Legal name
Trade name of business if dierent from legal name above
Address (number and street or rural route)
City, village, or post oce State ZIP code
Principal business activity
Identication number
(see instructions)
Change of business information
Mark X here if you have changed your mailing
address and have not previously notied us (see instr.)
Date business started
Contact person’s telephone number
( )
Enter your 2-digit special condition
code if applicable
(see instructions) .......
1 Did this entity have any income, gain, loss, or deduction derived from New York sources during
the 2021 tax year?
(see instructions) .............................................................................................................. Yes No
If you answered No, stop; you do not owe a fee. Do not le this form.
2 Did this entity have an interest in real property in New York State during the last three years? ...................... Yes No
3 Has there been a transfer or acquisition of the controlling interest in the entity during the last three years? .. Yes No
IT-204-LL
Mark an X in the box identifying the entity for which you are ling this form (mark only one box):
Regular partnership Limited liability company (LLC) or limited liability partnership (LLP)
Part 1 – General information (mark an X in the appropriate box(es))
Part 2 – Partnerships, and LLCs and LLPs treated as partnerships for federal income tax purposes
Part 3 – LLCs that are disregarded entities for federal income tax purposes
Part 4 – Payment amount
File this form with payment on or before the 15th day of the third month following the close of
your tax year
(see instructions).
Mail to: STATE PROCESSING CENTER, PO BOX 15310, ALBANY NY 12212-5310.
For private delivery services, see Publication 55, Designated Private Delivery Services.
Certication: I certify that all information contained on this form is true and correct to the best of my knowledge and belief.
Department of Taxation and Finance
Partnership, Limited Liability Company, and
Limited Liability Partnership
Filing Fee Payment Form
6
LLC disregarded entity: Enter the identication number (EIN or SSN)
of the entity or individual who will be reporting the income or loss
6
7 LLC disregarded entity NYS ling fee – Enter 25 on this line ........................................................... 7
.00
LLCs that are disregarded entities for federal income tax purposes: Skip Part 2 and continue with Part 3.
4 Enter the amount from line 15, column B, of the New York source gross income worksheet in
the instructions .............................................................................................................................. 4
.00
5 NYS ling fee – Enter the amount from the appropriate ling fee table in the instructions ................ 5 .00
For calendar year 2021 or tax year
beginning
21 and ending
Mark applicable box(es) (see instructions):
Amended Form IT-204-LL Refund Final Form IT-204-LL
▼ Sign here ▼
Signature of general partner
Date Daytime phone number
Email:
( )
▼ Paid preparer must complete (see instr.) ▼
Date
Preparer’s signature Preparer’s NYTPRIN
Firm’s name (or yours, if self-employed) Preparer’s PTIN or SSN
Address Employer identication number
NYTPRIN
excl. code
Email:
8 Payment amount (from line 5 or line 7) ............................................................................................... 8 .00
Make check or money order for the line 8 amount payable to NYS ling fee; write your EIN or
SSN and 2021 ling fee on the remittance and submit it with this form.
