Et 14 is a form that is used to maintain contact between an employer and employee. The purpose of this form is to document changes in the employee's work schedule or status. This form can be used to record absences, tardiness, or other changes in the employee's work schedule. It is important to use Et 14 to keep track of these changes, so that both the employer and employee are aware of what is happening. Generally, Et 14 should be filled out by the employee and submitted to the employer. However, there may be times when the employer needs to initiate contact with the employee regarding a change in their work status. In those cases, the employer would fill out Et 14 and submit it to the employee. Either way, it is important that Et 14 is used to keep track of any changes in an employee's work situation.
| Question | Answer |
|---|---|
| Form Name | Form Et 14 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | 145 9 advisory circular, faa ac 145 online, maintenance performed, maintenance performed print |
Department of Taxation and Finance |
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Estate Tax Power of Attorney |
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(6/19) |
Read the instructions before completing this form. Form
Department of Taxation and Finance for the estate listed below but may affect who receives mailings. Note: Unless a change is being made, Form
1.Executor’s and decedent’s information (executor must sign and date this form in section 5)
Executor’s name
Executor’s Social Security number (SSN)
Mailing address (number and street with apartment or suite number, or PO Box)
City |
State |
ZIP code |
Country (if not United States)
Decedent’s name
Decedent’s SSN
County of residence
Date of death
2.Representative information (if you are appointing multiple representatives, mark an X in the box and attach a sheet that provides all the
information requested in section 2 and is signed and dated by the executor named in section 1)
Primary individual representative name
Firm name (if any)
Telephone number
Mailing address (number and street with apartment or suite number, or PO Box)
City |
State |
ZIP code |
Country (if not United States)
Email address
Title or profession (see instructions)
PTIN, SSN, or EIN
NYTPRIN (if applicable)
3.Mailings – We will send copies of notices and other communications related to estate tax matters to the representative listed above. If you want them sent to a different representative who has an estate tax POA on file for the same estate, enter that individual’s name below.
Name of representative to receive copies of notices and other communications:
4.Authority granted – The executor named in section 1 appoints the individual(s) named in section 2 to act as the executor’s representative with full authority to receive confidential information and to perform any and all acts that the executor can perform, unless limited below, with respect to estate tax matters.
I want to limit the authority granted by this POA as follows:
I have other POAs on file for estate tax matters for this estate and want to revoke all of these POAs..................................................
5.Executor signature (mark an X in box A or B and sign below)
A. |
I have been formally appointed by a court as executor or administrator of this estate. I have been issued Letters |
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Testamentary or Letters of Administration that are valid and in effect, and (mark an X in the appropriate box below): |
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I am including a copy of the Letters Testamentary or Letters of Administration, or |
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I have already provided a copy of the Letters Testamentary or Letters of Administration to the New York State Tax
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Department (included with Form |
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previously filed on |
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(specify date) |
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B. |
No executor or administrator has been appointed, qualified, and acting within the United States (see instructions). I am in actual |
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or constructive possession of property of the decedent. I agree to provide evidence of same upon request. |
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Specify your relationship to the decedent and the property you possess: |
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C. |
This is the first |
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D. |
This is a revised |
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filed on |
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(form number) |
(specify date) |
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Signature
Print or type name (and title, if applicable)
Date
Telephone number
► IF NOT SIGNED AND DATED, THIS POWER OF ATTORNEY WILL NOT BE PROCESSED. See instructions on page 2 for Where to send Form
07500106190094
Instructions
Important information
Note: Unless a change is being made, Form
in once. You do not have to send in this form with every estate tax filing or additional forms.
General information for executor
Use Form
one or more individuals the authority to obligate, bind, or appear on your behalf before the New York State Department of Taxation and Finance (the
department) with respect to estate tax matters. For all other tax matters related to the estate or decedent, use Form
You may only appoint individuals (not a firm) to represent you.
Note: Authorizing someone to represent you by a power of attorney (POA) does not relieve you of your tax obligations.
Unless you limit the authority you grant (see section 4), your appointed
representatives may perform any and all acts you can perform, including
but not limited to: receiving confidential information concerning your
taxes, agreeing to extend the time to assess tax, agreeing to a tax adjustment, and establishing an installment payment agreement for taxes owed.
You do not need Form
Only certain types of professionals may act on your behalf before the
NYS Bureau of Conciliation and Mediation Services (BCMS). Visit the
Tax Department’s POA webpage (at www.tax.ny.gov/poa) for more information.
