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G G E E N N E E R R A A L L C C O O R R P P O O R R A A T T I I O O N N T T A A X X R R E E T T U U R R N N
2012
NEW YORK CITY DEPARTMENT OF FINANCE
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Finance
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Check box if you are filing
a 52- 53-week taxable year
For CALENDAR YEAR 2012 or FISCAL YEAR beginning _______________ 2012 and ending ___________________
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Amended return
Final return
Check box if the corporation has ceased operations.
Special short-period return (See inst.)
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Name
Taxpayer’s Email Address:
__________________________________________
In Care Of
EMPLOYER IDENTIFICATION NUMBER
Address (number and street)
City and State
Zip Code
BUSINESS CODE NUMBER AS PER FEDERAL RETURN
Business Telephone Number
Date business began in NYC
S C H E D U L E A
Computation of Tax
BEGIN WITH SCHEDULES B1 or B2 ON PAGE 2. TRANSFER APPLICABLE AMOUNT TO SCHEDULE A.
Payment Enclosed
A. Payment
Amount included with form - Make payable to: NYC Department of Finance
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1. Net income (from Schedule B1, line 3 or B2, line 6)
1.
1.
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2. Minimum tax (See instructions) - NYC Gross Receipts:
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2.
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3. Tax (line 1 or 2, whichever is larger) ..............................................................................................
3.
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4. First installment of 2013 estimated tax:
(a) If application for extension has been filed, enter amount from line 2 of Form NYC-EXT..........
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(b) If application for extension has not been filed and line 3 exceeds $1,000,
enter 25% of line 3 (see instructions) .......................................................................................
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5. Total before prepayments (add lines 3 and 4a or 4b)......................................................................
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6. Prepayments (see instructions) .......................................................................................................
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7. Balance due (line 5 less line 6)........................................................................................................
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8. Overpayment (line 6 less line 5)......................................................................................................
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9. Interest (see instructions) .................................................................... 9.
10. Amount of line 8 to be: (a) Refunded -
Direct deposit - fill out line 10c OR
Paper check ...
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10a.
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(b) Credited to 2013 estimated tax .........................................................
10b.
10c.
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Routing
Account
ACCOUNT TYPE
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Checking
Savings
Number
Number
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11. TOTAL REMITTANCE DUE (see instructions) Enter payment amount on line A above ...............
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12. Federal return filed:
1120
1120C
1120S
1120H
1120F
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13. Gross income...............................................................................................................................
13.
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CERTIFICATION OF AN ELECTED OFFICER OF THE CORPORATION
I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
Firm's Email Address:
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I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions)...YES
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Officerʼs
G Preparer's Social Security Number or PTIN
signature:
Title:
Date:
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Check if self-
Preparer's
Preparerʼs
employed:
signature:
printed name:
Date:
G Firm's Employer Identification Number
Firm's name
Address
Zip Code
(or yours, if self-employed)
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Make remittance payable to the order of: NYC DEPARTMENT OF FINANCE. Payment must be made in U.S.dollars, drawn on a U.S. bank.
Attach copy of all pages of your federal tax return or pro forma federal tax return.
To receive proper credit, you must enter your correct Employer Identification Number on your tax return and remittance.
31111293
AT TA C H R E M I T TA N C E T O T H I S PA G E O N LY
NYC-4S-EZ - 2012