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
Page
1
of
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 ................
00 00
(
)
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
(
)
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 %
NY source income page total
00
Percentage of ownership
Estimated tax paid page total
Page totals ............
00
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
(
)
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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2
of
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
51202090094