Department of Taxation and Finance
                                                                                                                        DTF-350
                               Group Affidavit                                                                                       (12/23)
                               Submit with: Form TR-99, IT-203-GR, IT-203-S, or IT-203-TM

State of 
                                                                               Special NYS identification number ( see instructions )
County of 
                                                                               Employer identification number ( see instructions )

                                                                                                       being duly sworn, states:

I reside at                                                                                  in the city/town/village/borough, etc.,

of                                                               , State of                            , ZIP code

     1. Partnerships or S corporations - I am a partner in the firm of                                                   

or a shareholder of                                                           , which is described in the accompanying 
application, Form TR-99, or group return, Form IT-203-GR or Form IT-203-S, whichever is applicable, for the tax year ending

the         day of                       , 20 ; or

     2. Athletic teams - I am associated with the group, which is described in the accompanying application, Form TR-99, or group 
return, Form IT-203-TM, whichever is applicable, for the tax year ending

the         day of                       , 20 .

   I have been duly and properly designated and authorized under the laws of the State of New York and the laws of any other state, if 
applicable, to act as agent, for the purposes described herein, for each and every New York:
nonresident             nonresident           nonresident
partner                 shareholder           team member 
(hereinafter referred to as group members) named, listed or otherwise described in the accompanying application or group return, and 
any schedule or list appended thereto, which application or group return I am signing and filing with the New York State Department of 
Taxation and Finance on behalf of the group members.
   As agent, I am authorized to receive confidential information and to perform any and all acts that each of the group members can 
perform with respect to making, executing, and filing this application or return. By reason of this delegation of authority from each of 
the group members, I am acting as a common partner or group representative (hereinafter referred to as group agent) pursuant to 
20 NYCRR sections 151.17 and 151.18 of the Regulations of the New York Commissioner of Taxation and Finance.
   I am submitting this affidavit with the understanding that the New York State Department of Taxation and Finance will rely upon it; 
and I am aware that offering a false instrument for filing is a class A misdemeanor or a class E felony under the New York State Penal 
Law; and supplying false information, filing a false return and aiding or assisting in the giving of fraudulent returns, reports, statements, 
or other documents constitute misdemeanors and felonies under Article 37 of the New York State Tax Law.

Sworn to before me this                                                                     Signature of group agent
         day of                     , 20
                                                                                            Print name beneath signature
                                                                        (     )
Notary Public                                                                                Daytime phone number
My commission expires
                                                                                             Email address

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3501230094

DTF-350 (12/23) (back)

                                          Instructions for Form DTF-350

General information                                                  Specific instructions
You may use Form DTF-350, Group Affidavit, instead of 
individual powers of attorney to establish that a group agent is     Name, address, and identification number 
authorized to act for those group members when a partnership,        As the group agent, you must complete Form DTF-350 as 
New York S corporation, or athletic team requests permission (or     follows:
reinstatement of permission) to file a group return on behalf of its 1. Enter your state and county of residence, name, and address. 
group members.                                                       2. If you are filing this form with a group return, also enter the 
                                                                        special NYS identification number assigned to the group. 
Group agent                                                          3. Enter the employer identification number (EIN) of the 
A group agent must be appointed and designated by each                  partnership, New York S corporation, or athletic team.
member of a group requesting permission (or reinstatement of 
permission) to file a group return. The group agent must:            4. Complete either item 1, for partnerships or S corporations, or 
                                                                        item 2, for athletic teams.
• have legal authority to act as an agent in matters relating to 
  the group return, for all group members participating in the       5. Mark an Xin the appropriate box to identify the class of group 
  return                                                                members you are representing.

• sign the group return, and                                         Signature 
• receive any communications from the Tax Department. Any            The group agent must sign this form and have it notarized.
  notices required by law, such as notices of deficiency and 
  notice and demands, will be sent to the group agent as well as     Daytime phone number 
  to the individual group member involved. 
                                                                     The Tax Department will call you at the number you provide 
In addition, if the group agent was actually responsible for         to correct any minor errors or omissions instead of writing or 
making or signing an erroneous, false, or fraudulent return, the     returning Form DTF-350.
agent will be personally liable for penalties relating to those 
errors.                                                              When to file 
                                                                     Submit Form DTF-350 when you file the initial group return, and 
                                                                     all subsequent group returns, regardless of whether the group 
                                                                     members have changed. Include Form TR-99, Application for 
                                                                     Permission to File a Group Return.

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