Form Nys-1 - Return Of Tax Withheld - 2016
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Department of Taxation and Finance
NYS-1
Return of Tax Withheld
(1/16)
Withholding identification number
1 New York State tax withheld ...
2 New York City tax withheld .....
Employer’s
legal name:
3 Yonkers tax withheld ...............
A Last payroll date – Enter date of last
4 Total withheld
payroll covered by this return (mmddyy)
( add lines 1, 2, & 3 )
B If you permanently ceased paying wages,
5 Credit claimed ..........................
enter date of final payroll (mmddyy) ..........
$
6 Total tax due
( line 4 minus line 5 )
C Mark an X in the box for additional payment .........................
I certify that this information is to the best of my knowledge and belief true, correct, and complete.
Taxpayer’s signature
Taxpayer’s name
Date
Telephone number
( print or type )
(
)
Mark X if new
For office
employer or address
11619413
change
use only
( see back )
Postmark
Received date
SI
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Parent category: Financial