Revocation and withdrawal – New: This POA will remain active until you (the executor) revoke it or your representative withdraws from representing you. Representatives may not revoke a POA.
For information on ways to revoke a POA, or how a representative
can withdraw, see the Tax Department’s POA webpage (at www.tax.ny.gov/poa).
Specific instructions
Section 1 – Executor’s and decedent’s information
If no executor or personal representative is appointed, qualified, and acting within the United States, executor means any person in actual
or constructive possession of any property of the decedent. It includes, among others, a surviving spouse or other relative, trustee, or custodian
of the property. A person who is not formally appointed executor by a court may be required to furnish evidence at any time that substantiates
his or her authority to sign the power of attorney (for example, death certificate, kinship affidavit, fiduciary relationship, copy of trust
instrument, etc.).
Section 2 – Representative information
If you are appointing more than one representative, attach a sheet that provides all the information requested in section 2 and that is signed and
dated by the executor named in section 1.
Caution: This POA cannot be partially revoked or withdrawn. If you
appoint more than one representative on this POA and later choose to revoke one representative or one representative withdraws, the
revocation or withdrawal will apply to all representatives, and none will have ongoing authority to represent you. You must file a new POA to
appoint the representatives that you want to continue representing you.
All representatives are deemed as authorized to act separately unless you explain that all representatives are required to act jointly on the line
in section 4 that allows you to limit the authority granted by this POA.
For each appointed representative, enter the title or profession or, if
your representative is not a professional, enter the representative’s relationship to you. If the representative is not licensed in NYS, also
include the state where licensed (for example, Florida attorney). Enter each representative’s federal preparer tax identification number (PTIN), SSN, or EIN. If applicable, also enter each representative’s New York tax preparer registration identification number (NYTPRIN).
07500206190094
Section 3 – Mailings
If you want copies of notices and other communications sent to someone other than the primary individual representative listed in section 2 of this POA, enter the name of that representative on the line provided. This
representative must be someone who is listed as a representative for the matters covered by this POA on this or another valid POA on file for
estate tax matters.
Example: On 2/1/2016, you appoint Mr. Smith as your representative for all estate tax matters. Mr. Smith will receive copies of all mailings for these matters. On 8/15/2016, you appoint Ms. Jones as your representative for all estate tax matters. This is in addition to Mr. Smith, since you did not revoke his power of attorney. Ms. Jones will now receive copies of mailings for these matters, not Mr. Smith. However, if you want Mr. Smith to continue to receive the mailings and not Ms. Jones, you must list Mr. Smith’s name in section 3 of the Form
Section 4 – Authority granted
This power of attorney authorizes the representatives you appointed to act for you without any restrictions for the estate indicated. If you want to
limit your representative’s authority, explain the limitation. For example, you can limit your representative’s authority to only receive confidential information, but make no binding decisions for you. If you need more
space to explain the limitation, attach a sheet. The attached sheet must be signed and dated by the executor named in section 1.
Section 5 – Executor signature, and definition of executor
Form
executor includes executrix, administrator, administratrix, or personal representative of the decedent’s estate. If no one is appointed, qualified and acting within the United States, executor means any person in
actual or constructive possession of any property of the decedent (see
section 1). The NYS Tax Department requires an executor who has been
formally appointed by a court, or his or her representative, to submit a copy of the Letters Testamentary or the Letters of Administration as evidence of the executor’s authority to execute this power of attorney.
You must submit a copy of one of these letters (whichever applies)
with this Form
Where to send Form
Form
Application for Release(s) of Estate Tax Lien, Form
York State Estate Tax, Form
FAX to:
Mail to: NYS TAX DEPARTMENT
POA CENTRAL
W A HARRIMAN CAMPUS
ALBANY NY
If not using U.S. Mail, see Publication 55, Designated Private Delivery
Services.
Need help?
Visit our website at www.tax.ny.gov
(for information, forms, and online services)
Estate Tax Information Center: |
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To order forms and publications: |
Privacy notification
New York State Law requires all government agencies that maintain a system of records to provide notification of the legal authority for any request for personal information, the principal purpose(s) for which the
information is to be collected, and where it will be maintained. To view
this information, visit our website, or, if you do not have Internet access, call
Need help? for the Web address and telephone number.