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NY IT-2104.1 exemption certificate

NY IT-2104.1 exemption certificatex


NY IT-2104.1 exemption certificate x



  • Paper: Letter (8.5in x 11in)
  • Copies to print: 2
    1. Give a blank form to a new employee or to employees who have changes in their tax situation.
    2. The employee fills up this form and returns it to the employer.
    3. Employers must keep a copy for their records.
      • Do not accept forms that claim zero percent allocation if any part of the employee's wages or other compensation is attributable to services performed in New York State or Yonkers.


  • If the employee becomes a New York State, New York City, or Yonkers resident or the employee changes the percentage of services performed within the state, the employer must be notified within 10 days.
  • A penalty of $500 may be imposed for furnishing false information that decreases the withholding amount.
  • Refer to the instructions to determine whether an employee is a resident or nonresident of the state.
  • To be used by nonresidents to file exemption from state withholding tax.
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