Form It-2658 - Report Of Estimated Tax For Nonresident Individual Partners And Shareholders - 2015
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1IT-2658
New York State Department of Taxation and Finance
Report of Estimated Tax for Nonresident
Individual Partners and Shareholders
For Payments on Behalf of Nonresident Individuals Only of
Personal Income Tax and Metropolitan Commuter Transportation
Mobility Tax (MCTMT)
Due date
: April 15, 2015
June 15, 2015
September 15, 2015
January 15, 2016
(mark an X in one box)
Employer identification number
Legal name of partnership or New York S corporation
Mark an X in the
box if filer is an
S corporation ......
Trade name of business if different from legal name above
Contact name
Contact phone number
Address (number and street or rural route; see instructions, Form IT-2658-I)
(
)
City, village, or post office
State
ZIP code
Contact e-mail address
You must complete Forms IT-2658-NYS and IT-2658-MTA, whichever are applicable (see instructions). Submit all applicable
schedules with this return.
NYS estimated personal income tax
1 Total number of partners/shareholders from all Form(s) IT-2658-NYS ......... 1
00
2 Total New York source income ..................................... 2
00
3 Total estimated personal income tax paid from all Form(s) IT-2658-NYS ................................ 3
Estimated MCTMT
4 Total number of partners from all Form(s) IT-2658-MTA .............................. 4
5 Total net earnings from self-employment allocated to
00
the MCTD
.. 5
(metropolitan commuter transportation district)
00
6 Total estimated MCTMT paid from all Form(s) IT-2658-MTA ................................................... 6
Total payment
00
7 Total payment
............................................................................................... 7
(add lines 3 and 6)
Print designee’s name
Designee’s phone number
Personal identification
Third-party
number (PIN)
designee?
(see instr.)
(
)
E-mail:
Yes
No
Date
Sign here
Paid preparer must complete
(see instr.)
Signature of general partner, member, or authorized person
Preparer’s signature
Preparer’s NYTPRIN
Firm’s name (or yours, if self-employed)
Preparer’s PTIN or SSN
Employer identification number
Address
Date
Daytime phone number
(
)
Mark an X if
E-mail:
self-employed
E-mail:
Make your check or money order payable to: Commissioner of Taxation and Finance
Mail this form to:
NYS ESTIMATED INCOME TAX
0311150094
PROCESSING CENTER
PO BOX 4123
BINGHAMTON NY 13902-4123
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