Form Nyc-202-Vr - Unincorporated Business Tax - 2011
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1N Y C D E P A R T M E N T O F F I N A N C E
UNINCORPORATED BUSINESS TAX
NYC-202-VR
2011
TM
VOLUNTARY RETURN FOR TAXPAYERS
Finance
WHOSE INCOME IS BELOW THE FILING REQUIREMENT
Under New York City Administrative Code § 11-514(a)(4), an unincorporated business income tax return is required to be filed by
every unincorporated business with gross income of more than $95,000 (without deduction for the cost of goods sold or services per-
formed). An individual carrying on a business either as a sole proprietor or as a single member LLC, whose gross income is less
than the income threshold cited above, may voluntarily file under §11-514 of the Administrative Code by using this return.
UNINCORPORATED BUSINESS TAXPAYER INFORMATION
Entity Type:
Individual
Limited Liability Company
K
K
Business Code Number
OR
Social Security Number
Employer Identification Number
as per Federal Return
Individual Name: ______________________________________________________________________________________
.
.
FIRST NAME
M
I
LAST NAME
Care of: _____________________________________________________________________________________________
Business Name:_______________________________________________________________________________________
Address:_____________________________________________________________________________________________
NUMBER AND STREET
City and State: _____________________________________________________________ Zip code:__________________
Contact Name: _______________________________________________________________________________________
Business
Email address for
Telephone Number: (______) ____________________ correspondence and receipt:________________________________
Income Information:
Gross Income without deduction for cost of goods sold or services performed. .................................. $ _________________________
For sole proprietors this corresponds to Federal Form 1040, Schedule C, line 7 plus line 4.)
/
/
Federal Form Filed: ________
________
________
CERTIFICATIONS - Both boxes must be checked
K
By checking this box, under penalty of perjury, I certify that the unincorporated gross income of the above stated
Unincorporated Business without any deduction for the cost of goods sold or services performed, does not exceed $95,000.
K
By checking this box, under penalty of perjury, I further certify that I am authorized to act on behalf of the above-named unincor-
porated business, that I have filed the above-cited federal tax form which will show that the businessʼs income did not exceed the
Unincorporated Business Tax filing threshold and that any information provided on this document is true, correct and complete.
Privacy Act Notification: The Federal Privacy Act of 1974, as amended, requires agencies requesting Social Security Numbers to inform indi-
viduals from whom they seek this information as to whether compliance with the request is voluntary or mandatory, why the request is being made
and how the information will be used. The disclosure of Social Security Numbers for taxpayers is mandatory and is required by section 11-102.1
of the Administrative Code of the City of New York for tax administration purposes and will be used to facilitate the processing of tax returns.
NYC-202-VR - 2011
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Parent category: Financial