Fillable CT-6 Election by a Federal S Corporation to (New York State)

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CT-6 Election by a Federal S Corporation to (New York State)

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Department of Taxation and Finance
Election by a Federal S Corporation
to be Treated As a New York S Corporation
Employeridenticationnumber Thiselectionistobeeective
forthetaxyearbeginning
(retroactive elections: see instr.)
Thefederalelectiontotreatthe
corporationasanScorporationis
eectiveforthetaxyearbeginning
Totalnumberofshareholders
NumberofshareholderswhoarenonresidentsofNewYorkState
Indicatethemonthanddayyourtaxyearends
Shareholders’ unanimous consent and individual armation: Bysigningbeloweachshareholderoftheabovecorporationelectsto
includeallamountsrequiredbyTaxLaw,Article22,section660,incomputinghisorherNewYorktaxableincomeandcertiesthatthe
personalinformationgivenbelowistothebestofhisorherknowledgeandbelieftrue,correct,andcomplete.
Seeinstructionsifacontinuationsheetoraseparateconsentstatementisneeded.
A
Nameandaddress
ofeachshareholder
(include ZIP code)
B
SocialSecurity
numberoremployer
identicationnumber
C
Stockownedorpercentageof
ownership(see instructions)
Date
acquired
D
Shareholder’ssignature(see instructions)
Forthiselectiontobevalid,allshareholders
mustsignifyconsentbysigningbelow.
Fax form to: 518-435-8605 (see instructions)
MarkanXinthebox
iffederalelectionispending.................
Telephonenumber
( )
Stateofincorporation Dateofincorporation
DatebeganbusinessinNewYorkState
Date received
Numberofsharesissuedandoutstanding
CT-6
(12/20)
Legalnameofcorporation
DBAortradename
(if any)
Mailingname (if dierent from legal name)
c/o
NumberandstreetorPObox
City State ZIPcode
Mailing address
Certication:Icertifythatthiselectionandanyattachmentsaretothebestofmyknowledgeandbelieftrue,correct,andcomplete.
Authorized
person
Paid
preparer
use
only
(see instr.)
Printednameofauthorizedperson Signatureofauthorizedperson Ocialtitle
Emailaddressofauthorizedperson Telephonenumber Date
Firm’sname
(or yours if self-employed) Firm’sEIN Preparer’sPTINorSSN
Signatureofindividualpreparingthiselection Address City State ZIPcode
Emailaddressofindividualpreparingthiselection Preparer’sNYTPRIN or Excl.code Date
( )
Numberofshares
orpercentageof
ownership
For oce use only
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CT-6 Election by a Federal S Corporation to (New York State)

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Completed 22 February 2022

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