrawal)
ERO Declaration
I declare that the information contained in this electronic tax return is the information furnished to me by the taxpayer. If the
taxpayer furnished me a completed tax return. I declare that the information contained in this electronic tax return is identical
to that contained in the return provided by the taxpayer. If the furnished return was signed by a paid preparer. I declare I have
entered the paid preparer's identifying information in the appropriate portion of this electronic return. If I am the paid preparer.
under the penalties of perjury I declare that I have examined this electronic return, and to the best of my knowledge and belief.
it is true. correct, and complete. This declaration is based on all information of which I have any knowledge.
ERO Signature
I am signing this Tax Return by entering my PIN below.
ERO's PIN
(enter EFIN plus 5 sell-selected numerics)
Taxpayer Declarations
Perjury Statement
Under penalties of perjury. I declare that I have examined this return and accompanying schedules and statements.
and to the best of my knowledge and belief, they are true, correct and accurately list all amounts and sources of income I
received during the tax year. Declaration of preparer (other than the taxpayer) Is based on all information of which the
prepare( has any knowledge.
Consent to Disclosure
I consent to allow my Intermediate Service Provider. transmitter, or Electronic Return Originator (ERO) to send my return/forrn
to IRS and to receive the following information from IRS: a) an acknowledgment of receipt or reason for rejection of transmission:
b) the reason for any delay in processing or refund: and. c) the date of any refund.
I am signing this Tax Return and Electronic Funds Withdrawal Consent, it applicable, by entering my Self-Select
PIN below.
Taxpayer's PIN: Date 09122018
Spouse's PIN:
719986 044)I.17
EFTA00792091
Form 114a
Department of the Treasury
Financial Crimes Enforcement
Network (FinCEN)
May 2015 Record of Authorization to
Electronically File FBARs
(See instructions below for completion)
Do not send to FinCEN. Retain this form for your records.
ANASTAS20170001 The form 114a may be digitally signed
Part I I Persons who have an obligation to file a Report of Foreign Bank and Financial Account(s)
I. Owner last name or entity s legal name
S I ROOCHENKO 2. Owner first name
ANASTASIYA 3. Owner M.I.
4. Spouse last name of jointly filing FBAR • see instructions below) 5. Spouse first name 6. Spouse M.I.
Vwe declare that Vwe have provided information concerning 1 (enter number of accounts) foreign bank and financial account(s) for the
filing year ending December 31, 2 017 to the preparer listed in Part II: that this information is to the best of my/our knowledge true. correct,
and complete; that Vwe authorize the preparer listed in Part II to complete and submit to the Financial Crimes Enforcement Network (FinCEN) a
Report of Foreign Bank and Financial Accounts (FBAR) based on the information that Vwe have provided: and that Vwe authorize the preparer
listed in Part II to receive information from FinCEN. answer inquiries and resolve issues relating to this submission. Vwe acknowledge that,
notwithstanding this declaration, it is my/our legal responsibility, not that of the preparer listed in Part II, to timely file an FBAR if required by law
to do so.
7. Owner signature (Authorized representative if entity) 8. Date 9. Owner or entity TIN
** * - ** 10. TIN a
type b
c L_I
Ill
0 ON
SSWITiN,
Foreign MM DD YYYY
11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a L_I EIN
type b O SSNATIN
c O Foreign MM DD YYYY
Part III Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to tile.
15. Preparer last name
WEISS 16. Preparer first name
DAVID 17. Preparer M.I. 18. Preparer PTIN
19. Address
183 MADISON AVE SUITE 803 20. City
NEW YORK 21. State
NY 22. ZIP/postal code
10016-4403
23. Country
code
US 24. Preparers (item 15) employer's (En ity) name
DAVID WEISS CPA, PLLC 25. Employer EIN
**_*** 26. Preparers ignature
DAVID WEISS
Instructions for completing the FBAR S gnature Authorization Record
This record may be completed by the individual or entity granting such authorization (Part I) OR the individuaVentity authorized to perform such
services. The completed record must be signed by the individuaksyentity grant ng the authorization (Part I) and the individuaVentity that will file the
FBAR. The Preparer/filing entity must be registered with FinCEN BSA EFile system. (See http://bsaefilinglincentreas.gov/main.html for registration).
Read and complete the account owner statement in Part I.
To authorize a third party to file the Foreign Bank and Financial Accounts Report (FBAR), the account owner should complete Part I. items 1 through
3 (as required), sign and date the document in Part I, items 7)8 and complete items 9 and 10. Item 7 may be digitally signed.
