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Financial disclosure affidavit short ny Form: What You Should Know
PDF) I hereby disclose my income source and total assets and debts. To complete this form, your financial information will be collected from your income tax returns, Social Security number, bank account information, checking account, credit card data, or other source, and will be checked against the above disclosures. The financial information is collected by the New York State Department of Taxation and Finance, Division of Public & Administrative Services. Financial Disclosure Affidavit (Forms 7, 15, 16, 17, 18, 19, and 20) | New York Dept. of Taxation & Finance Financial disclosure Affidavit (Form 34T) | New York Dept. of Taxation & Finance I, ______________________________________, having been duly sworn, depose and say as follows: I, ______________________________________, having been duly sworn, state that I am a resident of the state of New York, have resided in this state continuously for one year; have owned, occupied, or enjoyed real property located in this state continuously for one year before this date; and, am in good standing with this state's tax agency. I declare on oath that I have not ever been convicted by a court of a crime punishable by imprisonment for 1 year or more. I declare that if I am convicted of such a crime by reason of the filing of this statement, I will return this declaration to the New York State Department of Taxation and Finance within 30 days from the date on which my conviction occurs. Page 1 of 8. Â I acknowledge that: I am aware that the New York state income tax returns are filed electronically online through the New York State Department of Taxation and Finance. Page 2 of 8. Â If I am asked to provide any additional tax information on this form, I will provide it as soon as possible, but I recognize that this will likely require a follow-up call or a separate communication, because it may be time sensitive. I understand that the time spent filling out this form is substantially reduced if I provide an email address on the form so that a completed copy of the form can be sent to me. Page 3 of 8 I acknowledge that the New York State Department of Taxation and Finance is authorized by law to collect information concerning residents of the state of New York, including those who file income tax returns and any information concerning certain tax liabilities.
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