Form Dtf-686 - Tax Shelter Reportable Transactions Attachment To New York State Return - 2011 Page 2

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DTF-686 (2011) (back)
Privacy notification
The Commissioner of Taxation and Finance may collect and
maintain personal information pursuant to the New York State
Tax Law, including but not limited to, sections 5-a, 171, 171-a,
287, 308, 429, 475, 505, 697, 1096, 1142, and 1415 of that Law;
and may require disclosure of social security numbers pursuant
to 42 USC 405(c)(2)(C)(i).
This information will be used to determine and administer tax
liabilities and, when authorized by law, for certain tax offset and
exchange of tax information programs as well as for any other
lawful purpose.
Information concerning quarterly wages paid to employees
is provided to certain state agencies for purposes of fraud
prevention, support enforcement, evaluation of the effectiveness
of certain employment and training programs and other
purposes authorized by law.
Failure to provide the required information may subject you to
civil or criminal penalties, or both, under the Tax Law.
This information is maintained by the Manager of Document
Management, NYS Tax Department, W A Harriman Campus,
Albany NY 12227; telephone (518) 457-5181.
Need help?
Visit our Web site at
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Telephone assistance
Corporation Tax Information Center:
(518) 485-6027
Personal Income Tax Information Center:
(518) 457-5181
To order forms and publications:
(518) 457-5431
Text Telephone (TTY) Hotline (for persons with
hearing and speech disabilities using a TTY): (518) 485-5082
Persons with disabilities: In compliance with the
Americans with Disabilities Act, we will ensure that our
lobbies, offices, meeting rooms, and other facilities are
accessible to persons with disabilities. If you have questions
about special accommodations for persons with disabilities, call
the information center.
6862110094
Please file this original scannable
68602110094
attachment with the Tax Department.

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