Accounts Jointly Owned by Spouses (see exceptions in the FBAR instructions)
If the account owner is filing an FBAR jointly with his/her spouse, the spouse must also complete Part I, items 4 through 6. The spouse must also
sign and date the report in items 11/12. (item 11 may be digitally signed) and complete items 13 and 14. A third party preparer may be one of the
spouses of the jointly owned foreign account. In this case, both spouses must complete Part I of form 114a in its entirety. The third party preparer
(spouse) that will file the FEAR on behalf of both spouses will complete Part II in its entirety (do not use such terms as see above, or same as item
number a.
Complete Part II• items 15 through 18 with the preparer's information. The address, items 19 through 23, is that of the preparer or the preparer's
employer if the preparer is an employee. Record the employer's information (if any) in items 24 and 25. If the preparer does not have a PTIN. leave
item 18 blank The third party preparer must sign in item 26 (digital signature acceptable) of Part II indicating that the FBAR will be filed as directed
by the authorizing authority.
The person(s) listed in Part I, and the person listed in Part II as authorized to file on behalf of the person(s) listed in Part I. should retain copies
of this record of authorization and the filing itself, both for a period of 5 years. See 31 CFR 1010. 430(4
DO NOT SEND THIS RECORD TO FinCEN UNLESS REQUESTED TO DO SO.
720011 04.01.17 Rev. 10.7 May 21, 2015
EFTA00792092
ENCLOSE A CHECK FOR $500000, PAYABLE TO THE UNITED STATES TREASURY.
INCLUDE YOUR SOCIAL SECURITY NUMBER, DAYTIME PHONE NUMBER, AND THE
WORDS "2017 FORM 4868" ON YOUR CHECK.
MAIL AS SOON AS POSSIBLE TO:
INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37009
HARTFORD, CT 06176-7009
Siglit 06-15.1T
♦ DETACH HERE •
Fe,. 4868 Dapartmonfolth? Ineaboy
Iniunal Ficyno Sqrvico t991 Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return Fcr taxwela 7017 ar nibs tar ',gar Mooring 2017, anaino 201■ Part I I Identification
1 War. nanael
ANASTASIYA SIROOCHENKO
2
* * that;u',.rltq rurrtis.
* 3 Spouse's Social security numbee Part III Individual Income Tax
4 Estimate of total tax liability for 2017 547,000.
5 Total 2017 payments 47,000.
6 Balance due. Subtract line 5
from line 4 500,000.
7 Amount you are paying ► 500,000.
8 Check here if you are 'out of the country and a U.S.
citizen or resident
9 Check nye it you tile Form 1040fIR or 1040NR.E7 and did not ramse
nasal as an employee sUojaci to U.S. income tax vollsnading
********* YF SIRO 30 0 201712 670
EFTA00792093
2018 Estimated Tax Worksheet Keep for Your Records
1 Adjusted gross income you expect in 2018 (see instructions)
2a Deductions
• If you plan to itemize deductions, enter the estimated total of your Itemized deductions.
These include qualifying home mortgage interest, charitable contributions, state and local
taxes (up to $10,000). and medical expenses in excess of 7.5% of your income.'
• If you dont plan to itemize deductions. enter your standard deduction.
b If you qualify for the deduction under section 199A, enter the estimated amount of the deduction
you are allowed on your qualified business income from a qualified trade or business
c Add lines 2a and 2b Pk'
3 Subtract line 2c from line 1
4 Tax. Figure your tax on the amount on line 3 by using the 2018 Tax Rate Schedules.
Caution: If you will have qualified dividends or a net capita( gain, or expect to exclude or deduct
foreign earned Income or housing, see Worksheets 2-5 and 2-6 in Pub. 505 to figure the tax
6 Alternative minimum tax from Form 6261 or included on Form 1040A, line 28
6 Add lines 4 and 5. Add to this amount any other taxes you expect to include in the total on Form
1040. line 44
7 Credits (see instructions). Do not include any income tax withholding on this line
8 Subtract line 7 from fine 6. If zero or less, enter to-
9 SelfemploymeM tax (see instructions)
10 Other taxes (see instructions)
11a Add lines 8 through 10
b Earned income credit, additional child tax credit, fuel tax credit, net premium tax Tent,
refundable American opportunity credit, and refundable credit from Form 8885 •
c Total 2018 estimated tax. Subtract line llb from line 11a. If zero or less, enter Cic.. ►
I12a 12a Multiply line 11c by 90% (66 2/3% for farmers and fishermen)
b Required annual payment based on prior year's tax (see instructions) 12b
c Required annual payment to avoid a penalty. Enter the smaller of line 12a or 12b
Caution: Generally, if you do not prepay (through income tax withholding and estimated ax
payments) at least the amount on line 12c, you may owe a penalty for not paying enough estimated
tax. To avoid a penalty, make sure your estimate on line d is Is as accurate as possible. Even if you
pay the required annual payment, you may still owe tax when you file your return. If you prefer, you
can pay the amount shown on line tic. For details, see chapter 2 of Pub. 505.
