Form Dtf-686 - Tax Shelter Reportable Transactions Attachment To New York State Return - 2011
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2DTF-686
New York State Department of Taxation and Finance
Tax Shelter Reportable Transactions
Attachment to New York State Return
Tax Law Section 25(a)(1)
All filers must enter tax period:
beginning
ending
Name(s) as shown on your return
Taxpayer identification number shown on page 1 of your
tax return
Spouse’s name ( for personal income tax, if applicable )
Spouse’s identification number
( if applicable )
Mailing address
City, village, town, or post office
State
ZIP code
Taxpayer’s e-mail address
File this form with your business tax return, your amended business tax return, your personal income tax return, or your amended
personal income tax return.
1 Identify the type of federal reportable transactions. Mark an X in the box(es) that apply
.
(see instructions, Form DTF-686-I)
A.
Listed transaction
D.
Loss transaction
B.
Confidential transaction
E.
Transaction with brief assets holding period
C.
Transaction with contractual protection
F.
Transaction of interest
2 Enter the total number of IRS Form(s) 8886 that are attached to this form ............................................................
2.
3 Enter in the box(es) below the applicable code(s) for each federal listed transaction being reported
(see instructions).
4 Identify the type of New York reportable transactions. Mark an X in the box(es) that apply
.
(see instructions)
A.
New York listed transaction
B.
New York confidential transaction
C.
New York transaction with contractual protection
5 Enter the total number of New York Form(s) DTF-686-ATT that are attached to this form ......................................
5.
Waiver of the secrecy provisions of the Tax Law for purposes of a consolidated disclosure
(see instructions)
As an authorized officer of the above named corporation, I hereby consent to the waiver of the secrecy provisions of Tax Law
sections 202, 211.8, 1467, and 1518 as such provisions relate to the disclosure requirements of Tax Law section 25.
Printed name of authorized officer
Signature of authorized officer
Official title
Authorized
officer
E-mail address of authorized officer
Telephone number
Date
(
)
6861110094
Please file this original scannable
68601110094
attachment with the Tax Department.
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