Ds 2076 Form PDF Details

This blog is to provide information on the Ds 2076 form. The Ds 2076 form is a New York State Tax Form that is used to calculate and report tax owed by an estate. This form can be filed by either an executor or administrator of the estate. The deadline for filing this form is November 1st of the year following the death of the taxpayer. The instructions for completing this form are included on Page 2 of the PDF below. Please note that this form must be completed in its entirety in order to be processed by NYS Tax Authorities. If you have any questions, please consult with a qualified tax professional. Thank you!

QuestionAnswer
Form NameDs 2076 Form
Form Length5 pages
Fillable?No
Fillable fields0
Avg. time to fill out1 min 15 sec
Other namesds2076, ds 2076 form print, form ds 2076, jf 144 form

Form Preview Example

 

U.S. Department of State

Purchase Order Number

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

PURCHASE ORDER, RECEIVING REPORT AND VOUCHER

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser: The United States Government, DR. - This Document Prepared At

DS-2092

 

 

D.O. VOU. Number

 

 

 

 

 

Vendor:

 

Contract Number

 

BU. VOU. Number

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Paid By

 

 

 

 

 

 

 

 

Order is Hereby Placed with the Above-Named Vendor for the Articles Described Below, to be

Account

 

 

 

 

 

Furnished to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEM

ARTICLES OR SERVICES

QTY

UNIT PRICE

 

 

AMOUNT

NUMBER

COST

 

PER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Ordering Officer

Title

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

I Certify That the Ordered Items Listed were Received

Availability of Funds

 

 

 

 

 

 

 

 

On

 

 

Date (mm-dd-yyyy) Except as Follows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT

 

Amount Billed, as Per Attached Bill(s)...

 

 

 

 

 

 

 

 

 

 

 

Complete

 

 

Differences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

Signature of Receiving Officer

Final

 

 

 

 

Amount Verified Correct For...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved For

 

 

 

 

 

 

Pursuant to Authority Vested in Me, I certify That This Voucher is Correct and Proper for

 

 

 

 

 

 

 

 

 

 

Payment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exchange Rate

 

 

 

To $1.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Authorized Certifying Officer

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounting Classification

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On Treasurer Of U.S.

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On

 

Cash

 

 

 

On (mm-dd-yyyy)

 

 

 

 

 

 

Payee (Signature and Title)

DS-2076

[Formerly OF-206]

ORIGINAL - D.O. VOUCHER

Page 1 of 5

02-2006

 

 

 

 

DS-2076
Accounting Classification
Title Approved For

 

U.S. Department of State

Purchase Order Number

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

PURCHASE ORDER, RECEIVING REPORT AND VOUCHER

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser: The United States Government, DR. - This Document Prepared At

DS-2092

 

 

D.O. VOU. Number

 

 

 

 

 

Vendor:

 

Contract Number

 

BU. VOU. Number

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Paid By

 

 

 

 

 

 

 

 

Order is Hereby Placed with the Above-Named Vendor for the Articles Described Below, to be

Account

 

 

 

 

 

Furnished to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEM

ARTICLES OR SERVICES

QTY

UNIT PRICE

 

 

AMOUNT

NUMBER

COST

 

PER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Ordering Officer

Title

Total

Amount

I Certify That the Ordered Items Listed were Received

Availability of Funds

(1)

Articles Nos / Numero / Laufende Nummer / Articulos Nos.

 

On

Date (mm-dd-yyyy) Except as Follows

 

 

(2)

Articles ou Services / Descrizione / Ware oder Dienstleistung / Articulos o servicios

 

 

PAYMENT

Amount Billed, as Per Attached Bill(s)...

(3)

Quantite / Quantita / Menge / Cantidad

Complete

Differences

 

 

 

(4)

Prix par unite / Prezzo Unitario / Einzelpreis / Precio pro Unidad

 

(5)

Montant total / Totale / Gesamtpreis / Importe

Partial

 

 

 

 

Signature of ReceivingPLEASEOfficerTURN-OVER FOR AN IMPORTANT NOTICE TO THE VENDOR TOURNEZ S.V.P. POUR UN AVISFinalIMPORTANT CONCERNANT LE FOURNISSEUR

Amount Verified Correct For...

BITTE WENDEN FUER EINEN WICHTIGEN HINWEIS FUER DEN LIEFERANTEN

Pursuant to Authority Vested in Me, I certify That This Voucher is Correct and Proper for

VEDI RETRO PER UNA AVVERTENZA IMPORTANTE PER IL FORNITORE

Payment.