13 Income tax withheld and estimated to be withheld during 2018 (including income tax withholding
on pensions, annuities, certain deferred income, etc.)
14a Subtract Me 13 from Me 12c ADJUSTED TO: 14a 643,080.
Is the result zero or less?
0 Yes. Stop here. You are not required to make estimated tax payments.
0 No. Go to line 14b.
b Subtract line 13 from Ile 11c 1
2a
2b
2c
3
4
5
6
7
8
9
10
11a
11b
11c
12c
13
14b
Is the result less than $1,000?
0 Yes. Stop here. You are not required to make estimated tax payments.
0 No. Go to line 15 to figure your required payment.
16 If the first payment you are required to make is due April 17. 2018. enter 1/4 of Inc, 14a (minus any
2017 overpayment that you are applying to this instalknent) here, and on your estimated tax
payment vouchers) if you are paying by check or money order
'When figuring your 2018 estimated taxes, and estimating your deductions, you might want to take into account that the standard
deduction for all filing statuses has increased substantially and many itemized deductions have been eliminated or the deduction
amount has been reduced. See the items under What's New. 15
Form 1040-ES (2018)
7104D1 03-06.1$
EFTA00792094
€ 1040-ES
O Department of the Tr
12018vic, nu
Estimated Tax Payment
Voucher Oae No 1545.00TA
File only if you are making a p yment of estimated tax by check or money order. Mail this
voucher with your check or money order payable to 'United States Treasury? Write
your social security number a d '2018 Form 1040-ES- on your chec or money order.
Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year - Due April 17, 2018
Amount of estimated t
by check or
money order. you are paying
0. our social security number Your first name and initi
ANASTASIYA Your last name
IROOCHENKO
It mint payment, complet tor spouse
Spouses first name and rubel Spouse s last riattt Spouses social security number
Address (number, street, and apt. no.)
City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.)
NEW YORK, NY 10014
Foreign country name Foreign province/county Foreign postal code
LHA For Privacy Act and Paperwork Reduction Act Notice, see i structions.
CUT HERE
MAIL TO: INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37007
HARTFORD, CT 06176-7007
710411 03-06.15
EFTA00792095
E 11,44.4-CO
O Dvaiirnani ol !no Tioasury I LI- wammwermesorom payment n 2018 Voucher C Estimated Tax 01.03 No 1545.0074
ile my if you are making a p yment of estimated tax by check or money order. Mail this
oucher with your check or m ney order payable to 'United States Treasury.' Write
ou social security number a d '2018 Form 1040-ES' on your check or money order.
Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year- Due June 15, 2018
Amount of estimated tax you are paying
by check or
money order.
$ 200,000. IPrint or type Your first name and initial
ASTASIYA Your last name
SIROOCHENKO Your social securib number
***_**
It mint payment, complete tor spouse
Spouse's first name and initial Spouse's last name Spouses social security number
Address (number, street, and apt. no.)
City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.)
EW YORK, NY 10014
Foreign country name Foreign prownce/county Foreign postal code
u-iA For Privacy Act and Paperwork Reduction Act Notice, see I structlons.
CUT HERE
MAIL TO: INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37007
HARTFORD, CT 06176-7007
710412 03-06.15
EFTA00792096
E I WW-CO
ovaarnani ot tho neesury I
wammwerwesxvice payment
s •3 2018 Voucher 0 Estimated Tax CMS No 1S4SG074
ile only it you are making a p yment of estimated tax by check or money order. Mail this
oucher with your check or m ney order payable to 'United States Treasury.' Write
our social security number a d '2018 Form 1040-ES' on your chec or money order.
Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year- Due Sept. 17.2018
Amount of estimated
by check or
money order. tax you are paying
s 0.i Print or type Your first name and initial
ANASTASIYA Your last name
SIROOCHENKO our social security number
***_**
It mint payment, complete tor spouse
Spouse's first name and initial Spouse's last name Spouses social security number
Address (number, street, and apL no.)
i , sae, an co e. a °reign address, enter city, also complete spaces below.)
NEW YORK, NY 10014
Foreign country name Foreign province/county Foreign postal code
Lae, For Privacy Act and Paperwork Reduction Act Notice, see I structions.
