Form Nyc Rax - Horse Race Admissions Tax Return printable pdf download

Form Nyc Rax - Horse Race Admissions Tax Return

Horse Race Admissions Tax Return

RAX

NEW YORK CITY DEPARTMENT OF FINANCE

N Y C

Pursuant to Chapter 12, Title 11 of the Administrative Code

For the period from ____________________________________________, to ________________________________________________

Print or Type:

Name

Address(number and street)

EMPLOYER IDENTIFICATION NUMBER

City and State

Zip Code

Business Telephone Number

Email Address

a. Name of Track: ________________________________________________________________________________

b. Number of Persons Admitted:____________________ c. TOTAL NYC TAX COLLECTED: $_____________________

Payment Enclosed

A. Payment

Pay amount shown on line 5 - Make check payable to: NYC Department of Finance G

Total taxable admissions for New York State Racing admissions Tax Return ............................... 1.

Tax at 3% of line 1.......................................................................................................................... 2.

Interest............................................................................................................................................ 3.

Penalty............................................................................................................................................ 4.

Total Remittance Due ..................................................................................................................... 5.

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ACKNOWLEDGMENT

STATE OF NEW YORK

SS.:

COUNTY OF

________________________________________, being duly sworn says that he is the __________________________________,

an association duly authorized under the law of the State of New York to conduct a race meeting and that the statements contained

in the foregoing return are true.

__________________________________________

Signed

Sworn to me before this