Biotechnology Tax Credit Application For General Corporation Tax And Unincorporated Business Tax - Nyc Department Of Finance

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N Y C D E P A R T M E N T O F F I N A N C E
BIOTECHNOLOGY TAX CREDIT APPLICATION
Calendar Year
TM
Ending
Finance
FOR GENERAL CORPORATION TAX AND UNINCORPORATED BUSINESS TAX
December 31, 2013
Filing Due Date: January 15, 2014
For detailed instructions and mailing information, refer to the complete set of instructions at the end of this application.
Social Security Number
Name:_____________________________________________________________
Business
FIRST NAME
LAST NAME
Address: ___________________________________________________________
NUMBER AND STREET
Employer Identification Number
City: ______________________________________________________________
State:________________________ Zip Code: ___________________________
Business Type:
Individual
Partnership
LLC
Corporation
K
K
K
K
Business
Email
Telephone Number: ____________________________________ Address: ____________________________________________
Mailing Address (if different than Business Address):
_________________________________________________________________________________________________________
STREET NUMBER AND NAME
CITY
STATE
ZIP CODE
SCHEDULE A - QETC Eligibility Requirements
(All the questions in Schedule A pertain to the tax year for which you are claiming the credit.)
PART 1 - Location and Sales - (Mark an X in the appropriate boxes.)
1.
Is the company located in New York City? ......................................................................................1.
Yes
No
K
K
2.
Are the total annual product sales of the company $10,000,000 or less? ......................................2.
Yes
No
K
K
3.
Does the company engage in biotechnologies? ............................................................................3.
K
Yes
K
No
If you answered Yes to questions 1, 2 and 3, continue with Part 2.
If you answered No to either question 1, 2 or 3, stop. You are not a QETC engaged in biotechnologies
and cannot claim this credit for the current tax year.
PART 2 - QETC Business Activities
Research and development (R&D) activities (See Instructions)
4.
Does the company have R&D activities in New York City?.............................................................4.
Yes
No
K
K
If No, skip lines 5 through 8 and continue with question 9. If Yes, continue with line 5
5.
Enter the amount of R&D expenditures...........................................................................................5. _______________________
6.
Enter the amount of net sales for the current year. (If you have any amount of R&D expenditures
but zero net sales, you are a QETC; mark the Yes box on line 8.) ............................................................6. _______________________
7.
R&D funds percentage ( divide the amount on line 5 by the amount on line 6,
%
and round the result to the fourth decimal place )...........................................................................7. _______________________
8.
Does the percentage entered on line 7 equal or exceed the percentage specified in the instructions for line 8? ...8.
Yes
No
K
K
If you answered Yes to question 8, you are a QETC. Continue with Schedule B.
If you answered No to question 8, you may continue with question 9 or see instructions.
Primary products and services (See Instructions)
9.
Does the company have products or services that may be classified as emerging technologies? 9.
Yes
No
K
K
If Yes, describe the companyʼs emerging technology products or services, and continue with line 10.
_______________________________________________________________________________________________________
If you answered No to line 4 and line 9, stop. You are not a QETC and cannot claim this credit.
10. Enter your gross receipts or sales from the companyʼs emerging technology products or
services described on line 9 ..........................................................................................................10. _______________________
11. Enter your gross receipts or sales from all the companyʼs products or services .....................................11. _______________________
%
12. Divide the amount on line 10 by the amount on line 11 ( round the result to the fourth decimal place) ....12. _______________________
13. Is the percentage entered on line 12 greater than 50%? ..............................................................13.
Yes
No
K
K
If you answered Yes to question 13, continue with Schedule B.
If you answered No to question 13, stop. You are not a QETC and cannot claim this credit.
BioTech - Rev. 11.08.13

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