Get Form Td 624

New York State Department of Taxation and Finance Division of the Treasury For office use only Received date Order number Stock Transfer Tax Stamps Order Form Reviewed by Check number Tax Law Article 12 Section 280-a Order filled by Check amount Name of purchaser Mailing address number and street or PO box Daytime telephone number City State ZIP code New York State Stock Transfer Tax Stamps Stamp denomination Quantity per denomination Dollar amount per denomination Dollars Cents 10. 00 40. 00 Totals lease furnish stock transfer tax stamps as specified above. P Signature of purchaser Date Instructions Mail this completed order form with a certified check money order or cashier s check payable in U*S* funds to Commissioner of Taxation and Finance to NYS DIVISION OF THE TREASURY STOCK TRANSFER TAX STAMP UNIT PO BOX 22119 ALBANY NY 12201-2119 If you prefer to send your order and payment by FedEx use the following address instead 110 STATE STREET - 2ND FLOOR Your order an original receipt and Form MT-658 Application for Rebate of Stock Transfer Tax by Stamp Purchaser will be delivered by the U*S* Postal Service to the address indicated above. If you prefer us to send your order by FedEx complete a FedEx Airbill and include your account number. Need help Visit our Web site at www. tax. ny. gov for information forms and online services 518 485-6027 To order forms and publications TD-624 9/13 Corporation Tax Information Center 518 457-5431 Text Telephone TTY Hotline for persons with hearing and speech disabilities using a TTY. 00 40. 00 Totals lease furnish stock transfer tax stamps as specified above. P Signature of purchaser Date Instructions Mail this completed order form with a certified check money order or cashier s check payable in U*S* funds to Commissioner of Taxation and Finance to NYS DIVISION OF THE TREASURY STOCK TRANSFER TAX STAMP UNIT PO BOX 22119 ALBANY NY 12201-2119 If you prefer to send your order and payment by FedEx use the following address instead 110 STATE STREET - 2ND FLOOR Your order an original receipt and Form MT-658 Application for Rebate of Stock Transfer Tax by Stamp Purchaser will be delivered by the U*S* Postal Service to the address indicated above. If you prefer us to send your order by FedEx complete a FedEx Airbill and include your account number. If you prefer us to send your order by FedEx complete a FedEx Airbill and include your account number. Need help Visit our Web site at www. tax. ny. gov for information forms and online services 518 485-6027 To order forms and publications TD-624 9/13 Corporation Tax Information Center 518 457-5431 Text Telephone TTY Hotline for persons with hearing and speech disabilities using a TTY. 00 40. 00 Totals lease furnish stock transfer tax stamps as specified above. P Signature of purchaser Date Instructions Mail this completed order form with a certified check money order or cashier s check payable in U*S* funds to Commissioner of Taxation and Finance to NYS DIVISION OF THE TREASURY STOCK TRANSFER TAX STAMP UNIT PO BOX 22119 ALBANY NY 12201-2119 If you prefer to send your order and payment by FedEx use the following address instead 110 STATE STREET - 2ND FLOOR Your order an original receipt and Form MT-658 Application for Rebate of Stock Transfer Tax by Stamp Purchaser will be delivered by the U*S* Postal Service to the address indicated above. If you prefer us to send your order by FedEx complete a FedEx Airbill and include your account number. Need help Visit our Web site at www. tax. ny. gov for information forms and online services 518 485-6027 To order forms and publications TD-624 9/13 Corporation Tax Information Center 518 457-5431 Text Telephone TTY Hotline for persons with hearing and speech disabilities using a TTY.