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Click ‘Get Form’ to open IT-258 in the editor.
In Part 1, enter the name and address of the New York residential health care facility. If the resident is different from the taxpayer claiming the credit, include their name and Social Security number.
Move to Part 2. Here, you will need to enter the 6% base-rate portion of the assessment that you paid directly during this tax year. Ensure this amount is separately stated on your billing statements.
After filling in all required fields, review your entries for accuracy. Once confirmed, save your document and follow instructions to submit it along with Form IT-201 or Form IT-203.
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