Form Nyc-115 -Unincorporated Business Tax Report Of Change In Taxable Income Made By Internal Revenue Service- 2007

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115
NYC
UNINCORPORATED BUSINESS TAX
R E P O RT O F C H A N G E I N TA X A B L E
INCOME MADE BY INTERNAL REVENUE
SERVICE AND/OR NEW YORK STATE
F I N A N C E
NEW
YORK
DEPARTMENT OF TAXATION AND FINANCE
G
THE CITY OF NEW YORK
DEPARTMENT OF FINANCE
n y c . g o v / f i n a n c e
-
DO NOT WRITE IN THIS SPACE
FOR OFFICIAL USE ONLY
L
L
T O B E F I L E D W I T H I N 9 0 D AY S A F T E R A F I N A L D E T E R M I N AT I O N
For CALENDAR YEAR ________or FISCAL YEAR beginning ______________________ and ending _______________________
G
SOCIAL SECURITY NUMBER
Name
Address (number and street)
ESTATES AND TRUSTS ONLY,
City and State
Zip Code
ENTER EMPLOYER IDENTIFICATION NUMBER
Telephone Number
A. If this form is filed by a member of a partnership to report a federal or New York State change affecting his/her share, give name and Employer Identification Number of partnership.
Name of member: _____________________________________________________________________________
EIN:
-
-
-
-
I I
I I
B. Enter date of Final Determination: ()
Federal
New York State
G
G
G
G
Pay amount shown on line 14 - Make check payable to: NYC Department of Finance ............
Payment Enclosed
Payment
A.
G
Calculation Of Unincorporated
COLUMN A
COLUMN B
COLUMN C
Business Tax. See Instructions.
Original Amount
Net Change
Correct
as last adjusted
From Page 2, Schedule A
Amount
G 1.
Total income
1.
................................................................................
1.
G 2.
Taxable income
2.
2.
.........................................................................
G 3.
Tax
3.
3.
....................................................................................................
G 4.
Sales tax addback
4.
....................................................................
4.
G 5.
Total tax
5.
5.
.........................................................................................
G 6.
Business tax credit
6.
6.
...................................................................
G 7.
Unincorporated business tax
7.
7.
...............................................
G 8.
Other credits and UBT paid credit
8.
....................................
8.
G 9.
Net tax
(line 7 less line 8)
9.
9.
..........................................................
COLUMN D
COLUMN E
Summary
Additional Tax Due
Refund Due
10. If amount in column C, line 9 is greater than amount in column A, enter
difference in column D
(see instructions for treatment of prior NYC adjustments)
.................
G 10.
11. If amount in column C, line 9 is less than amount in column A, enter
G 11.
difference in column E
(see instructions for treatment of prior NYC adjustments)
.......................
11.
12. Interest (see instructions)
......................................................................................................................
G 12.
see instructions)
13. Additional charges
(
...............................................................................................
G 13.
14. Total amount due (add lines 10, 12 and 13)
G 14.
.................................................................................
15. Refund due (enter amount from line 11 above)
G 15.
C E R T I F I C AT I O N
I hereby certify that this return, including any accompanying rider, 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
I I
Preparer's Social Security Number or PTIN
Signature of taxpayer:
Title:
Date:
Preparer's
Preparerʼs
G
signature:
printed name:
Date:
Firm's Employer Identification Number
I I
Check if self-
employed
G
G Firm's name
L Address
L Zip Code
60110791
NYC-115 - 2007

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