Form Nyc Uxs - Return Of Excise Tax By Vendors Of Utility Services Page 2

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Form NYC-UXS
Page 2
S C H E D U L E B
Enter below the names and addresses of all locations where the taxpayer conducts business covered by this return and the amount of gross operating income
applicable to each location. Attach rider if additional space is needed.
GROSS OPERATING
NAME
ADDRESS
INCOME
ADDITIONAL INFORMATION REQUIRED
A. State kind and nature of business
B. Telephone number (_____) _________ - _________________
C. If a corporation, in what state did you incorporate?
D. Does this return cover business at more than one location?
Yes
No
(IF YES, YOU MUST COMPLETE SCHEDULE B ABOVE)
......................
E. The books of the taxpayer are in the care of:
Name
Address
Telephone
70320591

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