VER AL DORSO POR AVISO IMPORTANTE AL VENDEDOR

Exchange Rate

To $1.00

Date (mm-dd-yyyy)

Authorized Certifying Officer

Title

 

 

THE INVOICES MUST BE SUBMITTED IN QUADRUPLICATE.

LES FACTURES DOIVENT ETRE SOUMISES EN QUATRE EXEMPLAIRES. RECHNUNGEN SIND IN VIERFACHER AUSFERTIGUNG EINZUREICHEN.

Check Number LE FATTUREDated (mmDEVONO-dd-yyyy)

ESSEREFor

Payee (Signature and Title)

PRESENTATEOnINTreasurerORIGINALEOf U.S. E TRE COPIE.

Check Number

LAS FACTURAS HAY QUE PRESENTARLAS POR QUADRUPLICADO.

Dated (mm-dd-yyyy)

For

On

Cash

On (mm-dd-yyyy)

 

 

NO. 1 - VENDOR

Page 2 of 5

 

U.S. Department of State

Purchase Order Number

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

PURCHASE ORDER, RECEIVING REPORT AND VOUCHER

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser: The United States Government, DR. - This Document Prepared At

DS-2092

 

 

D.O. VOU. Number

 

 

 

 

 

Vendor:

 

Contract Number

 

BU. VOU. Number

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Paid By

 

 

 

 

 

 

 

 

Order is Hereby Placed with the Above-Named Vendor for the Articles Described Below, to be

Account

 

 

 

 

 

Furnished to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEM

ARTICLES OR SERVICES

QTY

UNIT PRICE

 

 

AMOUNT

NUMBER

COST

 

PER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Ordering Officer

Title

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

I Certify That the Ordered Items Listed were Received

Availability of Funds

 

 

 

 

 

 

 

 

On

 

 

Date (mm-dd-yyyy) Except as Follows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT

 

Amount Billed, as Per Attached Bill(s)...

 

 

 

 

 

 

 

 

 

 

 

Complete

 

 

Differences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

Signature of Receiving Officer

Final

 

 

 

 

Amount Verified Correct For...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved For

 

 

 

 

 

 

Pursuant to Authority Vested in Me, I certify That This Voucher is Correct and Proper for

 

 

 

 

 

 

 

 

 

 

Payment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exchange Rate

 

 

 

To $1.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Authorized Certifying Officer

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounting Classification

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On Treasurer Of U.S.

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On

 

Cash

 

 

 

On (mm-dd-yyyy)

 

 

 

 

 

 

Payee (Signature and Title)

DS-2076

NO. 2 - VOUCHER AUDIT

Page 3 of 5

 

U.S. Department of State

Purchase Order Number

 

Date (mm-dd-yyyy)

 

 

 

 

 

 

 

 

PURCHASE ORDER, RECEIVING REPORT AND VOUCHER

 

 

 

 

 

 

 

 

 

 

 

 

 

Purchaser: The United States Government, DR. - This Document Prepared At

DS-2092

 

 

D.O. VOU. Number

 

 

 

 

 

Vendor:

 

Contract Number

 

BU. VOU. Number

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Paid By

 

 

 

 

 

 

 

 

Order is Hereby Placed with the Above-Named Vendor for the Articles Described Below, to be

Account

 

 

 

 

 

Furnished to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ITEM

ARTICLES OR SERVICES

QTY

UNIT PRICE

 

 

AMOUNT

NUMBER

COST

 

PER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of Ordering Officer

Title

 

 

 

 

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amount

 

 

 

 

 

 

 

 

 

 

 

 

 

I Certify That the Ordered Items Listed were Received

Availability of Funds

 

 

 

 

 

 

 

 

On

 

 

Date (mm-dd-yyyy) Except as Follows

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT

 

Amount Billed, as Per Attached Bill(s)...

 

 

 

 

 

 

 

 

 

 

 

Complete

 

 

Differences

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Partial

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Title

Signature of Receiving Officer

Final

 

 

 

 

Amount Verified Correct For...

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Approved For

 

 

 

 

 

 

Pursuant to Authority Vested in Me, I certify That This Voucher is Correct and Proper for

 

 

 

 

 

 

 

 

 

 

Payment.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Exchange Rate

 

 

 

To $1.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Date (mm-dd-yyyy)

 

Authorized Certifying Officer

 

 

 

Title

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Accounting Classification

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On Treasurer Of U.S.

