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New York State Department of Taxation and Finance
IT-204
Partnership Return
For calendar year 2012
and
12
See the instructions, Form IT-204-I.
or tax year beginning
ending
E mployer identification number (EIN)
Legal name
Trade name of business if different from legal name above
Principal business activity
Address
City, village, or post office
NAICS business code number
(number and street or rural route)
(see instr)
State
ZIP code
Country
Principal product or service Date business started
Special conditions for filing your
Section 1 – Partnership information
2012 tax return
...........
(see instr)
Mark an X in the box that applies to your entity
A
Regular partnership
Limited liability partnership (LLP)
Portfolio investment partnership
Other
(see instr.)
Limited liability company (LLC - including limited liability investment company and a limited liability trust company)
B 1) Did the partnership have any income, gain, loss, or deduction derived from NY sources during the tax year? .. B1 Yes
No
2) If No, enter the number of resident partners ............................................................................................. B2
C Mark applicable box(es)
Change of address
Initial return
Amended return
Final return
(submit explanation)
1) Is this return the result of federal audit changes?...................................................................................... D1 Yes
No
D
If Yes : 2) Enter date of final federal determination ............................................................................... D2
3) Do you concede the federal audit changes? ....................................................................... D3 Yes
No
Did you file a NYS partnership return for: 1 ) 2010? E1 Yes
..................... 2 ) 2011? E2 Yes
No
No
E
If No, state reason:
F Number of partners 1) Article 22 ............................................................................................................... F1
2) Article 9-A ............................................................................................................. F2
3) Other ..................................................................................................................... F3
4) Total ...................................................................................................................... F4
G Does the partnership currently have tax accounts with NYS for the following taxes?
1) Sales and use tax
Yes
No
(if Yes, enter ID number)
.........
.... G1
2) Withholding tax
Yes
No
(if Yes, enter ID number)
.........
.... G2
Did the partnership have an interest in real property located in NYS during the last three years? ................... H Yes
No
H
Has there been a transfer or acquisition of a controlling interest in this entity during the last three years? ..... I Yes
No
I
Are any partners in this partnership also partnerships or LLCs? ..................................................................... J Yes
No
J
K Did the partnership engage in a like-kind transaction under IRC 1031 during the tax year? ............................ K Yes
No
L Was there a distribution of property or a transfer of a partnership interest during the tax year? ...................... L Yes
No
M Did the partnership make an election under IRC section 754? ......................................................................... M Yes
No
N Is this partnership under audit by the IRS or has it been audited in a prior year? ............................................ N Yes
No
O Is the partnership required to file Form DTF-686 or DTF-686-ATT for this filing period, to report a
reportable transaction, New York reportable transaction, listed transaction or registered tax shelter? ......... O Yes
No
If Yes, complete and submit Form(s) DTF-686, DTF-686-ATT, and any applicable federal forms.
Did the partnership make purchases subject to sales and compensating use tax for which NYS tax was not paid?
P Yes
No
P
(see instr.)
Q Did the partnership have a financial account located in a foreign country?
............................. Q Yes
No
(see instructions)
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
Preparer’s signature
Preparer’s NYTPRIN
Firm’s name (or yours, if self-employed)
Preparer’s PTIN or SSN
Address
Employer identification number
Date
Daytime phone number
( )
Mark an X if
E-mail:
self-employed
E-mail:
204001120094
Mail your return to:
STATE PROCESSING CENTER, PO BOX 61000, ALBANY NY 12261-0001.