CT-6
Department of Taxation and Finance
Election by a Federal S Corporation
to be Treated As a New York S Corporation
(10/15)
Employer identification number
This election is to be effective for the
For office use only
tax year beginning (retroactive elections:
attach federal approval letter; see instr.)
Legal name of corporation
Mark an X in the box
if federal election is pending .................
Date received
DBA or trade name
Telephone number
(if any)
(
)
State of incorporation Date of incorporation
Mailing name
(if different from legal name)
c/o
Date began business in New York State
Number and street or PO box
Number of shares issued and outstanding
City
State
ZIP code
The federal election to treat the
Total number of shareholders
Number of shareholders who are nonresidents of New York State
corporation as an S corporation is
effective for the tax year beginning
Indicate the month and day your tax year ends
Shareholders’ unanimous consent and individual affirmation: By signing below each shareholder of the above corporation elects to
include all amounts required by Tax Law, Article 22, section 660, in computing his or her New York taxable income and certifies that the
personal information given below is to the best of his or her knowledge and belief true, correct, and complete.
See instructions if a continuation sheet or a separate consent statement is needed.
A
B
C
D
Name and address
Social security number
Stock owned
Shareholder’s signature
(see instructions)
of each shareholder
or employer
For this election to be valid, all shareholders
Number of
Date
identification number
shares
acquired
must signify consent by signing below.
(include ZIP code)
Certification: I certify that this election and any attachments are to the best of my knowledge and belief true, correct, and complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this election
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this election
Preparer’s NYTPRIN
or
Excl. code Date
(see instr.)
Fax form to: (518) 435-8605
(see instructions)