Form Nys-202.4 - Transmittal For Magnetic Media Reporting In Federal Format Page 5

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Publication 911 (5/02) Page 5 of 5
New York State Department of Taxation and Finance
NYS-202.4
(5/02)
Transmittal for Magnetic Media Reporting in Federal Format
Transmitter information
1 Name of transmitter
2 Transmitter’s employer identification number (EIN)
3 Street address of transmitter
City
State
ZIP code
4 Name of technical person to contact about magnetic media
Telephone number
(
)
ext.
Tape/diskette/CD-ROM data
5 Check if this is a test tape/diskette/CD-ROM submission
11 If the media contains more than one employer record, enter each employer’s federal
identification number and name. List the employers in ascending identification
number order. (Attach additional sheets if necessary.)
6 Enter the total number of employer
records reported
FEIN
Employer’s name
7 Enter the total number of employee
records reported
8 Enter the quarter and year being reported
9 Identify this tape/diskette/CD-ROM for multiple filings
of
10 Check box for return of media
(enclose self-addressed
mailing label and reusable container or media will not be
(returned)
Equipment
12 Manufacturer/model
13 Operating system/version
15 Tape submission (you must provide the six-digit tape
14 Diskette or CD-ROM submission
number for all labeled tapes)
Formatted capacity
Record length:
3 ½" diskette *
I
II
Recording mode:
EBCD
C
ASC
Physical block size:
CD-ROM*
Label information:
Nonlabel
IBM OS/VS standard internal
II
* Must be recorded using ASC
format
tape no. (vol. ser.)
Nonstandard internal
tape no. (vol. ser.)
Diskette or CD-ROM file name = NYWRFED.RPT
Labels
Each tape, diskette, or CD-ROM must be externally identified with a stick-on label. Each label must contain the following information:
Transmitter name
Quarter/year:
FEIN:
Submission number
of
Computer type and operating system
Formatted density
Record length
Postmark
Date received
Status indicator
For office
use only

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