Form It-260.1 - Change Of Resident Status - Special Accruals

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New York State Department of Taxation and Finance
IT-260.1
Change of Resident Status – Special Accruals
(9/13)
Tax Law – Sections 639 and 1307
Complete this agreement in triplicate and forward by registered mail
INCOME TAX AUDIT ADMINISTRATOR I
along with your securities, completed Form IT-201, IT-203, or IT-205,
INCOME/FRANCHISE DESK AUDIT BUREAU
and other required forms to the address shown on the right of this form.
W A HARRIMAN CAMPUS
ALBANY NY 12227
If filing a joint return, use both names.
Whereas, I, (name)
, of
(address as shown on return)
,
have changed my status for New York State and/or New York City personal income tax purposes from that of a resident to
that of a nonresident on (date)
, and
Whereas, I elect, pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), and 1307(e) of the Tax Law, to file my
New York personal income tax return for the period prior to my change of residence on the cash receipts basis, and
Whereas, the tax, as determined pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), 1307(c), 1307(e), and
1307(f ) for the taxable year, or portion of the taxable year prior to my change of residence would have been increased by the amount
if such election had not been made, and
of $
I hereby deposit with you the following described security:
Whereas,
1. Certificated U.S. Treasury bonds:
Market value
Registration or
Par or
(as of date of filing with
certificate number
Tax Department)
Due
face value
Attached and made part of this agreement is a properly completed U.S. Treasury Form PDF 1832, Special Form of
Assignment for U.S. Registered Definitive Securities, assigning said securities to the New York State Department of Taxation
and Finance.
2. Certificated New York State bonds or bonds of any political subdivision thereof:
Market value
Registration or
Par or
(as of date of filing with
certificate number
Tax Department)
Description
Due
face value
Attached and made part of this agreement is a properly completed New York State Form AU-217, Assignment Separate
from Bond, assigning said securities to the New York State Department of Taxation and Finance.
3. Bank passbooks and/or certificates of deposit:
If certificate of deposit,
Bank/financial institution
Amount
maturity date
Attached and made part of this agreement is a letter prepared on the letterhead of the bank/financial institution and
signed by an officer thereof: a) identifying the passbooks or certificates of deposit by account number and confirming that
withdrawal of principal from the passbook or certificate of deposit will not be permitted without written consent from the New
York State Department of Taxation and Finance; and b) stating that any right of set-off which the bank/financial institution
may possess against the taxpayer resulting from a defaulted obligation of such taxpayer shall be subordinate to the interest
of the department in the passbook or certificate of deposit offered as collateral.
261001130094

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