Form T-2664 - Nonresident Cooperative Unit Estimated Income Tax Payment Form - 2014 Page 3

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IT-2664 (2014) Page 3 of 3
Note: You must complete Form IT-2664-V (below), even if there
Private delivery services
is no payment of estimated personal income tax due.
If you choose, you may use a private delivery service, instead of
the U.S. Postal Service, to mail in your form and tax payment.
Estimated income tax payment information
However, if, at a later date, you need to establish the date you
filed or paid your tax, you cannot use the date recorded by a
Print your name, SSN or EIN, and 2014 IT-2664-V on your
payment. You must remit the full payment of estimated income
private delivery service unless you used a delivery service that
has been designated by the U.S. Secretary of the Treasury
tax as shown on Form IT-2664, line 3 without regard to any prior
credits or payments of estimated tax for the tax year. Make your
or the Commissioner of Taxation and Finance. (Currently
check or money order payable to NYS Income Tax. Do not
designated delivery services are listed in Publication 55,
combine this payment with payment of any other tax or fee; it
Designated Private Delivery Services. See Need help? in
must be a separate check or money order. Do not detach this
the instructions, Form IT-2664-I, for information on obtaining
forms and publications.) If you have used a designated private
voucher from the rest of the form.
delivery service and need to establish the date you filed your
Mail your completed Form IT-2664 (with a check or money order
form, contact that private delivery service for instructions on
for the full payment of any estimated income tax due) and your
how to obtain written proof of the date your form was given to
Form TP-584 (with a separate check or money order for the
the delivery service for delivery. If you use any private delivery
real estate transfer tax shown as due on Form TP-584) to the
service, whether it is a designated service or not, send the forms
NYS Tax Department at the address below within 15 days of the
covered by these instructions to: NYS Tax Department, Deposit
delivery of the instrument effecting the disposition.
Resolution Unit, W A Harriman Campus, Albany NY 12227.
NYS TAX DEPARTMENT
RETT RETURN PROCESSING
PO BOX 5045
ALBANY NY 12205-5045
Attach check or money order here.
You must attach a separate check or money order made payable to
NYS Income Tax for the full amount of estimated personal income
tax due as shown on Part 2, line 3, and Form IT-2664-V (below).
Do not detach
IT-2664-V
New York State Department of Taxation and Finance
Nonresident Cooperative Unit Estimated Income Tax Payment Voucher
For use on sale or transfer of a cooperative unit by a nonresident
Date fiscal year ends
Enter date of conveyance and total payment in the boxes to the right. Print your name, social security number or
employer identification number, and 2014 IT-2664-V on your payment. Make payable to NYS Income Tax.
Date of conveyance
Identification number (SSN or EIN of an estate or trust)
Mark an X in one box:
Individual
Estate/trust
Individual taxpayer’s full name or name of estate or trust
or name and title of fiduciary
Spouse’s SSN
Spouse’s name
(if applicable)
Dollars
Cents
Individual taxpayer’s street address or address of fiduciary or representative
00
(see instructions)
Total payment
City, village, or post office
State
ZIP code
0441140094

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