Form It-2658-Mta - Report Of Estimated Metropolitan Commuter Transportation Mobility Tax (Mctmt) For Nonresident Individual Partners - 2015

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IT-2658-MTA
New York State Department of Taxation and Finance
Attachment to Form IT-2658
Report of Estimated Metropolitan Commuter Transportation
Page
of
Mobility Tax (MCTMT) for New York Nonresident
Individual Partners
Legal name
Employer identification number
Allocation of estimated MCTMT to partners
(attach additional Form(s) IT-2658-MTA if necessary)
A
B
C
D
Amount of estimated MCTMT
Name and
Partner’s
Partner’s percentage
social security number
paid on behalf of partner
address of partner
of ownership
(see instructions)
(see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
Last name
0 0
%
First name and middle initial
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
0 0
Page total
..............................
(add column D amounts)
0323150094

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