Free CT-2658 (Fill-in) (2009) - New York

CT-2658 Report of Estimated Tax for
Corporate Partners
For Payments on Behalf of C Corporations Only
Due date (mark an X in one box): April 15, 2009
Legal name of Partnership Trade name of business if different from legal name above Address (number and street or rural route) City, village, or post office Contact name Contact email address State ZIP code Contact phone number Total estimated tax paid from all Form(s) CT2658 and CT2658ATT...................

New York State Department of Taxation and Finance

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June 15, 2009

September 15, 2009

January 15, 2010

Employer identification number (EIN)

Total number of partners from all Form(s) CT2658 and CT2658ATT Total New York source income ................

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Allocation of estimated tax to corporate partners (attach Form(s) CT-2658-ATT if necessary)
Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

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)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

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)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

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)

00 %
NY source income page total

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Percentage of ownership

Estimated tax paid page total

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Signature of general partner

00

Paid preparer's use only
Address

Preparer's signature Firm's name (or yours, if self-employed)

Preparer's SSN or PTIN EIN

Sign here
Mark X if selfemployed

Date

Daytime phone number

Date

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)

Paid preparer's email address

Mail this form to: NYS ESTIMATED CORPORATION TAX, PROCESSING UNIT, PO BOX 4136, BINGHAMTON NY 13902-4136

51201090094

CT-2658 (2009) (back)

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Legal name of Partnership

Employer identification number (EIN)

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

(

)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

(

)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

(

)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

(

)

00 %

00

Percentage of ownership

Legal name of corporate partner New York source income Business address (see instructions) Contact name Partner's EIN City State ZIP code Amount of estimated tax paid

Telephone number

(

)

00 %
New York source income page total

00

Percentage of ownership

Amount of estimated tax paid page total

Page totals ............

00

00

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