Form Mt-610.1 - Certification Of Place Of Sale Of Stock
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1MT-610.1 (10/11)
Name of association, corporation or trust
Number of shares authorized
Pref. 1st
Mailing address
Pref. 2nd
Common
I,
president/secretary/trustee of the
(name of association, corporation or trust)
hereby certify that the association/corporation/trust keeps a place for sale, transfer or delivery of its stock at
, in the city/town/village of
, New York.
(actual address)
Incorporated or organized on
, under the Laws of the State of
.
(date)
(signature of president, secretary or trustee)
State of New York
County of
On this
day of
, 20
, before me personally came
, to me known, and who did affirm that he/she is
president/secretary/trustee of the association/corporation/trust named above and that he/she executed the foregoing certificate on
behalf of that association/corporation/trust pursuant to authority vested in him/her by a vote of the board of directors of that association/
corporation or as a trustee of that trust.
Notary Public/Commissioner of Deeds
Our authority to require associations, corporations and trustees to file this form is in section 275-a of the Tax Law. The information will be used primarily for the stock
transfer tax administration and for other lawful purposes. Failure to file this form is a misdemeanor punishable by fine and imprisonment. Mail this completed form to:
New York State Tax Department, TDAB-Stock Transfer Tax, W A Harriman Campus, Albany NY 12227. Telephone (518) 457-8637.
MT-610.1 (10/11)
Name of association, corporation or trust
Number of shares authorized
Pref. 1st
Mailing address
Pref. 2nd
Common
I,
president/secretary/trustee of the
(name of association, corporation or trust)
hereby certify that the association/corporation/trust keeps a place for sale, transfer or delivery of its stock at
, in the city/town/village of
, New York.
(actual address)
Incorporated or organized on
, under the Laws of the State of
.
(date)
(signature of president, secretary or trustee)
State of New York
County of
On this
day of
, 20
, before me personally came
, to me known, and who did affirm that he/she is
president/secretary/trustee of the association/corporation/trust named above and that he/she executed the foregoing certificate on
behalf of that association/corporation/trust pursuant to authority vested in him/her by a vote of the board of directors of that association/
corporation or as a trustee of that trust.
Notary Public/Commissioner of Deeds
Our authority to require associations, corporations and trustees to file this form is in section 275-a of the Tax Law. The information will be used primarily for the stock
transfer tax administration and for other lawful purposes. Failure to file this form is a misdemeanor punishable by fine and imprisonment. Mail this completed form to:
New York State Tax Department, TDAB-Stock Transfer Tax, W A Harriman Campus, Albany NY 12227. Telephone (518) 457-8637.
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