EFTA00791995.pdf

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 ID Number. * * * - ** Debit/Deposit Unit FO'111 Name of Financial Institution Account Type Routing Number Account Number Date Amount DEBIT FED 1040 CHECKING 021000021 *****0359 10/10/18 9,916. t S . IIIII: 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 (EFILE@DAVIDWEISSCPA.NET), 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 YOUR BALANCE DUE OF $9,916 WILL BE AUTOMATICALLY WITHDRAWN FROM YOUR ACCOUNT ENDING IN 0359 ON OR AFTER OCTOBER 10, 2018.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 RETURN IS ENCLOSED FOR YOUR FILES. WE SUGGEST THAT YOU RETAIN THIS COPY INDEFINITELY. VERY TRULY YOURS, DAVID WEISS 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 FinCEN Form 114 Accounts (FBAR) ANASTAS20170001 Filing Name ANASTASIYA SIROOCHENKO Submission Type NEW PIN NOT REQUIRED 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 Did not know that I had to file c O Thought account balance was below reporting threshold d O Did not know that my account qualified as toregn e ILI Account statement not received in time 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 z Other (please provide explanation below) 773151 05-21-17 EFTA00792000  FinCEN Form 114 REPORT OF FOREIGN BANK 1 This report is for calendar AND FINANCIAL ACCOUNTS year ended 12/31 Do NOT file with your Federal Tax Return 2017 nAme I Part I 1 Filer information ANASTAS20170001 2 Type of filer a W Individual b Partnership c Corporation d I=1 Consolidated e Fiduciary or other • Enter type 3 U.S. Taxpayer Identification Num 3a TIN type 4 Foreign identification (Complete only if item 3 is not applicable) 5 Individual's date of birth MWDDNYYY *** -**-9816 In SSNATIN a Type: Passport CI Foreign TIN Other If filer has no US Identification EIN 07/30/1987 number complete item 4 b Number c Country of Issue 6 Last name or organization name 7First name 8 Middle initial 8a Suffix SIROOCHENKO ANASTASIYA 9 Mailing address (number, street. and apt. or suite no.) 288 WEST 4TH ST 10 City 11 State 12 ZIP/Postal Code 13 Country NEW YORK NY 10014 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 16 Type of account aLXJ Bank bU Securities cl I Other Enter type below unknown 11,781. Li 17 Name of financial institution In which account is held UNICREDIT BANK AUSTRIA AG 18 Account number or other designation 19 Mailing address (number, street, apt. or suite no.) of financial institution in which account is held *********6463 SCHOTTENGASSE 6-8 20 City 21 State, if known 22 Foreign postal code, if known 23 Country VIENNA 1010 WIEN 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 45 Filer title. if not reporting a personal account 146 Date (MM/DD naa rap I be eleCtranIcaily Ma date will auloitnneMn the signed when sled nswisaanuol el gnea 47 Preparer's last name 48 First name 49 MI 50 Checks I if 51 TIN 51a TIN type I XI PTIN WEISS DAVID so-mow/3O)00962062 SSNATIN Foreign Third Party 52 Contact phone no. sza ext. 53 Firm's name 54 Firm's TIN 54a TIN type LXJ EIN Preparer 212-695-5771 DAVID WEISS CPA, PLLC **-***2756 Foreign Use Only 55 Mailing address (number. stree . apt. or suite no.) 56 City 57 State 58 ZIP/Postal Code 59 Country 183 MADISON AVE SUITE 803 NEW YORK NY 10016-4403 US 723141 04.01.17 EFTA00792001 Form 8879 IRS e-file Signature Authorization OMB No. 1545 0074 Department of the Treasury Internal Revenue Service ► 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 Social security number ANASTASIYA SIROOCHENKO ***4 "4-9816 Spouses name 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: 9,916. M I authorize DAVID WEISS CPA, PLLC to enter or generate my PIN 4 9 8 1 6 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. 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 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. 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. 1 3 7 6 9 9 1 3 3 4 9 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. 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 EFINplus 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 Record of Authorization to Department of the Treasury Financial Crimes Enforcement Electronically File FBARs Network (FinCEN) I (See instructions below for completion) May 2015 Do not send to FinCEN. Retain this form for your records. The fomi 114a may be digitally signed ANASTAS20170001 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 2. Owner first name 3. Owner SIROOCHENKO ANASTASIYA 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 10. TIN a LiEIN type b F'SSWITIN MM DD YYYY *** -**-9816 c OForegn 11. Spouse signature 12. Date 13. Spouse TIN 14. TIN a LiEIN type b 0 SSN/ITIN MM DD YYYY c 0 Foreign Part II I Individual or Entity Authorized to File FBAR on behalf of Persons who have an obligation to tile. 15. Preparer last name 16. Preparer first name 17. Preparer 18. Preparer PTIN WEISS DAVID P00962062 19. Address 20. City 21. State 22. ZIP/postal code 183 MADISON AVE SUITE 803 NEW YORK NY 10016-4403 23. Country 24. Preparers (item 15) employers (En ity) name 25. Employer EIN 26. Preparers ignature code US DAVID WEISS CPA, PLLC **-***2756 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 • Application for Automatic Extension of Time 4868 To File U.S. Individual Income Tax Return Department Otte, Traaluy Intornal Inryinnun Snrvictr Fix Cale ysw 7017 a caw tar year nngnring 2017, andln0 2017 Part I I Identification Part II Individual Income Tax 1 War nannIal 4 Estimate of total tax liability for 2017 547,000. 