CUT HERE
MAIL TO: INTERNAL REVENUE SERVICE CENTER
P.O. BOX 37007
HARTFORD, CT 06176-7007
Qr
O
7104Z1 03-06-18
EFTA00792097
E I LISJ-CO
O Dopanment of Ow Treasury I Li- wwmmwenwenice rayment2018 Voucher Estimated Tax OMB rig.
ile only if you are making a p yment of estimated tax by check or money order. Mail this
oucher with your check or m ney order payable to 'United States Treasury.' Write
our social security number a d '2018 Form 1040-ES' on your check or money order.
Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. Calendar year-Due Jan. 15, 2019
Amount of estimated tax you are paying
by check or
money order.
$ 0 . IPrint or type Your first name and initi I
ANASTASIYA Your last name
ISIROOCHENKO our social security number
***_** It mint payment, complet tor spouse
Spouse's first name and mbar Spouse s last ire Spouse's social security number
Address number. street, and a' f. no.
City, state, and ZIP code. (If a foreign address, enter city, also complete spaces below.)
NEW YORK, NY 10014
Foreign country name Foreign province/county Foreign postal code
LHA For Privacy Act and Paperwork Reduction Act Notice, see instructions.
CUT HERE
MAIL TO: INTERNAL REVENUE SERVICE CENTER P.O. BOX 37007 HARTFORD, CT 06176-7007
710422 03-0015
EFTA00792098
E 1040 U.S. Individual Income Tax Return 12017
For I-Onc 31, 2017. Cr ("arta. year noon
Your lust name and initial
ANASTASIYA
If a joint return, spouse's first name and initial 110
Last name
S IROOCHENKO
Last name 00.43 No. 1545.0074
2017. andn9 EIS Deo only - Do not write or staple In INS abater.
20 See separate IngtrUCtian
You social socially number
* **
SPoteWe social socially dumber
}come address (number and street). If you have a M. )ox, see instructions. Apt no. 1.14ie sure the 6514063047
• and on line 6c ore correct.
City, town or post office. state. and ZIP cm*. If you have a foreign oaks. also COMplateflecos below.
NEW YORK, NY 10014
Foreign country name Foreign province/state/county Foreign postal code Presidential ttection campaign
Check hoed you, or your spools
if filing jointly, want 53 to go to
thisl NI Cntedo go box below
will not change your tax a refund
You 0 use
Filing Status
Check only
one box.
Exemptions 6a LXJ Yourself. If someone can claim you as a dependent, do not check box 6a 1 IX.J Single
2 0 Married filing jointly (even if onl one had income)
3 0 Married filing separately. Enter spouses SSN above
and full name here. No 4 I I Head of household (with qualifying person). If the qualifying
person i a child but not your dependent, enter this child's
name he e. ►
5 0 Qualifying widow(er) (see instructions)
If more than four
dependents, see
instructions and
0 check here pi. Dependents:
Di FaSt NW. Lai name (2)04peridenEs social
security nurnbor IN 040Ondenl.
relatkentAlp tO
yOu NI/2MM
Mitt ig f 17
eilegng bi du
lot of dt
d Total number of exemptions claimed
Income
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
If you did not
get a W-2.
see instructions. 7 Wages, salaries, tips, etc. Attach Form(s) W-2
8a Taxable interest. Attach Schedule B if required
b Tax-exempt interest. Do not include on line 8a
9a Ordinary dividends. Attach Schedule B if required
b Qualified dividends I ab
10
11
12
13
14 Other gains or (losses). Attach Form 4797
15a IRA distnbutions
16a Pensions and annuities Il5a I I b Taxable amount
16a b Taxable amount
17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E
18 Farm income or (loss). Attach Schedule F
19 Unemployment compensation
20a Social security benefits 120a I P b Taxable amount
21 Other income. List type and amount
22 Combine the amounts in the tar right column for lines 7 through 21. This is /our total Income
23 Educator expenses Canton business expenses of reservist. palming artists, and frobbaSIS9 0oWnmant 24 Whops Attach Form 2106 a 2106-92
25 Health savings account deduction. Attach Form 8889
26 Moving expenses. Attach Form 3903
27 Deductible part of self-employment tax. Attach Schedule SE
28 Self-employed SEP, SIMPLE, and qualified plans
29 Self-employed health insurance deduction
30 Penalty on early withdrawal of savings
31a Alimony paid b Recipient's SSN
32 IRA deduction
33 Student loan interest deduction
34 Tuition and fees. Attach Form 8917
35 Domestic production activities deduction. Attach Form 8903
36 Add lines 23 through 35 Boxes cracked
on Co and Eb
No of children
6c no.
imed with you
1:1 *did not Ivo with
you due to divorce
a Separation
Ihoe inatnicticobl
Dependents on 6c
not entered above
Add Nantes
on lines.,
above P"'
Taxable refunds, credits, or offsets of state and local income taxes
Alimony received
Business income or (loss). Attach Schedule C or C-EZ
Capital gain or (loss). Attach Schedule D if required. If not required, check here ► 7
8a 740.
