Form It-2105.1 - Reconciliation Of Estimated Income Tax Account For Individuals

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IT-2105.1
New York State Department of Taxation and Finance
Reconciliation of Estimated Income Tax Account for Individuals
(10/11)
Tax year:
Name as shown on your New York State income tax return
Social security number ( SSN )
Mailing address
( number and street, rural route, or PO box )
City, village, or post office
State
ZIP code
Your fax number for reply
(
)
1 Enter the amount in your estimated tax account as provided by the Tax Department ......................................... 1.
Date
Document locator number
Confirmation number
Amount
2 Credit from previous year ...
2.
3 Payment ........................
3.
4 Payment ........................
4.
5 Payment ........................
5.
6 Payment ........................
6.
7 Estimated tax paid with Form IT-2663, IT-2664, or IT-2658 .......................................
7.
8 Add lines 2 through 7
.............................................................................................. 8.
( enter here and see instructions )
Instructions
money order. If you paid by money order, contact the issuing agent
You can check your balance and reconcile your estimated tax
for this information. The confirmation number is a seven-digit or
account by accessing our Web site at
twelve-character number, and it was provided to you at the time
you either made your credit card payment or direct debit (on
Use this form only if your records disagree with the estimated tax
our Web site). If you do not have your credit card confirmation
number, please contact your credit card service provider for this
amount provided by the Tax Department. You may fax or mail your
completed form to the Account Reconciliation Unit as follows:
information.
Fax to: (518) 457-2249, or mail to:
Line 7 — Enter the amount of estimated tax paid with
Form IT-2663, Nonresident Real Property Estimated Income Tax
NYS TAX DEPARTMENT
Payment Form, Form IT-2664, Nonresident Cooperative Unit
ESTIMATED TAX UNIT
Estimated Income Tax Payment Form, and/or any amount of
W A HARRIMAN CAMPUS
estimated tax paid on your behalf with Form IT-2658, Report
ALBANY NY 12227
of Estimated Tax for Nonresident Individual Partners and
Be sure to include the document locator number or confirmation
Shareholders. If payment was made with Form IT-2658, include
number for each payment on lines 3 through 6 to allow for proper
the partnership’s or S corporation’s federal EIN or a copy of the
crediting.
statement provided by the partnership or S corporation showing
estimated tax paid on your behalf. If you need more space, send
Enter the name and social security number as they appear on your
an attachment with the required payment information.
New York State income tax return.
Line 8 — If line 8 is the same as line 1, your records agree
Line instructions
with ours. Claim the line 1 amount as estimated tax paid on
Form IT-201, line 75, or Form IT-203, line 65. If line 8 is different
Line 2 — Enter the amount of your previous income tax
from line 1, fax or mail this completed form immediately as
overpayment that was credited to your current estimated tax
instructed above. We will review our records and reply to you
account, as finally determined. If there was an adjustment to your
in time for you to file your return, provided we receive your
previous tax return, the amount requested may differ from the
Form IT-2105.1 by April 1.
amount actually credited. You should have received a notice of
adjusted credit to advise you of the proper amount.
Privacy notification — see Form IT-2105-I, Instructions for
Form IT‑2105, Estimated Income Tax Payment Voucher for
Lines 3 through 6 — Enter the date, document locator number
Individuals.
or confirmation number, and amount of each payment you made.
The document locator number is a 12-character entry beginning
with PT, and it appears on the back of your canceled check or

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