New York Certificate of Exemption from Withholding (Native Americans)

Certificate of Exemption from Withholding (Native Americans)
Form IT-2104-IND:8/15:New York State Certificate of Exemption from Withholding: IT2104INDIT-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

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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.

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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 Amended Return
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 Voucher
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.

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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