Form It-2663 - Nonresident Real Property Estimated Income Tax Payment Form - 2013 Page 3

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IT-2663 (2013) Page 3 of 3
Note: You must complete Form IT-2663-V (below), even if there is no payment of estimated personal income tax due.
This area is for county clerk use only.
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-2663-V (below).
Do not detach
IT-2663-V
New York State Department of Taxation and Finance
Nonresident Real Property Estimated Income Tax Payment Voucher
For use on sale or transfer of real property 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 2013 IT-2663-V on your payment. Make payable to NYS Income Tax.
Date of conveyance
Identification number (SSN or EIN of the 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
0431130094

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