Click here for notice about address change New York State Department of Taxation and Finance For office use only Cooperative Housing Corporation Information Return Real Estate Transfer Tax Cooperative name Cooperative address Mailing address Name of person to contact Filing period (check applicable box): January - June July - December Year of filing Federal identification number Telephone number of contact person Instructions Complete this form for the following types of conveyances of cooperative apartment shares: 1) Initial cooperative apartment sales by cooperative corporations or sponsors. 2) Resale of all other cooperative apartments without regard to use. 3) Check this box if no conveyances occurred during the period covered by this return. If further space is required, you may copy this form and attach additional sheets. Mail this completed form to: NYS TAX DEPARTMENT TTTB-TRANSFER TAX W A HARRIMAN CAMPUS ALBANY NY 12227 Employer identification or social security number Apartment number Number of shares allocated to apartment Grantor Name Address before closing date Address after closing date Date of transfer Consideration $ Check one: / Grantee Address / Name Initial sale Resale Employer identification or social security number Grantor Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Address before closing date Address after closing date Date of transfer / Grantee Address / Name Grantor Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Address before closing date Address after closing date Date of transfer / Grantee Address / Name TP-588 (1/04) American LegalNet, Inc. www.FormsWorkFlow.com TP-588 (1/04) (back) Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Grantor Address before closing date Address after closing date Date of transfer / Grantee Address / Name Grantor Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Address before closing date Address after closing date Date of transfer / Grantee Address / Name Grantor Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Address before closing date Address after closing date Date of transfer / Grantee Address / Name Grantor Name Employer identification or social security number Apartment number Number of shares allocated to apartment Consideration $ Check one: Initial sale Resale Employer identification or social security number Address before closing date Address after closing date Date of transfer / Grantee Address / Name Certification of an elected officer of the corporation I hereby certify that this form, including any accompanying rider and all attachments, is, to the best of my knowledge and belief, true, correct, and complete. Signature of officer Title Date American LegalNet, Inc. www.FormsWorkFlow.com Department of Taxation and Finance Change in Mailing Address for Certain Real Estate Transfer Tax Forms if Using a Private Delivery Service There has been a change to the address that must be used when submitting certain forms through a private delivery service rather than by U.S. Mail. Send Form TP-584, Combined Real Estate Transfer Tax Return, Credit Line Mortgage Certificate, and Certification of Exemption from the Payment of Estimated Personal Income Tax, to: TP-39 (1/17) NYS TAX DEPARTMENT RETT PROCESSING UNIT 90 COHOES AVE GREEN ISLAND NY 12183-1515 Send Form TP-588, Cooperative Housing Corporation Information Return, to: NYS TAX DEPARTMENT TDAB ­ TRANSFER TAX 90 COHOES AVE GREEN ISLAND NY 12183-1515 See Publication 55, Designated Private Delivery Services, for information about establishing the date you filed, and for the address to use for other forms. American LegalNet, Inc. www.FormsWorkFlow.com