Form Nyc Uxs - Return Of Excise Tax By Vendors Of Utility Services

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NYC
RETURN OF EXCISE TAX BY
VENDORS OF UTILITY SERVICES
UXS
FOR USE BY PERSONS (OTHER THAN A LIMITED FARE OMNIBUS COMPANY)
F I N A N C E
NEW YORK
NOT SUBJECT TO THE SUPERVISION OF THE DEPARTMENT OF PUBLIC
THE CITY OF NEW YORK
DEPAR TMENT OF FINANCE
SERVICE WHO FURNISH OR SELL UTILITY SERVICES OR OPERATE OMNIBUSES
n y c . g o v / f i n a n c e
-
DO NOT WRITE IN THIS SPACE
FOR OFFICIAL USE ONLY
Check type of business entity:.....................
Corporation
Partnership
Individual
Check type of return: ...................................
Final return
Date business ended in NYC
Amended return
Initial return
Date business began in NYC
Name:
:
DATE
/
:
____________________________
EIN
SSN
__________________________________________________________________________________________
Address (number and street):
:
ACCOUNT TYPE
UXS
:
ACCOUNT ID
__________________________________________________________________________________________
City and State:
Zip:
:
PERIOD BEGINNING
:
PERIOD ENDING
__________________________________________________________________________________________
:
Business Telephone Number:
DUE DATE
:
FEDERAL BUSINESS CODE
S C H E D U L E A
Computation of Gross Operating Income
(See instructions)
Payment Enclosed
Pay amount shown on line 22 - Make check payable to: NYC Department of Finance
A.
Payment
COLUMN A -
1.17%
COLUMN B -
2.35%
TAXABLE AT
TAXABLE AT
RECEIPTS FROM SALES AND SERVICES (without any deductions)
1. Gas
1.
1.
·································································································································································
2. Electricity
2.
2.
·················································································································································
3. Steam
3.
3.
··························································································································································
4. Water
4.
4.
····························································································································································
5. Refrigeration
5.
5.
·······································································································································
6. Telecommunications Services
6.
6.
·······················································································
7. Passenger revenue (omnibus operation)
7.
7.
·····················································
8. Miscellaneous (attach schedule)
8.
8.
············································································
9. TOTAL GROSS OPERATING INCOME
9.
9.
·······················································
10. Tax at 1.17% of column A, line 9
10.
····················································································
11. Tax at 2.35% of column B, line 9
11.
··············································································································································································
12. Total (column A, line 10 plus column B, line 11)
12.
····································································································································
13. Add sales and use tax refunded
13.
·····················································································································································································
14. TOTAL TAX
14.
·······································································································································································································································
15a. REAP Credit
15a.
(from NYC-9.5UTX, Section I, line 11, or Section II, line 3) (attach form)
......
15b.
15b.
LMREAP Credit (from Form NYC-9.8UTX, Section I, line 11, or Section II, line 3)
.........
15c.
15c.
Credit for rebates and discounts of charges for energy users
(attach schedule)
.........
15d. Previous payment
15d.
..............................................................................................................................
16. TOTAL PAYMENTS AND CREDITS (add lines 15a through 15d)
16.
·················································································
17. If line 14 is larger than line 16, enter balance due
17.
······························································································································
18. If line 14 is smaller than line 16, enter overpayment
18.
·······························································································································
19.
Amount of line 18 to be applied to:
19a.
(a) General Corporation Tax, or
···········································································
19b.
(b) Unincorporated Business Tax
··································································
20. Interest (see instructions)
20.
·································································································································································································
21. Penalty (see instructions)
21.
································································································································································································
22. TOTAL REMITTANCE DUE (line 17 plus lines 20 and 21) (Enter payment on line A above)
22.
······
I hereby certify that this return, including any accompanying schedules or statements, has been examined by me, and is, to the best of my knowledge and belief, true, correct and complete.
I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) .................YES
Preparer's Social Security Number or PTIN
Check if self-
Signature of owner, partner or officer of corporation
Title
Date
employed
Firm's Employer Identification Number
Preparer's signature
Preparer’s printed name
Date
Firm's name
Address
Zip Code
To Avoid Penalties
S E E I N S T R U C T I O N S F O R M A I L I N G
NYC-UXS
To avoid the imposition of penalties, this return must be filed with your remittance in full for the
A N D P A Y M E N T I N F O R M A T I O N
2005
70310591
amount of the tax postmarked within 25 days after the end of the period covered by the return.

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