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New York Free Printable Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND for 2024 New York Certificate of Exemption from Withholding (Native Americans)

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Certificate of Exemption from Withholding (Native Americans)
Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

IT-2104-IND Department of Taxation and Finance Print or type New York State Certificate of Exemption from Withholding (8/15) First name and middle initial Last name Home address (number and street or rural route) Apartment number City, village, or post office State Social security number ZIP code Employee’s certification – This is to certify that I am an enrolled member of the Indian tribe/nation and that I live on and my income is earned from employment on the Indian Reservation. I will notify my employer within 10 days of any change in my status. Employee’s signature Date To be used only by a Native American who is not subject to New York State income tax (see instructions on back). IT-2104-IND (8/15) (back) Instructions Employee If you are an enrolled member of a tribe or nation recognized by the United States or by New York State, and you are a Native American who works and lives on that tribe’s reservation, you are not subject to state tax on income earned on the reservation. If you qualify, file this certificate with your employer and your employer will not withhold New York State tax from your wages. A penalty of $500 may be imposed for providing false information that decreases your withholding amount. Employer Do not withhold New York State tax from the wages of employees who qualify and file this certificate with you. If the employee’s status changes, you must begin to withhold New York State tax. Keep this form with your records; do not send it to the New York State Tax Department. Privacy notification See our Web site or Publication 54, Privacy Notification. www.tax.ny.gov
Extracted from PDF file 2023-new-york-form-it-2104-ind.pdf, last modified December 2005

More about the New York Form IT-2104-IND Individual Income Tax Voucher TY 2023

Form used only by Native Americans who are no subject to the New York state income tax.

We last updated the Certificate of Exemption from Withholding (Native Americans) in February 2024, so this is the latest version of Form IT-2104-IND, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form IT-2104-IND directly from TaxFormFinder. You can print other New York tax forms here.

Related New York Individual Income Tax Forms:

TaxFormFinder has an additional 271 New York income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the New York Form IT-2104-IND.

Form Code Form Name
Form IT-2104 Employee's Withholding Allowance Certificate
Form IT-2104.1 Certificate of Nonresidence and Allocation of Withholding Tax
Form IT-2104-E Certificate of Exemption from Withholding
Form IT-2104-P Annuitant's Request for Income Tax Withholding
Form IT-2104-MS New York State Withholding Exemption Certificate for Military Service Personnel
Form IT-2104-SNY Certificate of Exemption from Withholding for START-UP NY Program

Download all NY tax forms View all 272 New York Income Tax Forms


Form Sources:

New York usually releases forms for the current tax year between January and April. We last updated New York Form IT-2104-IND from the Department of Taxation and Finance in February 2024.

Show Sources >

Form IT-2104-IND is a New York Individual Income Tax form. Payment vouchers are provided to accompany checks mailed to pay off tax liabilities, and are used by the revenue department to record the purpose of the check and the SSN/EIN of the taxpayer who sent it. Many states recommend that taxpayers also write their social security number and the purpose of the payment on the check itself, in case the accompanying payment voucher is misplaced or destroyed.

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of New York Form IT-2104-IND

We have a total of twelve past-year versions of Form IT-2104-IND in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2022 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2021 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2020 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2019 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2018 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2017 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2016 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

2015 Form IT-2104-IND

Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104IND

New York State Certificate of Exemption from Withholding (Native Americans) 2014 Form IT-2104-IND

Form IT-2104-IND:8/09:New York State Certificate of Exemption from Withholding: IT2104IND

New York State Certificate of Exemption from Withholding (Native Americans) 2013 Form IT-2104-IND

Form IT-2104-IND:8/09:New York State Certificate of Exemption from Withholding: IT2104IND

2012 Form IT-2104-IND

Form IT-2104-IND:8/09:New York State Certificate of Exemption from Withholding: IT2104IND


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