9a
10
11
12
13
14
15b
16b
17
18
19
20b
21
22 1,645,140.
► 1,645,880.
Adjusted
Gross
Income 23
24
25
26
27
28
29
30
31a
32
33
34
35 29,916.
710701 02-2208 37 Subtract line 36 from line 22. This is your adjusted gross income ► 36
37 29,916.
1,615,964.
LHA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate Instructions. tam 1040 u,
EFTA00792099
Turn 1040 (JOIN ANASTASIYA SIROOCHENKO ** *_ **a
Tax and 38 Amount from line 37 (adjusted gross income)
Credits 39a Check 0 You were born before January 1953, 0 Blind. Total boxes
Spouse was born before January 2, 1953, ILI Blind. checked ► 39a Decbction lor
• People vitro L b If your spouse itemizes on a separate return or you were a dual-status alien, check here ► 39b Oak any box on line 39a a 40 39b Wren° can be earned Da a 41 Subtract line 40 from line 38 dependent. see instructIOna. 42
43
44
45
• a °thaw 46 Single or
Married 9109 47 sePoWely.
$6.$50 48
hurled ring 49 jointly or Orman/Mg 50
*Wooled. $12.7C0 51
',Qom 52 housonow. $9.950 53
54
55 Add lines 48 through 54. These are your total credits
56 Subtract line 55 from line 47. If line 55 is more than line 47, enter -0-Itemized deductions (from Schedule A) or your standard deduction (see left margin)
Exemptions. If line 38 is $156,900 or less, multiply $4,050 by the number on line 6d. Otherwise, see inst
Taxable Income. Subtract line 42 from line 41.11 line 42 is more than line 41 enter -0-
Tax. Check if any from: a Form(s)8814 b I= Form 4972 e LJ
Alternative minimum tax. Attach Form 6251
Excess advance premium tax credit repayment Attach Form 8962
Add lines 44, 45, and 46 ► Foreign tax credit. Attach Form 1116 if required 48
Credit for child and dependent care expenses. Attach Form 2441 49
Education credits from Form 8863, line 19 50
Retirement savings contributions credit Attach Form 8880 51
Child tax credit Attach Schedule 8812, it required 52
Residential energy credits. Attach Form 5695 53
Other credits from Form' a ILI 3800 b c 8801 GO 64 38 Pada 2
1,615,964.
40
41
42
43
44
45
46
47 209,297.
1,406,667.
0.
1,406,667.
512,859.
512,859.
55
56
57
58
59
60a
60b
61
62
63 512,859.
57 Self-employment tax. Attach Schedule SE
Other 58 Unreported social security and Medicare tax from Form: a El 4137 b C 8919 gip
Taxes 59 Additional tax on IRAs, other qualified retirement plans, et. Attach Form 5329 if required
60a Household employment taxes from Schedule H
b First-time homebuyer credit repayment Attach Form 5405 it required
61 Health care: Individual responsibility (see instructions) PSI-year coverage
62 Taxes from: a Form 8959 b M Form 8960 c Q hut enter cadets) STATEMENT 2
63 Add lines 56 through 62. This is your total tax leo 59,832.
11,896.
584,587.
Payments 64 Federal income tax withheld from Forms W-2 and 1099
65 2017 estimated tax payments and amount applied from 2016 return
USa Earned income credit (EIC)
b Nontaxable combat pay election j 66b I
67 Additional child tax credit Attach Schedule 8812
68 American opportunity credit from Form 8863. line 8
69 Net premium tax credit Attach Form 8962
70 Amount paid with request for extension to file
71 Excess social security and tier 1 RRTA tax withheld
72 Credit for federal tax on fuels. Attach Form 4136
73 Credits from Farm: a El 2439 b I=Iciinnoc C18885 dp
74 Add lines 64, 65, 66a, and 67 through 73. These are your total payments II you nave a
quality hg
CMd, attach
Schedule EIC. 64
65
66a 47,000.
67
68
69
70
71
72
73 500,000.
74
75
78a STATEMENT 3
547,000.
