Form Dtf-1004 - Real Property Transfer Gains Tax Schedule Of Units, Shares Or Parcels Transferred Before June 15, 1996
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1
2New York State Department of Taxation and Finance
For Department Use Only
Real Property Transfer Gains Tax
Case No.:
Transferor:
Schedule of Units, Shares or Parcels Transferred
Address:
Before June 15, 1996
Final Computation
Tentative
Unit
Assessment
or Lot
Individual
Sales
Date of
Date
Amount of
Number
Number
Transferee
Apportionment
1
Price
Closing
Tax Paid
Tax Paid
2
Total
Enter the number of shares, units, percentage of common elements, square footage, parcels or acreage attributable to each individual unit(s), cooperative apartment(s) or lot(s)
1
transferred.
2
If the Amount of Tax Paid is being paid in installments, see instructions on back.
DTF-1004 (8/96)
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