Change of Resident Status Agreement Sample Contracts

Standard Contracts

IT-260.1
Change of Resident Status Agreement • September 25th, 2006

Complete this agreement in triplicate and forward by registered mail along with your securities, completed Form IT-201, IT-203, or IT-205, and other required forms to the address shown on the right of this form.

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Department of Revenue Services State of Connecticut
Change of Resident Status Agreement • March 9th, 2017
STATE OF CONNECTICUT
Change of Resident Status Agreement • June 11th, 2002

Complete this agreement and forward by registered mail with the security described below to: Department of Revenue Services, Attention: Director, Operations Division, 25 Sigourney Street, Hartford, CT 06106-5032. If filing a joint return, include both names.

Department of Revenue Services State of Connecticut
Change of Resident Status Agreement • August 16th, 2005
IT-260.1
Change of Resident Status Agreement • October 5th, 1998

Complete this agreement in triplicate and forward by registered mail to: NYS Tax Department, Division of the Treasury, Cash Management Unit, PO Box 7002, Albany NY 12225-7002. If filing a joint return, include both names.

Complete this agreement in triplicate and forward by registered mail to:
Change of Resident Status Agreement • March 22nd, 2002

Whereas, I, (name) , of (address as shown on return) , have changed my status for New York State and/or city of New York personal income tax purposes from that of a resident to that of a nonresident on (date) , and

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