Refund 75 If line 74 is more than line 63, subtract line 63 from line 74. This is the amount you overpaid
76a Amount of line 75 you want refunded to you. If Form 8888 is attached, check here ►
Seaorcod,cmv kcoutr ilo. hitvind
I9* C Iwo Otokirg 0 Wags dour= I
r""(m** 77 Amount of line 75 you want applied to your 2018 estimated tax O• I 77 I
Amount 78 Amount you owe. Subtract line 74 from line 63. For details on how to pay, see instructions ►
You Owe 79 Estimated tax penalty (see instructions)
Third Party Do you want to allow another person to discuss this return with the IRS (see instructions)? I X I Yes Complete below.rbor (pm
Designee F„',0iiirslo.DAVID WEISS P,r10.212 -695 -5771 '6711:110.433491 Personal la
Sign &evil:tabu of mug'. !dean OW I hot tatnnoi Pis ram a,, aCCOopanyngmbeadcsa ynotrd StocculiminpaIT w
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Preparer DAVID WEISS DAVID WEISS
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183 MADISON AVE SUITE 803 Date Caeca I I it PTIN
salt employed
Firm'e EN
Hamann 212-695-5771 Ila *
T1009202-22.19 Floladdiess li'NEW YORK, NY 10016-4403
EFTA00792100
F.. 2210
Departmeni ol Ina Tioaran
Internal Revenue $GMCO Underpayment of Estimated Tax by
Individuals, Estates, and Trusts
► Go to www.irs.gov/Form2210 for instructions and the latest information.
► Attach to Form 1040, 1040A, 1040NR, 1040NR-EZ or 1041. O,143 No 1.515 0074
2017 Attaamani
So ice NO 06
Name(s) shown on tax r turn
ANASTASIYA SIROOCHENKO Identifying number
Do You Have To File Form 2210?
Yes ► Complete Ines 1 through 7 below. Is line 7 less than $1.000? Don't file Form 2210. You dont owe a penalty.
Yes 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 n Part II applies, you must file page 1 of
Form 2210).
Yes No
You may owe a penalty. Does any box in Part II below apply? You must file Form 2210. Does box B, C, or D in Part II apply?
Don't file Form 2210. You aren't required to figure your
penalty because the IRS will figure it and send you a bill for any
unpaid amount. If you want to figure it, you may use Part III or
Part IV as a worksheet and enter your penalty amount on your tax
return, but don't file Form 2210. Yes ►
You must figure your penalty.
You aren't required to figure your penalty because the IRS will
figure it and send you a bil for any unpaid amount. If you want to
figure it. you may use Part III or Part IV as a worksheet and enter
your penalty amount on your tax retum, but file only page 1 of
Form 2210.
'Part I I R equire nnual Paymen t
1 Enter your 2017 tax alter credits from Form 1040, line 56 (see instructions it not filing Form 1040)
2 Other taxes, including self-employment tax and, it applicable, Additional Medicare Tax and/or Net Investment
Income Tax (see instructions)
3 Refundable credits, including the premium tax credit (see instructions)
4 Current year tax. Combine lines 1, 2, and 3. If less than $1,000. stop; you don't owe a penalty. Don't file Form 2210
5 Multiply line 4 by 90%(0.90) I 5 I 526,128.
6 Withholding taxes. Don't include estimated tax payments (see instructions)
7 Subtract line 6 from line 4. If less than $1,000, stop;you don't owe a penalty. Don'tfile Form 2210
8 Maximum required annual payment based on prior years tax (see instructions)
9 Required annual payment. Enter the smaller of line 5 or line 8
Next Is line 9 more than line 6?
No. You don't owe a penalty. Don't file Form 2210 unless box E below applies.
M Yes You may owe a penalty, but don't file Form 2210 unless one or more boxes in Part II bebw applies.
• If box B, C, or D applies, you must figure your penalty and file Form 2210.
• If box A or E applies (but not B, C, or D) file only page 1 of Form 2210. You aren't required to figure your penalty; the IRS will figure it and send you
a bill for any unpaid amount If you want to figure your penalty, you may use Part III or IV as a worksheet and enter your penalty on your tax return, but file
only page 1 of Form 2210. 1
2
3
4 512,859.
71,728.
584,587.
6
7
8
9 584,587.
41,820.
41,820.
I Part III Reasons for Filing. Check applicable boxes. If none apply, don't file Form 2210.
A Li You request a waiver (see instructions) of your entire penalty. You must check this box and file page 1 of Form 2210, but you aren't required
to figure your penalty.
B 0 You request a waiver (see instructions) of part of your penalty. You must figure your penalty and waiver amount and file Form 2210.
C 0 Your income varied during the year and your penalty is reduced or eliminated when figured using the annualized income installment method. You must
figure the penalty using Schedule Al and file Form 2210.
D 0 Your penalty is lower when figured by treating the federal income tax withheld from your income as paid on the dates it was actually withheld, instead of in
equal amounts on the payment due dates. You must figure your penalty and file Form 2210.
E 0 You filed or are filing a joint return for either 2016 or 2017, but not for both years, and line 8 above is smaller than line 5 above. You must file page 1 of
Form 2210. but you aren't required to figure your penalty (unless box 8, C, or D applies).
