Form It-2664 - Nonresident Cooperative Unit Estimated Income Tax Payment Form - 2015

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New York State Department of Taxation and Finance
IT-2664
Nonresident Cooperative Unit
Estimated Income Tax Payment Form
For use on sale or transfer of a cooperative unit by a nonresident of New York State
Tax Law–Article 22, Section 663
Mail your completed Form IT-2664 together with your Form TP-584, Combined Real Estate
Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the
For office use
only
Payment of Estimated Personal Income Tax (see Form IT-2664-I, Instructions for Form IT-2664).
This form is valid for sales or transfers (date of conveyance) after December 31, 2014, but before January 1, 2016.
A The transferor/seller is:
an individual
an estate or trust
B Is the transferor/seller reporting the gain for federal income tax purposes under the installment method?
Yes
No
If Yes, what is the duration of the installment agreement?
months
years
C Mark an X in the box if only a portion of the cooperative unit being sold or transferred qualifies as the principal residence of the transferor(s)/seller(s) listed below.
Part 1 – Sale or transfer information
Transferor/seller name
Transferor/seller identification number
(SSN or EIN)
Spouse’s name or name of fiduciary
Spouse’s SSN
(if applicable)
Address of transferor/seller
City
State
ZIP code
(number and street; see instructions)
Mailing address of transferor/seller or fiduciary
City
State
ZIP code
(if different)
Location and description of cooperative unit transferred
Tax map designation
Date of conveyance
(include address, unit number, and county)
Section
Block
Lot
– 2015
Part 2 – Estimated tax information
(Complete Worksheet for Part 2 on page 2 before completing this part.)
.......................................................................................
1 Sale price
1.
(from Worksheet for Part 2, line 15)
................................................................
2 Total gain
2.
(from Worksheet for Part 2, line 17; if a loss, enter 0)
.........................................................................
00
3 Estimated tax due
3.
(from Worksheet for Part 2, line 20)
Part 3 – Nonpayment of estimated tax by a nonresident upon the sale or transfer of a cooperative unit
(see instructions)
4 This is to certify that the transferor/seller of this cooperative unit is a nonresident of New York State and is not required to pay
estimated tax under Tax Law section 663 due to one of the following reasons:
The sale or transfer of this cooperative unit results in a loss (less than or equal to zero) for federal income tax
A
purposes
(you must complete Worksheet for Part 2 on page 2 of this form).
The transferor/seller is not required to recognize any gain or loss with respect to the sale or transfer under provisions
B
of the Internal Revenue Code (IRC) (except for section 121)
(you must complete the summary below).
Brief summary of the transfer (include the section(s) of the IRC and facts supporting the claim that the recognition of the
gain or loss is not required with respect to the sale or transfer):
Part 4 – Signature
I, the undersigned, certify that this form, including any certification and attachment(s), is to the best of my knowledge and belief, true,
correct, and complete.
Signature of transferor/seller
Date
Signature of spouse
Date
(if applicable)

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