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And ending. For help completing your return see instructions Form MTA-6-I. Your first name and middle initial Your social security number Your last name Apartment no. 1. 3 Total estimated MCTMT payments and/or extension payments with Form MTA-7 see instructions 3. 4 MCTMT balance due if line 2 is more than line 3 subtract line 3 from line 2 pay this amount. 4. 5 Estimated tax penalty include this amount in line 4 or reduce the overpayment on line 6 see instructions. MTA-6 New York State Department of Taxation and Finance Metropolitan Commuter Transportation Mobility Tax Return For Self-Employed Individuals including partners For the full year January 1 2011 through December 31 2011 or fiscal year beginning. Mark an X if address change Mailing address number and street or rural route City village or post office State Enter your 2-character special condition code if applicable see instructions. Amended return. ZIP code If applicable also enter your second 2-character special condition code. 1 Net earnings from self-employment allocated to the metropolitan commuter transportation district MCTD see instructions. 1. 3 Total estimated MCTMT payments and/or extension payments with Form MTA-7 see instructions 3. 4 MCTMT balance due if line 2 is more than line 3 subtract line 3 from line 2 pay this amount. 4. 5 Estimated tax penalty include this amount in line 4 or reduce the overpayment on line 6 see instructions. 5. 6 MCTMT overpaid if line 2 is less than line 3 subtract line 2 from line 3 enter here and mark an X in box 7a or 7b. 6. 7a* Refund Print designee s name Third-party designee see instr* Yes No or 7b. Credit to your 2012 estimated MCTMT Designee s phone number Personal identification number PIN E-mail Paid preparer must complete see instructions Taxpayer must sign here Date Preparer s NYTPRIN Your signature Preparer s signature Preparer s PTIN or SSN Employer identification number Mark an X if self-employed Your occupation Make your check or money order payable to Commissioner of Taxation and Finance. Mail to MCTMT PROCESSING CENTER PO BOX 4135 BINGHAMTON NY 13902-4135 For information about private delivery services see instructions. Mark an X if address change Mailing address number and street or rural route City village or post office State Enter your 2-character special condition code if applicable see instructions. Amended return. ZIP code If applicable also enter your second 2-character special condition code. 1 Net earnings from self-employment allocated to the metropolitan commuter transportation district MCTD see instructions. Amended return. ZIP code If applicable also enter your second 2-character special condition code. 1 Net earnings from self-employment allocated to the metropolitan commuter transportation district MCTD see instructions. 1. 3 Total estimated MCTMT payments and/or extension payments with Form MTA-7 see instructions 3. 4 MCTMT balance due if line 2 is more than line 3 subtract line 3 from line 2 pay this amount. 4. 5 Estimated tax penalty include this amount in line 4 or reduce the overpayment on line 6 see instructions. 5. 6 MCTMT overpaid if line 2 is less than line 3 subtract line 2 from line 3 enter here and mark an X in box 7a or 7b.

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