LHA For Paperwork Reduction Act Notice, see separate Instructions. Form 2210 (2017)
7125DI 01-0515 d A
EFTA00792101
ftimmoamn ANASTASIYA SIROOCHENKO
Regular Method (See the instructions if you aro filing Form 1040NR or 1040NR.EZ.)
Section A - Figure Your Underpayment Payment Due Dates
(a) 4/15/17 (b)
615/17 (c)
9115/17 (d)
1/15/18
18 Required Installments. If box C in Part II applies, enter
the amounts from Schedule Al, line 25. Otherwise, enter
25% (0.25) of line 9, Form 2210, in each column
19 Estimated lax pad and tax Williheld. For caumn (a) any. NA NW
IN amount from lino 19 on lino 23. II in, 1918 Neal to a more than
line la lot all payment pada*. Stop haft yOu dart ose a penalty.
Don't file Form 2210 unless you checked a box In Part II
Complete lines 20 through 26 of one column
before going to line 20 of the next column.
20 Enter the amount, if any, from line 26 in the previous
column
21 Add lines 19 and 20
22 Add Me smalls on lines 24 and 25 In IN apnea Gelatin
23 Subtract line 22 from line 21. If zero or less, enter -0-.
Far column (a) only, enter the amount from line 19
24 If line 23 is zero, subtract line 21 from line 22.
Otherwise, enter -0-
25 Underpayment. If line 18 is equal to or more than line
23, subtract line 23 from line 18. Then go to line 20 of
the next column. Otherwise, go to line 26 ►
26 Overpayment. If line 23 is more than line 18, subtract line
18 from line 23. Then go to line 20 of the next column 18 10,455. 10,455. 10,455. 10,455.
19 47,000.
20
21 47,000.
22 10,455. 20,910. 31,365.
23 0 . 0 . 0 . 15,635.
24 10,455. 20,910.
25 10,455. 10,455. 10,455.
26 age 3
c ion 13 - Figure the Penalty (Use the Worksheet for Form 2210, Part IV. Section 8 Figure the Penalty in the instructions.)
27 Penalty. Enter the total penalty from line 14 of the Worksh et for Form 2210, Part IV. Section B - Figure the Penalty. Also include
this amount on Form 1040, line 79; Form 1040A, line 51; Form 1040NR. line 76; Form 1040NR-EZ, line 26; or Form 1041, line
26. Don't file Form 2210 unless you checked a box In Part II
Form 2210(2017)
SEE ATTACHED WORKSHEET 27 700.
712491 01-05-18
EFTA00792102
UNDERPAYMENT OF ESTIMATED TAX WORKSHEET
.I
ANASTASIYA SIROOCHENKO ti II f , I t
*** **
-Dr,le B
AMOvil.(C)
Adyusted
Balance Due )
gi I ,,,,D.,,,, E
DJ
FYI i , Rate
-0-
04/15/17 10,455. 10,455. 61 .000109589 70.
06/15/17 10,455. 20,910. 92 .000109589 211.
09/15/17 10,455. 31,365. 122 .000109589 419.
01/15/18 10,455. 41,820.
01/15/18 -47,000. -5,180.
Penalty Due (Sum of Column F). 700.
• Date of estimated tax payment. withholding
credit date or installment due date.
04.01.17
EFTA00792103
SCHEDULE A
(Form 1040)
Department of the heaps),
Internal Revenue Soma (9) itemized Deductions MAR No. 1545-01)74
lo. Go to www.irs.gov/ScheduleA for instructions and the latest information.
llla Attach to Form 1040.
GMMOM II vnu am (gammon A tint nt 'Althoff (1 omelet form on Form 46144 see the twaintenons lot Imo 2017 Attachment
SeRtctyVert
harrie01) shown on noun 1040
ANASTASIYA SIROOCHENKO Social nutdo.N•
***:.**_
Medical Caution: Do not include expenses reimbursed or paid by others.
and 1 Medical and dental expenses (see instructions) SEE STATEMENT 6 1 3,836.
0 . Dental 2 Enter amount from Form 1040, line 38 I 211,615,964.
Expenses
3 Multiply Me 2 by 7.5% (0.075) 3 121,197.
4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -O. I 4
Taxes You 5 State
Paid a and
fllocal (check only one
Income taxes, or l box):
SEE STATEMENT 4 5 227,641.
227,641. b 0 General sales taxes
6 Real estate taxes (see instructions) 6
7 Personal property taxes 7
8 Other taxes. List type and amount Illi.
8
9 Add lines 5 through 8 Is
Interest 10 Home mortgage interest and points reported to you on Form 1098 10
You Paid 11 Home mortgage interest not reported to you on Form 1098. If paid to the person
from whom you bought the home. see instructions and show that person's name.
