Form Op-284 Mvc - Monthly Schedule K For Connecticut Vendors To Report New York State And Local Sales And Use Tax

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Monthly Schedule K (VC)
Page 1
NY/CT
Schedule for Connecticut Vendors to Report
ST-925
(12/94)
New York State and Local Sales and Use Tax
For use by
OP-284MVC (Rev. 6/01)
vendors located
in Connecticut
only
Use this form to report transactions for the period
If the identification number is
missing or incorrect as
shown, enter correct
number(s) below
NY Vendor Identification Number
CT Vendor Identification Number
Read Vendor Collection Credits on Page 1 of the instructions
Type of Business
before completing this return.
Check here and write Final at the top of this return if business has been discontinued and this is your final return. Complete this return and the back of
your Certificate of Authority. Attach the Certificate of Authority to the return.
Check here if you had no New York State taxable sales and made no purchases subject to New York State use tax. Enter your gross sales in box A
below and enter None in boxes B, C, and D.
This schedule must be filed whether or not there is tax due.
Complete Page 2 of this form before making entries below.
New York gross sales
New York taxable
Purchases subject
A
B
C
D
Total New York credits claimed
Summary of
and services
sales and services
to New York use tax
on Page 2 or attached
New York
schedules (dollars and cents)
(to nearest dollar)
(to nearest dollar)
(to nearest dollar)
Business Activity
1
New York sales and use taxes (Total of Column (e), here)...........................................................................................
$
1
2
New York credits not claimed on Page 2 (attachments required) .......................................................................
2
3
New York sales and use taxes due (Line 1 less Line 2) .....................................................................................
$
3
4
New York late filing charge (Penalty and Interest - See instructions) .................................................................
4
5
New York amount due – including late filing charge (Line 3 plus Line 4) ............................................................
$
5
For office use only
Do not transfer the amount shown on Line 5 to any other form. Send only one check or money order made
payable to the Commissioner of Revenue Services to include this amount and the amount due to Connecticut.
Attach this schedule to your Connecticut Sales and Use Tax Return.
Follow those instructions for due date and mailing address.
Signature of vendor
Telephone number
(
)
Title
Date
Signature of preparer, if other than vendor
Telephone number
(
)
Preparer’s address
Date
Did you complete page 2 and page 3 of this form?
OP-284 MVC (Rev 6/01)
Page 1 of 3

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