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NY IT-2104-E exemption certificate

NY IT-2104-E exemption certificate


NY IT-2104-E exemption certificate



  • Paper: Letter (8.5in x 11in)
  • Copies to print: 2
  • This certificate much be filed each year to continue exemption.
  • Employers must keep a copy for their records.
  • The employer must be notified within 10 days of any change making the employee no longer eligible for the exemption.
  • Employers may use this form to report a newly hired or rehired employee. Mail form, within 20 days of hiring to:
    New York State Dept of Taxation and Finance
    New Hire Notification
    PO Box 15119
    Albany NY  12212-5119
  • If an employee claims an exemption but usually earns more than $200 per week, mail to:
    NYS Tax Department - Income Tax Audit Administrator
    Withholding Certificate Coordinator
    W A Harriman Campus
    Albany NY 12227-0865


  • A penalty of $500 may be imposed for furnishing false information that decreases your withholding amount.
  • The following conditions must apply to qualify for exemption:
    • The employee must be under age 18, or over age 65, or a full-time student under age 25.
    • The employee didn't have income tax liability for the previous year.
    • The employee doesn't expect to have income tax liability for 2017.
  • The employee may also claim exemption if they meet the conditions set forth under the Servicemembers Civil Relief Act:
    • The employee's spouse is a member of the armed forces present in New York in compliance with military order.
    • The employee is present in New York solely to be with their spouse.
    • The employee is domiciled in a different state.
  • To be used by residents to file exemption from state withholding tax.

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