Identifying no.. and address P .„..
Note: Z t 11
Your mortgage 12 Points not reported to you on Form 1098. See instructions for special rules interest 12
deduction may 13 Mortgage insurance premiums (see instructions) 13
be limited (see 14 Investment interest. Attach Form 4952 if required. See instructions 14 instructions).
15 Add lines 10 through 14 115
Gifts to 16 Gifts by cash or check If you made any gift of $250 or more, see instructions 16 22,290.
STMT 5
22,290. Charity 17 Other than by cash or check. If any gift of $250 or more, see instructions.
If you made a You must attach Form 8283 if over 5500 .1 17
gift and got a
benefit for it, 18 Carryover from prior year 18
see instructions. 19 Add lines 16 through 18 , 19
Casualty and 20 Casualty or theft loss(es) other than net qualified disaster losses. Attach Form 4684
Theft Losses enter the amount from line 18 of that form. See instructions ... . and
20
Job Expenses 21 Unreimbursed employee expenses - job travel, union dues. job education. etc.
and Certain Attach Form 2106 or 2106.EZ if required. See instructions. IIIP Miscellaneous
Deductions
21
22 Tax preparation fees 22
23 Other expenses • investment, safe deposit box, etc. Ust type and amount P
23
24 Add lines 21 through 23 24
25 Enter amount from Form 1040, line 38 1261
26 Multiply line 25 by 2% (0.02) 26
27 Subtract line 26 from line 24. If line 26 is more than line 24. enter 43. 27
Other 28 Other • from list in instructions. Ust type and amount P
Miscellaneous
Deductions 28
29 Is Form 1040, line 38. over $156,900?
Il) No. Your deduction is not limited. Add the amounts in the far tight column
Total for lines 4 through 28. Also. enter this amount on Form 1040. line 40. STMT 7 29 209,297.
Itemized
Deductions
30 If
check El
you Yes. Your deduction may be limited. See the Itemized Deductions
Worksheet in the instructions to figure the amount to enter.
elect to itemize deductions even though they are less than your standard deduction.
here P. 0
LHA 1,5501 02.27-18 For Paperwork Reduction Act Notice, see the Instructions for Form 1040. Schedule A (Form 1040) 2017
EFTA00792104
SCHEDULE B
(Form 1040A or 1040)
Dopattmenl M the Trinity
Internal Revenue Service OM
tremolo Nwwn Col Mu Interest and Ordinary Dividends
► Attach to Form 1040A or 1040.
► Go to www.Irs.gov/ScheduleB for instructions and the latest information. OMR No IS45.0374
2017 AllachmaM
SoeupiceNo.08
ANASTASIYA SIROOCHENKO
Part I
Interest Ov W nurtber
Note: If you
received a Form
10991NT,
Form 1099O1D,
or substitute
statement from
a brokerage firm.
list the firm's
name as the
payer and enter
📷 Images in this document (90 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 tax return form. It is a document with various sections and checkboxes for different types of income and deductions. There are lines for the taxpayer's name, address, and social security number. The form includes sections for income from wages, interest, dividends, and other sources, as well as for deductions such as charitable contributions, student loan interest, and other expe
[Image 2] The image shows a document that appears to be a tax form. It is titled "2017 Alternative Minimum Tax for Individuals." The form includes sections for personal information, income, deductions, and tax liability. There are checkboxes for various types of income and deductions, and spaces for numerical figures. The form also includes instructions and a section for the taxpayer's signature. The visibl
[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," "Social Security Number," and "Date." There are also columns with numbers and checkboxes, which are typical for financial reporting. The form includes sections for income, deductions, and credits, with lin
[Image 4] The image shows a document that appears to be a tax form titled "Underpayment of Estimated Tax." It is a form from the New York State Department of Taxation and Finance. The form is dated "2017" and includes sections for "Taxpayer Identification Number," "Filing Status," and "Total Amount Due." There are also sections for "Amount of Underpayment," "Amount of Penalty," and "Amount of Interest." The
[Image 5] The image is a black and white scan of a document titled "Schedule 1 - Profit or Loss from Business." It appears to be a financial statement or tax form, with various sections and lines for numerical entries. The document includes fields for income, expenses, and net profit or loss. There are also sections for identifying the business and the tax year. The visible text includes the title, section
[Image 6] The image shows a document that appears to be a tax form or a financial statement. It contains various sections with checkboxes and fields for numerical input. There are lines for personal information, income details, and expenses. The form includes sections for "Total Income," "Total Deductions," and "Total Tax Due." The visible text includes "Form 1040," which is a reference to the standard form