Department of Taxation and Finance
                                                                                                                        DTF-350
                               Group Affidavit                                                                                       (12/21)
                               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

                                                                                                                    350001210094
3501210094

DTF-350 (12/21) (back)

                                        Instructions for Form DTF-350

General information                                                Specific instructions
Form DTF-350, Group Affidavit, may be used to establish that 
a group agent is authorized to act for those group members         Name, address, and identification information
when a partnership, New York S corporation, or athletic team is    Form DTF-350 must be completed by the group agent. Enter 
requesting permission (or reinstatement of permission) to file a   your state and county of residence, name, and address. If you 
group return on behalf of its group members.                       are filing this form with a group return, also enter the special 
                                                                   NYS identification number assigned to the group. Enter the 
Group agent                                                        employer identification number (EIN) of the partnership, New 
                                                                   York S corporation, or athletic team.
A group agent must be appointed and designated by each 
member of a group requesting permission (or reinstatement of       Complete item 1 or 2, whichever is applicable, identifying the 
permission) to file a group return. The group agent must have      group you are representing. Mark an  Xin the appropriate box 
legal authority to act as an agent in matters relating to the      identifying the class of group members being represented.
group return, for all group members participating in the return. 
The group agent is required to sign the group return, and any      Signature
communications from the Tax Department will be sent to the         This form must be signed by the group agent and notarized.
group agent. Any notices required by law, such as notices of 
deficiency and notice and demands, will be sent to the group       Daytime phone number
agent as well as to the individual group member involved. In 
addition, the group agent will be personally liable for only those This entry will enable the Tax Department to correct minor errors 
penalties relating to making or signing an erroneous, false, or    or omissions by calling you rather than writing or sending back 
fraudulent return, but only if the agent was actually responsible  Form DTF-350.
for the error.
                                                                   When to file
                                                                   Form DTF-350 must be submitted with Form TR-99, Application 
                                                                   for Permission to File a Group Return  . Form DTF-350 must 
                                                                   also be submitted with the initial group return when filed and 
                                                                   submitted with all group returns when filed, for subsequent 
                                                                   years, regardless of whether the group members have changed.

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