MTA-405
New York State Department of Taxation and Finance
Report of Estimated Metropolitan
Commuter Transportation Mobility Tax for
Page
1
of
New York Nonresident Individual Partners
Due date
: April 30, 2012
July 31, 2012
October 31, 2012
January 31, 2013
( mark an X in one box )
Employer identification number ( EIN )
Legal name of partnership
Trade name of business if different from legal name above
Total number of partners from all
Form(s) MTA‑405 and MTA‑405‑ATT
Address ( number and street or rural route; see instructions, Form MTA-405-I )
Total net earnings from
0 0
self‑employment allocated
*
to MCTD
City, village, or post office
State
ZIP code
**
Total estimated MCTMT
0 0
Contact name
Contact phone number
paid from all Form(s) MTA‑405
(
)
and MTA‑405‑ATT
Contact e‑mail address
*MCTD = metropolitan commuter transportation district
**MCTMT = metropolitan commuter transportation mobility tax
Allocation of estimated MCTMT to partners
( attach Form(s) MTA-405-ATT if necessary )
A
B
C
D
Name and
Partner’s
Partner’s percentage
Amount of estimated MCTMT
address of partner
social security number
of ownership
paid on behalf of partner
( see instructions )
( see instructions )
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
First name and middle initial
0 0
%
Last name
Mailing address
Apartment number City, village, or post office
State
ZIP code
(number and street or rural route; see instructions)
0 0
Page total
............................
( add column D amounts )
Sign your return: I certify that the information on this return and any attachments is to the best of my knowledge and belief true, correct, and complete.
Print designee’s name
Designee’s phone number
Personal identification
Third-party
number (PIN)
(
)
designee ?
(see instr.)
E-mail:
Yes
No
Paid preparer must complete ( see instructions )
Sign here
Date:
Preparer’s NYTPRIN
Preparer’s signature
Signature of general partner, member, or authorized person
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:
Make your check or money order payable to: Commissioner of Taxation and Finance.
0131120094
Mail this return to: MCTMT PROCESSING CENTER, PO BOX 4140, BINGHAMTON NY 13902-4140.