Form It-260.1 - Change Of Resident Status-Special Accruals
Download a blank fillable Form It-260.1 - Change Of Resident Status-Special Accruals in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form It-260.1 - Change Of Resident Status-Special Accruals with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2IT-260.1
New York State Department of Taxation and Finance
Change of Resident Status — Special Accruals
(9/11)
Tax Law — Sections 639 and 1307
Complete this agreement in triplicate and forward by registered mail
INCOME TAX AUDIT ADMINISTRATOR I
along with your securities, completed Form IT-201, IT-203, or IT-205,
INCOME/FRANCHISE DESK AUDIT BUREAU
and other required forms to the address shown on the right of this
W A HARRIMAN CAMPUS
form.
ALBANY NY 12227
If filing a joint return, use both names.
Whereas, I, (name)
, of
(address as shown on return)
,
have changed my status for New York State and/or New York City personal income tax purposes from that of a resident to
that of a nonresident on (date)
, and
Whereas, I elect, pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), and 1307(e) of the Tax Law, to file my
New York personal income tax return for the period prior to my change of residence on the cash receipts basis, and
Whereas, the tax, as determined pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), 1307(c), 1307(e), and
1307(f ) for the taxable year, or portion of the taxable year prior to my change of residence would have been increased by the amount
of $
if such election had not been made, and
I hereby deposit with you the following described security:
Whereas,
1.
Certificated U.S. Treasury bonds:
Market value
Registration or
Par or
( as of date of filing with
Due
certificate number
face value
Tax Department )
Attached and made part of this agreement is a properly completed U.S. Treasury Form PDF 1832, Special Form of
Assignment for U.S. Registered Definitive Securities, assigning said securities to the New York State Department of
Taxation and Finance.
2.
Certificated New York State bonds or bonds of any political subdivision thereof:
Market value
Registration or
Par or
( as of date of filing with
Description
Due
certificate number
face value
Tax Department )
Attached and made part of this agreement is a properly completed New York State Form AU-217, Assignment Separate
from Bond, assigning said securities to the New York State Department of Taxation and Finance.
3.
Bank passbooks and/or certificates of deposit:
If certificate of deposit,
Bank/financial institution
Amount
maturity date
Attached and made part of this agreement is a letter prepared on the letterhead of the bank/financial institution and
signed by an officer thereof: a) identifying the passbooks or certificates of deposit by account number and confirming
that withdrawal of principal from the passbook or certificate of deposit will not be permitted without written consent from
the New York State Department of Taxation and Finance; and b) stating that any right of set-off which the bank/financial
institution may possess against the taxpayer resulting from a defaulted obligation of such taxpayer shall be subordinate to
the interest of the department in the passbook or certificate of deposit offered as collateral.
2611110094
Please file this original scannable form with the Tax Department.
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial