Form Nys-1 - Return Of Tax Withheld Page 2
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2
3New York State Department of
New York State Department of Taxation and Finance
This is a scannable form; please file the original.
Taxation and Finance
NYS-1
Return of Tax Withheld
NYS-1
(7/98)
1 New York State
Withholding Identification Number
tax withheld
•
Payroll Date
Employer Legal Name
2 City of New York
NYS Tax Withheld
tax withheld
•
3 City of Yonkers
NYC Tax Withheld
tax withheld
•
4 Total withheld
Yonkers Tax Withheld
A Last Payroll Date – Enter date of last payroll
(add lines 1, 2 & 3)
•
covered by this return (MMDDYY)
5 Credit
Total Withheld
B If you permanently ceased paying wages,
claimed
•
enter date of final payroll (MMDDYY)
Credit Claimed
6 Total tax due
$
C Check box for additional payment
•
(line 4 minus line 5)
Amount of Payment
I certify that this information is to the best of my knowledge and belief true, correct and complete.
Taxpayer signature
Taxpayer name
(print or type)
Date
Telephone number
/
/
(
)
Date Paid
□
Check if address
For office
changed
use only
Check Number
(see back)
Postmark
Received date
SI
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Parent category: Financial