Estimated Tax Payments (It-2106) And It-205 Balance Due Payments - Check Transmittal Form

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Check transmittal form
New York State Department of Taxation and Finance
Estimated Tax Payments (IT-2106) and IT-205 Balance Due Payments
Section A --- To be completed by fiduciary filer
1. Firm's name:
2. Firm’s Address:
3. NYS assigned Filer ID: (4 digits)
4. Voucher filing information:
(The information in items 4a through 4e below must correspond to the voucher filing associated with this
payment)
.
Tax period (e.g. 2011 IT-205 balance due; 2012 IT-2106 Quarter 1):
b. Date voucher file transmitted:
c. Number of voucher records:
d. Total payment amount (check amount): $__________________.00
Enclose with this form a check made payable to NYS
SECTION B
Income Tax.
FOR DTF USE ONLY
Indicate on the check your 4-digit Filer ID, IT-2106, or
---------------------------------
IT-205 balance due, and tax year
Date received:
Send to:
JPMORGAN CHASE
BULK FILER – MAG PROCESSING
33 LEWIS ROAD
BINGHAMTON, NY 13905-1040

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