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NY IT-2104-SNY exemption certificate

NY IT-2104-SNY exemption certificatex


NY IT-2104-SNY exemption certificate x



  • Paper: Letter (8.5in x 11in)
  • Copies to print: 2
    • This form does not need to be sent to the New York State Tax Department.
    • Employers and employees must keep a copy for their records.
    • Employees must file a new form each year to continue to claim exemption.


  • If the employer is a business approved to participate in the START-UP NY program that operates in a tax-free NY area, employees may be eligible to exclude from adjusted gross income wages earned from the employer.
  • To be eligible for the exemption, the employee must meet the following conditions:
    • employed by an approved business certified to participate in the START-UP NY program.
    • perform work exclusively at the approved business's location within tax-free NY area during the tax year.
    • be employed in a net new job created by the approved business in the tax-free NY area.
    • work at least 6 months of the tax year at the approved business' location.
  • A penalty of $500 may be imposed for furnishing false information that decreases your withholding amount.
  • To be used by start-up company employees to file exemption from state withholding tax.
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