Form preview

NY PS-404R 2013 free printable template

Get Form
State of New York Department of Civil Service Albany, NY 12239 EMPLOYEE BENEFITS DIVISION NYS HEALTH INSURANCE TRANSACTION FORM FOR RETIREES
pdfFiller is not affiliated with any government organization

Get, Create, Make and Sign NY PS-404R

Edit
Edit your NY PS-404R form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your NY PS-404R form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing NY PS-404R online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the guidelines below to benefit from the PDF editor's expertise:
1
Log in to account. Start Free Trial and sign up a profile if you don't have one.
2
Simply add a document. Select Add New from your Dashboard and import a file into the system by uploading it from your device or importing it via the cloud, online, or internal mail. Then click Begin editing.
3
Edit NY PS-404R. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.
With pdfFiller, dealing with documents is always straightforward.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

NY PS-404R Form Versions

Version
Form Popularity
Fillable & printabley
4.9 Satisfied (28 Votes)
4.4 Satisfied (219 Votes)

How to fill out NY PS-404R

Illustration

How to fill out NY PS-404R

01
Obtain a copy of Form NY PS-404R from the New York State Department of Taxation and Finance website.
02
Fill in your personal information such as your name, address, and Social Security number at the top of the form.
03
Indicate the tax year you are filing for in the appropriate section.
04
Provide details of your qualifying income, including amounts and sources.
05
Complete any necessary calculations based on the instructions provided on the form.
06
Review your completed form for accuracy and ensure all required fields are filled in.
07
Sign and date the form in the designated areas.
08
Submit the completed form to the New York State Department of Taxation and Finance via mail or through their online system as instructed.

Who needs NY PS-404R?

01
Individuals who qualify for a personal income tax refund or credit in New York State.
02
Taxpayers who have received a notice from the New York State Department of Taxation and Finance requesting the completion of Form NY PS-404R.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
219 Votes

People Also Ask about

PROOF OF CURRENT INCOME: You must provide a letter, written statement, or copy of check or stubs, from the employer, person or agency providing the income. Submit all that apply. Provide the most recent proof of income before taxes and any other deductions.
Generally, individuals between the ages of 19-64 with incomes between 138%-200% of the Federal Poverty Level ($16,754- $24,280) are eligible for the Essential Plan. If your income is above 200% ($24,280 for an individual) of the Federal Poverty Level, you are likely eligible to enroll in a Qualified Health Plan.
There are three ways to enroll into health coverage through NY State of Health: Apply online through the NY State of Health website. By phone at 1-855-355-5777 (TTY: 1-800-662-1220) With the free help of a trained and certified Enrollment Assistor or Broker.
There is no monthly premium for families whose income is less than 2.2 times the poverty level. That's about $1150 a week for a three-person family, about $1387 a week for a family of four.
Average cost of health insurance in New York In New York, it costs an average of $776 per month for health insurance, based on an individual buying a Silver health insurance plan. Health insurance is offered at five different tier levels in New York: Catastrophic, Bronze, Silver, Gold and Platinum.
PROOF OF CURRENT INCOME, OR INCOME YOU MIGHT GET IN THE FUTURE LIKE UNEMPLOYMENT BENEFITS OR A LAWSUIT: You must provide a letter, written statement, or copy of check or stubs, from the employer, person or agency providing the income.

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

The premium subscription for pdfFiller provides you with access to an extensive library of fillable forms (over 25M fillable templates) that you can download, fill out, print, and sign. You won’t have any trouble finding state-specific NY PS-404R and other forms in the library. Find the template you need and customize it using advanced editing functionalities.
Using pdfFiller's mobile-native applications for iOS and Android is the simplest method to edit documents on a mobile device. You may get them from the Apple App Store and Google Play, respectively. More information on the apps may be found here. Install the program and log in to begin editing NY PS-404R.
You can easily create and fill out legal forms with the help of the pdfFiller mobile app. Complete and sign NY PS-404R and other documents on your mobile device using the application. Visit pdfFiller’s webpage to learn more about the functionalities of the PDF editor.
NY PS-404R is a tax form used in New York State for reporting certain tax information related to a partnership's income and deductions.
Partnerships operating in New York State are required to file NY PS-404R as part of their tax obligations.
To fill out NY PS-404R, partnerships need to provide details about their income, deductions, and other relevant tax information as specified in the instructions for the form.
The purpose of NY PS-404R is to report the income, deductions, and credits of partnerships to ensure proper tax assessment and compliance with New York State tax laws.
Information reported on NY PS-404R includes partnership income, deductions, tax credits, and details about each partner's share of income and losses.
Fill out your NY PS-404R online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview

Related Forms

If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.