Form Nyc-115 - Unincorporated Business Tax Report Of Change In Taxable Income Made By Internal Revenue Service And/or New York State Department Of Taxation And Finance - 2002
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2U N I N C O R P O R A T E D B U S I N E S S T A X
NYC
R E P O R T O F C H A N G E I N T A X A B L E
INCOME MADE BY INTERNAL REVENUE
115
SERVICE AND/OR NEW YORK STATE
F I N A N C E
DEPARTMENT OF TAXATION AND FINANCE
NEW YORK
-
DO NOT WRITE IN THIS SPACE
FOR OFFICIAL USE ONLY
T O B E F I L E D W I T H I N 9 0 D A Y S A F T E R A F I N A L D E T E R M I N A T I O N
For CALENDAR YEAR ________or FISCAL YEAR beginning ______________________ and ending _______________________
SOCIAL SECURITY NUMBER
Name
Address (number and street)
City and State
Zip Code
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:
B. Enter date of Final Determination: ( )
federal
New York State
Payment Enclosed
A.
Payment
Pay amount shown on line 14 - Make check payable to: NYC Department of Finance............
COLUMN A
COLUMN B
COLUMN C
Calculation Of Unincorporated
Original Amount
Net Change
Correct
Business Tax. See Instructions.
or latest NYC Adjustment
From Page 2, Schedule A
Amount
1.
1.
Total income
1.
............................................................................
2.
2.
Taxable income ...................................................2.
3.
3.
Tax .......................................................................3.
4.
4.
Sales tax addback................................................4.
5.
5.
Total tax ...............................................................5.
6.
6.
Business tax credit ...............................................6.
7.
7.
Unincorporated business tax................................7.
8.
8.
Other credits and UBT paid credit ........................8.
9.
9.
9.
Net tax
(line 7 less line 8)
......................................................
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
10.
(see instructions for treatment of prior NYC adjustments)
11. If amount in column C, line 9 is less than amount in column A, enter
11.
11.
difference in column E
(see instructions for treatment of prior NYC adjustments)
12. Interest (see instructions)
12.
13. Additional charges
13.
see instructions)
(
14. Total amount due (add lines 10, 12 and 13)
14.
15. Refund due (enter amount from line 11 above)
15.
C E R T I F I C A T 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
T
'
AXPAYER
S
SIGNATURE
If joint return was filed, both husband and wife must sign
Spouse
Date
P
'
REPARER
S
USE
Firm’s Employer Identification Number
Date
ONLY
Signature of preparer other than taxpayer
Address
Preparer’s Social Security Number or PTIN
60110291
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