5 Total 2017 payments 47,000. ANASTASIYA SIROOCHENKO 6 Balance due. Subtract line 5 288 WEST 4TH ST from line 4 500,000. NEW YORK, NY 10014 7 Amount you are paying Ile' 500,000. 8 Check here if you are 'out of the country and a U.S. 2 Yaw nodal **Curtly meta 3 $00ufra's facial Sneurily note citizen or resident ill. LJ *** -** -9816 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) 1 1,540,763. 2a Deductions 2a 32,000. • 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 2b c Add lines 2a and 2b ► 2c 32,000. 3 Subtract line 2c from line 1 3 1,508,763. 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 4 523,932. 6 Alternative minimum tax from Form 6261 or included on Form 1040A, line 28 5 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 6 523,932. 7 Credits (see instructions). Do not inckide any income tax withholding on this line 7 8 Subtract line 7 from fine 6. If zero or less, enter to- 8 523,932. 9 SelforoploymeM tax (see instructions) 9 58,046. 10 Other taxes (see instructions) 10 11,295. 11a Add lines 8 through 10 11a 593,273. 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 11b c Total 2018 estimated tax. Subtract line 11b from line 11a. If zero or less. enter 41. Pio 11c 593,273. 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 ► 12c 593,273. 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 annualpayment, 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.) 13 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 14b 593,273. Is the result less than $1,000? 0 Yes. Stop here. You are not required to make estimated tax payments. M No. Go to line 15 to figure your required payment. 16 If the first payment you are required to make is due April 17. 2018. enter 1/4 of Inc, 14a (minus any 2017 overpayment that you are applying to this instalkoent) here, and on your estimated tax payment vouchers) if you are paying by check or money order 16 'When figuring your 2018 estimated taxes, and estimating your deductions, you might want to take into account that the standard deduction for all filing statuses has increased substantially and many itemized deductions have been eliminated or the deduction amount has been reduced. See the items under What's New. AMOUNT ALREADY PAID 200,000. Form 1040-ES (2018) 7104D1 03-06.1$ EFTA00792006 0 1040-ES Depanment al the Treasury internal Revenue Service I 2018 Estimated Tax File only if you are making a p yment of estimated tax by check or money order. Mail this Payment 1 Voucher OTOS No 1545.00TA Caiendaryear - Due April 17, 2018 voucher with your check or money order payable to 'United States Treasury.' Write Amount of estimated tax you are paying 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 Your last name by check or money order. ts our social security number 0.1 ANASTASIYA S IROOCHENKO ***—**-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  2 € 1040-ES 0 Dopanment of the lo:as..0 WormMovenuoSovice 12018 Estimated Tax ile only if you are making a payment of estimated lax by check or money order. Mail this Payment Voucher cus No, 1545.0074 Calendaryear - Due June 15, 2018 Amount of estimated tax you are paying oucher with your check or money order payable to 'United States Treasury.- Write by check or I 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. money order. 9 security2 O, number0 O 0 1 Your first name and initial Your last name fSour social ANASTASIYA S IROOCHENKO ***_**_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 Payment dr) 0 oopmmentottnah“, wammweivesaidep 2018 Estimated Tax Voucher 0 O&M W. 1545.0074 Calendar year -Due Sept. 17, 2018 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 Amount of estimated t you are paying your social security number and '2018 Form 1040-ES' on your chec or money order. by check or Do not send cash. Enclose, but do not staple or attach, your payment with this voucher. money order. 0. Your first name and initial Your last name our social security number ANASTASIYA S IROOCHENKO ***—** -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 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 Calendar year- Due Jan. 15, 2019 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 Amount of estimated tax you are paying your social security number a d '2018 Form 1040-ES' on your check or money order. by check or Do not send cash. Enclose, bu do not staple or attach, your payment with this voucher. money order. 400,0001 Your first name and initi I Your last name our social security number ANASTASIYA IROOCHENKO ***_**_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