CT-2658
New York State Department of Taxation and Finance
Report of Estimated Tax for
1
Page
of
Corporate Partners
For Payments on Behalf of C Corporations Only
Due date
: April 17, 2012
June 15, 2012
September 17, 2012
January 15, 2013
(mark an X in one box)
Legal name of Partnership
Employer identification number (EIN)
Trade name of business if different from legal name above
Total number of partners from all
Form(s) CT‑2658 and CT‑2658‑ATT
Address
(number and street or rural route)
Total New York
00
source income ................
City, village, or post office
State
ZIP code
Total estimated tax paid from
all Form(s) CT‑2658 and
00
Contact name
Contact phone number
CT‑2658‑ATT ..................
(
)
Contact e‑mail address
Allocation of estimated tax to corporate partners
(attach Form(s) CT-2658-ATT if necessary)
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
00
00
(
)
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
00
00
(
)
Partner’s EIN
Percentage of ownership
%
Legal name of corporate partner
New York source income
Amount of
Business address
City
State
ZIP code
estimated tax paid
( see instructions )
Contact name
Telephone number
00
00
(
)
Partner’s EIN
Percentage of ownership
%
NY source income page total
Estimated tax paid page total
00
00
Page totals ..............
Paid preparer must complete ( see instructions )
Sign here
Date:
Preparer’s NYTPRIN
Preparer’s signature
Signature of general partner
Preparer’s PTIN or SSN
Firm’s name ( or yours, if self-employed )
Address
Employer identification number
Daytime phone number
Date
Mark an X if
E‑mail:
self‑employed
E‑mail:
Mail this form to:
NYS ESTIMATED CORPORATION TAX, PROCESSING UNIT, PO BOX 4136, BINGHAMTON NY 13902-4136
51201120094