Form It-204-Ll - Limited Liability Company/partnership Filing Fee Payment Form (1998) Page 2

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New York State Department of Taxation and Finance

IT-204-LL

For ofﬁce use only

Limited Liability Company/Partnership

Filing Fee Payment Form

For calendar year 1998 or ﬁscal year beginning

1998, and ending

Employer identiﬁcation number

Read the instructions on the back before completing this form.

Legal name

Principal business activity

Trade name of business if different from legal name above

Address

Date business started

(number and street or rural route)

City, village or post ofﬁce

State

ZIP code

Contact person’s telephone number

(

)

□ Check here if you have changed your mailing address and have not previously notiﬁed us.

Change of Business Information —

Enter this new address in the space next to your preprinted address. You must report this, or any other change (name, identiﬁcation

number, business location or owner/ofﬁcer/responsible person information) on Form DTF-95, Change of Business Information . To request

Form DTF-95, call toll free 1 800 462-8100. From areas outside the U.S. and outside Canada, call (518) 485-6800.

of Form IT-370-PF, Application for Automatic Extension of Time to

This form must be ﬁled by every limited liability company, limited

liability investment company, limited liability trust company, or

File for Partnerships and Fiduciaries . In either case, you must

limited liability partnership that is required to ﬁle Form IT-204, New

include with this form a full remittance of any required ﬁling fee by

York State Partnership Return .

your original due date.

Note: This form, together with Form IT-204, constitutes the

If you are not requesting an extension of time to ﬁle Form IT-204,

complete partnership return. Failure to ﬁle either or both form(s) by

attach this form to the back of Form IT-204 when you ﬁle it. If you

the due date may result in the imposition of penalties for failure to

are requesting an extension of time, attach this form to the back

timely ﬁle a partnership return.

1 Did this entity have any income, gain, loss or deduction derived from New York sources

during the taxable year?

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

(see instructions)

If you answered No , skip lines 2 and 3. However, an authorized person must still

sign the certiﬁcation at the bottom of this form. If you answered Yes , continue with line 2.

2 Enter the total number of members or partners of this entity as of the last day of its taxable year

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

(see instructions)

3 LLC/LLP Filing Fee — Enter the amount from line 6 of the New York State Filing Fee Worksheet in the

instructions on the back

(make check or money order for the full amount of the required ﬁling fee payable to

NYS LLC/LLP Fee; write your employer identiﬁcation number and 1998 Filing Fee on the remittance and staple

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

it to the top of this form)

See Instructions on the back.

Certiﬁcation: I certify that all information contained on this form is true and correct to the best of my knowledge and belief.

Preparer’s signature

Date

Mark ‘‘X’’ if self-

Signature of general partner or member

Date

Paid

□

employed

Preparer’s