NYS, NYC, and Yonkers Certificate of Non-Residence and Allocation of Withholding Tax (IT-2104.1)

What Is this Form for

To determine allocation of tax withholdings for non-residents of New York State performing services within New York State.

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Is This Form Mandatory?

This form is only mandatory for employees that are not residents of New York State but are working or performing services within New York State.

When to Submit

Complete this form within 10 days of any change in the percentage of the services performed within New York State or change in status from non-resident to resident of New York State. 

How to Complete This Form

This form is fillable.

  1. Fill in the employee and employer information.
  2. Check the appropriate boxes in Parts 1-3.
  3. Print the form.
  4. Sign the form.
  5. Send the signed, original form to the BSC.

Where to Submit This Form


[email protected]



BSC Payroll Administration

W. Averell Harriman State Office Campus

1220 Washington Avenue

Building 5, Floor 4

Albany, NY 12226-1900

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Mailing Address:

BSC Payroll Administration
1220 Washington Ave
Building 5, Floor 6
Albany, NY 12226-1900

Contact us by fax:
(518) 457-1879