Form Ct-6.1 - Termination Of Election To Be Treated As A New York S Corporation

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New York State Department of Taxation and Finance
CT-6.1
Termination of Election to be Treated
(8/12)
As a New York S Corporation
Employer identification number
For office use only
Legal name of corporation
Date received
DBA or trade name
(if any)
Mailing name
(if different from legal name)
c/o
Number and street or PO box
City
State
ZIP code
Business telephone number
Effective date of termination
(see instructions)
(
)
The corporation is terminating its election to be treated as a New York S corporation under New York State Tax Law,
Article 22, section 660(c) for the following reason
:
(mark an X in the appropriate box)
1 Termination of federal S election
2 Revocation of election by shareholders owning more than 50% of the shares of stock of the corporation
3 New shareholder refusal
If you marked box 2, all revoking shareholders must complete the Shareholder individual affirmation.
If you marked box 3, only the new shareholder must complete the Shareholder individual affirmation.
Shareholder individual affirmation - By signing below, the shareholder(s) of the above corporation revokes the election
to be treated as an S corporation or, in the case of a new shareholder, refuses to consent to the election to be treated as
an S corporation under Tax Law, Article 22, section 660(c). The shareholder(s) also certifies that the personal information
given below is to the best of the shareholder’s knowledge and belief true, correct, and complete.
See instructions if a continuation sheet or a separate consent statement is needed.
A
B
C
D
Stock owned
Name and address
Social security
Shareholder’s signature
(see instructions)
of each revoking shareholder
number or employer
For this termination of election to be valid, all revoking
Number of
Date
shares
acquired
identification number
shareholders must signify consent by signing below.
(include ZIP code)
Certification: I certify that this termination of election and any attachments are to the best of my knowledge and belief true, correct, and
complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
E-mail address of authorized person
Telephone number
Date
person
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
(or yours if self-employed)
Paid
preparer
Signature of individual preparing this election
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this election
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.

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