Form Nys-1-Mn Retun Of Tax Withheld Nys
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New York State Department of Taxation and Finance
Please file the original form
NYS-1-MN
Return of Tax Withheld
(not a copy) and print or
(1/10)
type in black ink, not pencil.
Withholding identification number
1 New York State
tax withheld
2 New York City
Employer’s
tax withheld
legal name:
3 Yonkers
tax withheld
4 Total withheld
A Last payroll date – Enter date of last
( add lines 1, 2, & 3 )
payroll covered by this return (MMDDYY)
5 Credit
B If you permanently ceased paying wages,
claimed
enter date of final payroll (MMDDYY)
6 Total tax due
$
C Mark an X in the box for additional payment
( line 4 minus line 5 )
I certify that this information is to the best of my knowledge and belief true, correct, and complete.
Taxpayer’s signature
Taxpayer’s name
( print or type )
Date
Telephone number
(
)
Mark X if new
For office
employer or address
11019411
change
( see back )
use only
Postmark
Received date
SI
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