Check Number

 

Dated (mm-dd-yyyy)

 

For

 

 

On

 

Cash

 

 

 

On (mm-dd-yyyy)

 

 

 

 

 

 

Payee (Signature and Title)

DS-2076

NO. 3 - ACCOUNTING/OBLIGATION BACK-UP

Page 4 of 5

U.S. Department of State

Purchase Order Number

Date (mm-dd-yyyy)

 

 

IMPORTANT NOTICE TO SELLER

 

PURCHASE ORDER, RECEIVING REPORT AND VOUCHER

 

 

Purchaser: The United States Government, DR. - This Document Prepared At

DS-2092

D.O. VOU. Number

1. The invoice must be submitted in quadruplicate.

 

 

2.The Purchase Order No. must be quoted on your invoices and in all communications concerning this order.

3.The following certificate must be duly signed on the invoice original: "I certify that the above bill is correct,

Vendor:

Contract Number

BU. VOU. Number

just and that payment therefore has not been received".

4. Discount terms, if any, must be shown on all invoices.

 

 

 

Date (mm-dd-yyyy)

Paid By

AVIS IMPORTANT AU FOURNISSEUR

 

Order is Hereby Placed with the Above-Named Vendor for the Articles Described Below, to be

Account

 

Furnished to

 

 

1.Les factures doivent etre soumises en quatre exemplaires.

2.Priere de mentionner, dans les factures et toutes communications au sujet de la presente commande, le

numero de commande (Purchase Order No.).

3.

 

 

 

UNIT PRICE

 

 

Chaque facture devra porter le certificat suivant, dont l'original seulement devra etre signe: :"Je certifie

 

 

ITEM

ARTICLES OR SERVICES

QTY

 

 

AMOUNT

NUMBER

COST

PER

 

que la presente facture est correcte et juste, et que paiement n'en pas ete recu".

 

 

 

4.

Priere d'indiquer, le cas echeant, les conditions de'escompte dans toutes les factures presentees.

 

 

WICHTIGER HINWEIS FUR DEN LIEFERANTEN

1.Rechnungen sind in vierfacher Ausfertigung einzureichen.

2.Die Purchase Order No. ist auf Ihren Rechnungen, sowie in allen ubrigen Zuschriften, anzugeben.

3.Das Original Ihrer Rechnung ist mit folgendem rechtsgultig unterschriebenen Passus zu versehen: "Ich bestatige, daB obige Rechnung richtig und korrekt ist und daB Zahlung hierfur nicht erhalten wurde".

4.Zahlungsbedingungen (Skonti) sind in allen Rechnungen anzugeben.

AVVERTENZA IMPORTANTE PER IL FORNITORE

1.Le fatture devono essere presentate in originale e tre copie.

2.Le vostre fatture e tutte le comunicazioni dovranno recare il numero del presente orginativo (Purchase Order No.).

3.L'origniale deve contenere la seguente dichiarazione, debitamente firmata: "Dichiaro che la presente fattura e esatta ed equa e che non e stata ancora pagata".

4.Le eventuali condizoni di sconto dovranno essere riportatesu tutte le fatture.

Signature of Ordering Officer

Title

Total

 

 

Amount

 

AVISO IMPORTANTE AL VENDEDOR

 

I Certify That the Ordered Items Listed were Received

Availability of Funds

 

 

On

Date (mm-dd-yyyy) Except as Follows

 

 

 

 

1. Las facturas hay que presentarias por quadruplicado.

 

 

 

 

 

PAYMENT

Amount Billed, as Per Attached Bill(s)...

 

2. Las facturas y todas las comunicaciones referentes a este pedido deben mencionar el numero de orden

 

al reverso (Purchase Order No.) de este pedido.Complete

Differences

 

3. Las facturas deben lievar el siguiente certificado firmado en el original solamente.

 

4. Se ruega indicar en todas las facturas presentadas los descuentos concedidos.

 

 

 

Partial

 

 

 

 

Signature of Receiving Officer

Final

 

 

 

Title

 

 

Amount Verified Correct For...

 

 

 

 

 

Approved For

 

Pursuant to Authority Vested in Me, I certify That This Voucher is Correct and Proper for

 

 

Payment.

 

 

 

Exchange Rate

To $1.00

Date (mm-dd-yyyy)

Authorized Certifying Officer

Title

 

 

Accounting Classification

 

 

 

 

Check Number

 

 

 

Payee (Signature and Title)

Dated (mm-dd-yyyy)

For

 

On Treasurer Of U.S.

 

Check Number

Dated (mm-dd-yyyy)

For

 

On

 

Cash

On (mm-dd-yyyy)

 

 

 

 

DS-2076

Page 5 of 5