Form Dtf-350 - Group Affidavit Page 2

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DTF-350 (6/15) (back)
Instructions for Form DTF-350
General information
Specific instructions
Form DTF-350, Group Affidavit, may be used to establish that
Name, address, and group identification information
a group agent is authorized to act for those group members
Form DTF-350 must be completed by the group agent. Enter
when a partnership, New York S corporation, or athletic team is
your state and county of residence, name, and address. If you
requesting permission (or reinstatement of permission) to file a
are filing this form with a group return, also enter the special
group return on behalf of its group members.
NYS identification number assigned to the group. Complete
item 1 or 2, whichever is applicable, identifying the group you
Group agent
are representing. Mark an X in the appropriate box identifying
A group agent must be appointed and designated by each
the class of group members being represented.
member of a group requesting permission (or reinstatement of
permission) to file a group return. The group agent must have
Signature
legal authority to act as an agent in matters relating to the
This form must be signed by the group agent and notarized.
group return, for all group members participating in the return.
The group agent is required to sign the group return, and any
Daytime phone number
communications from the Tax Department will be sent to the
group agent. Any notices required by law, such as notices of
This entry will enable the Tax Department to correct minor errors
deficiency and notice and demands, will be sent to the group
or omissions by calling you rather than writing or sending back
agent as well as to the individual group member involved. In
Form DTF-350.
addition, the group agent will be personally liable for only those
When to file
penalties relating to making or signing an erroneous, false, or
fraudulent return, but only if the agent was actually responsible
Form DTF-350 must be submitted with Form TR-99, Application
for the error.
for Permission to File a Group Return. Form DTF-350 must
also be submitted with the initial group return when filed and
submitted with all group returns when filed, for subsequent
years, regardless of whether the group members have changed.
350002150094
3502150094

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