Form IT-260.1 "Change of Resident Status - Special Accruals" - New York

What Is Form IT-260.1?

This is a legal form that was released by the New York State Department of Taxation and Finance - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2015;
  • The latest edition provided by the New York State Department of Taxation and Finance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form IT-260.1 by clicking the link below or browse more documents and templates provided by the New York State Department of Taxation and Finance.

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Download Form IT-260.1 "Change of Resident Status - Special Accruals" - New York

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IT-260.1
Department of Taxation and Finance
Change of Resident Status – Special Accruals
(9/15)
Tax Law – Sections 639 and 1307
Complete this agreement in triplicate and forward by registered mail
INCOME TAX AUDIT ADMINISTRATOR I
along with your securities, completed Form IT-201, IT-203, or IT-205,
IFDAB
and other required forms to the address shown on the right of this form.
W A HARRIMAN CAMPUS
ALBANY NY 12227-4299
If filing a joint return, use both names.
Whereas, I, (name)
, of
(address as shown on return)
,
have changed my status for New York State and/or New York City personal income tax purposes from that of a resident to
that of a nonresident on (date)
, and
Whereas, I elect, pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), and 1307(e) of the Tax Law, to file my
New York personal income tax return for the period prior to my change of residence on the cash receipts basis, and
Whereas, the tax, as determined pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), 1307(c), 1307(e), and
1307(f) for the taxable year, or portion of the taxable year prior to my change of residence would have been increased by the
amount of $
if such election had not been made, and
I hereby deposit with you the following described security:
Whereas,
1. Certificated U.S. Treasury bonds:
Market value
Registration or
Par or
(as of date of filing with
Due
certificate number
face value
Tax Department)
Attached and made part of this agreement is a properly completed U.S. Treasury Form PDF 1832, Special Form of
Assignment for U.S. Registered Definitive Securities, assigning said securities to the New York State Department of Taxation
and Finance.
2. Certificated New York State bonds or bonds of any political subdivision thereof:
Market value
Registration or
Par or
(as of date of filing with
Description
Due
certificate number
face value
Tax Department)
Attached and made part of this agreement is a properly completed New York State Form AU-217, Assignment Separate
from Bond, assigning said securities to the New York State Department of Taxation and Finance.
3. Bank passbooks and/or certificates of deposit:
If certificate of deposit,
Bank/financial institution
Amount
maturity date
Attached and made part of this agreement is a letter prepared on the letterhead of the bank/financial institution and
signed by an officer thereof: a) identifying the passbooks or certificates of deposit by account number and confirming that
withdrawal of principal from the passbook or certificate of deposit will not be permitted without written consent from the New
York State Department of Taxation and Finance; and b) stating that any right of set-off which the bank/financial institution
may possess against the taxpayer resulting from a defaulted obligation of such taxpayer shall be subordinate to the interest
of the department in the passbook or certificate of deposit offered as collateral.
261001150094
IT-260.1
Department of Taxation and Finance
Change of Resident Status – Special Accruals
(9/15)
Tax Law – Sections 639 and 1307
Complete this agreement in triplicate and forward by registered mail
INCOME TAX AUDIT ADMINISTRATOR I
along with your securities, completed Form IT-201, IT-203, or IT-205,
IFDAB
and other required forms to the address shown on the right of this form.
W A HARRIMAN CAMPUS
ALBANY NY 12227-4299
If filing a joint return, use both names.
Whereas, I, (name)
, of
(address as shown on return)
,
have changed my status for New York State and/or New York City personal income tax purposes from that of a resident to
that of a nonresident on (date)
, and
Whereas, I elect, pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), and 1307(e) of the Tax Law, to file my
New York personal income tax return for the period prior to my change of residence on the cash receipts basis, and
Whereas, the tax, as determined pursuant to sections 639(a), 639(d), 639(e), 639(h), 1307(b), 1307(c), 1307(e), and
1307(f) for the taxable year, or portion of the taxable year prior to my change of residence would have been increased by the
amount of $
if such election had not been made, and
I hereby deposit with you the following described security:
Whereas,
1. Certificated U.S. Treasury bonds:
Market value
Registration or
Par or
