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

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- UXS
RETURN OF EXCISE TAX BY VENDORS OF UTILITY SERVICES
TM
FOR USE BY PERSONS (OTHER THAN A LIMITED FARE OMNIBUS COMPANY) NOT SUBJECT TO THE SUPERVISION
OF THE DEPARTMENT OF PUBLIC SERVICE WHO FURNISH OR SELL UTILITY SERVICES OR OPERATE OMNIBUSES
Department of Finance
Period beginning ________-_________-________
Period ending ________-_________-________
Name:
Name
n
EMPLOYER
Change
IDENTIFICATION
:
NUMBER
__________________________________________________________________________________________
In Care of:
OR
SOCIAL
__________________________________________________________________________________________
SECURITY
:
Address (number and street):
Address
n
NUMBER
Change
FEDERAL
__________________________________________________________________________________________
City and State:
Zip:
Country (if not US):
BUSINESS
:
CODE
__________________________________________________________________________________________
-
Business Telephone Number:
Taxpayer’s Email Address
2
CHARACTER SPECIAL CONDITION CODE
(
):
IF APPLICABLE
SEE INSTRUCTIONS
n
n
n
n
Check type of business entity:
Corporation
Partnership
Individual
Amended return
nn-nn-nnnn
nn-nn-nnnn
n
n
Initial return: Date business began
Final return: Date business ended
S C H E D U L E A
Computation of Gross Operating Income
(See instructions)
Payment Amount
Payment
Amount being paid electronically with this return .................................................. A.
A.
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. line 9, Column A X 1.17%
10.
·······································································································································································································
11. line 9, Column B X 2.35%
11.
·······································································································································································································
12. Add lines 10 and 11
12.
························································································································································································································
13. Sales and use tax refunded
13.
······································································································································································································
14. TOTAL TAX (Add lines 12 and 13)
14.
·················································································································································································
15a. REAP Credit
15a.
(from NYC-9.5UTX, Section I, line 11, or Section II, line 3) (attach form)
......
15b. LMREAP
15b.
Credit (from Form NYC-9.8UTX, Section I, line 11, or Section II, line 3)
...
15c. Credit for rebates and discounts of charges for energy users
15c.
(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.
····································································································································
(a) Refund
19. Amount of line 18 to be applied to:
19a.
············································································································································
(b) Corporation Tax, or
19b.
·················································································································
(c) Unincorporated Business Tax
19c.
·········································································
20. Interest (see instructions)
20.
······································································································································································································
21. Penalty (see instructions)
21.
·····································································································································································································
22. TOTAL REMITTANCE DUE (line 17 plus lines 20 and 21)
22.
···········································································································
Firm's Email Address:
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
n
__________________________________________
Preparer's Social Security Number or PTIN
Signature of owner, partner or officer of corporation s
Title s
Date s
Preparer's signature s
Preparer’s printed name s
Date s
Check if self-
Firm's Employer Identification Number
employed 4
n
Firm's name s
Address s
Zip Code s
70311791
S E E PA G E 2 F O R M A I L I N G A N D PAY M E N T I N F O R M AT I O N
NYC-UXS - 2016

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