(as of date of filing with
Due
certificate number
face value
Tax Department)
Attached and made part of this agreement is a properly completed U.S. Treasury Form PDF 1832, Special Form of
Assignment for U.S. Registered Definitive Securities, assigning said securities to the New York State Department of Taxation
and Finance.
2. Certificated New York State bonds or bonds of any political subdivision thereof:
Market value
Registration or
Par or
(as of date of filing with
Description
Due
certificate number
face value
Tax Department)
Attached and made part of this agreement is a properly completed New York State Form AU-217, Assignment Separate
from Bond, assigning said securities to the New York State Department of Taxation and Finance.
3. Bank passbooks and/or certificates of deposit:
If certificate of deposit,
Bank/financial institution
Amount
maturity date
Attached and made part of this agreement is a letter prepared on the letterhead of the bank/financial institution and
signed by an officer thereof: a) identifying the passbooks or certificates of deposit by account number and confirming that
withdrawal of principal from the passbook or certificate of deposit will not be permitted without written consent from the New
York State Department of Taxation and Finance; and b) stating that any right of set-off which the bank/financial institution
may possess against the taxpayer resulting from a defaulted obligation of such taxpayer shall be subordinate to the interest
of the department in the passbook or certificate of deposit offered as collateral.
261001150094
IT-260.1 (9/15) (back)
4. Standby letter of credit:
Issuer or confirming bank
Amount
Expiration date
Attached and made part of this agreement is the irrevocable standby letter of credit made payable to the New York State
Department of Taxation and Finance.
5. Form W-2G, Certain Gambling Winnings:
Attached and made part of this agreement is a copy of completed federal Form W-2G, which shows that New York State
taxes were withheld on the lottery payments.
Now, therefore, I agree that (1) I will include in my New York personal income tax returns in subsequent taxable
years (or periods) all income and gain accrued prior to my change of residence, as if I had not changed my resident status
and will pay the tax thereon when due; (2) the period of limitation within which tax may be assessed, set forth in Tax Law
section 683, is hereby extended as provided by paragraph (2) of subsection (c) of such section, and I hereby agree that
the tax due may be assessed for any taxable year (or periods) at any time within three years after the tax return relating
to the last taxable year during which income or gain accruing prior to my change of residence is actually received has
been filed; and (3) if the New York State Department of Taxation and Finance determines (a) that I have failed to include
in my New York personal income tax return for any taxable year (or period) any item of income or gain that is required
to be included therein under the terms of this agreement, or to pay any tax required to be paid, or (b) that the security
filed herewith has or will become inadequate to properly secure payment of the tax, the full amount of income which is
accruable under sections 639(a), 639(e), 639(h), 1307(b), 1307(c), 1307(e), and 1307(f) of the Tax Law shall be accrued
to the portion of the taxable year prior to the change of residence and the additional tax for such period, as recomputed,
shall become due immediately. If such tax is not paid within 30 days after notice of such determination described in
(a) above has been mailed to me by ordinary mail, or if the security that has been determined, as described in (b) above,
to be inadequate to secure payment of the tax is not replaced with adequate security acceptable to the department within
30 days after notice of such determination has been mailed to me by ordinary mail, the New York State Department of
Taxation and Finance may sell, assign, transfer, withdraw or otherwise dispose of said security and apply the proceeds to
any unpaid portion of the tax deferred by reason of the election and any interest and penalties due thereon. The balance of
such proceeds, if any, shall be paid to me.
The above described security is deposited with the understanding that: (1) in case no disposition is made
thereof under the terms of this agreement, such security will be returned to me at such time as the department determines
it is no longer needed as security by reason of the full or partial payment of the tax deferred as a result of the election
under sections 639(d), 639(h), 1307(b), 1307(c), 1307(e), and 1307(f); and (2) any interest accruing on said security shall
belong to me; and (3) in the case of certificated bonds, in coupon form, the coupons will be detached and forwarded to me
as they become due.
Signature of taxpayer
Date
Spouse’s signature
(if joint return)
261002150094
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