Form Nyc-204 - Unincorporated Business Tax Return - 2012 Page 3
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5Form NYC-204 - 2012
Page 3
Name
EIN
S C H E D U L E C
Partnership Information
-
THIS SCHEDULE MUST BE COMPLETED FOR PARTNERSHIPS TO CLAIM ALLOWANCE FOR PARTNER'S SERVICES
AND FOR PARTNERS TO CLAIM THE UBT PAID CREDIT ON THEIR UBT, GCT,BCT OR PIT RETURNS.
How many partners are in this partnership?
Number of active partners
±
±
In column 1 give full name, address, Employer Identification Number or Social Security Number and percentage of partner's
interest in the partnership. (Name, zip code and country should be as shown on income or business tax return of the partner.)
1
2
3
4
COLUMN
COLUMN
COLUMN
COLUMN
(
)
Percentage of
Percentage of
Partner's
N A M E A N D Z I P C O D E
I F W I T H I N U S A
Employer Identification Number
PARTNER
Total Distributive
(
)
- or -
Time Devoted
Distributive Share
(check one)
N A M E A N D C O U N T R Y
I F O U T S I D E O F U S A
Shares (see instr.)
Social Security Number
to Business
(see instructions)
Interest
%
General
Limited
%
%
(a)
%
%
%
(b)
%
%
%
(c)
%
%
%
(d)
%
%
%
(e)
%
100%
TOTAL
S C H E D U L E D
Investment Capital and Allocation and Cash Election
A
B
C
D
E
F
G
DESCRIPTION OF INVESTMENT
No. of Shares or
Average
Liabilities
Net Average Value
Issuer's
Value Allocated
to NYC
Amount of
Value
Attributable to Invest-
(column C minus column D)
Allocation
LIST EACH STOCK AND SECURITY
(column E X column F)
Securities
ment Capital
Percentage
(USE RIDER IF NECESSARY)
%
1. Totals (including items on rider)
%
2. Investment allocation percentage
(line 1G divided by line 1E. Round to the nearest one hundredth of a percentage point)
2.
G
3. Cash -
(To treat cash as investment capital,
G
G
G
you must include it on this line.)
4. Investment capital. Total of line 1e and 3e
G
Business Tax Credit Computation
If the amount on page 1, line 19, is $3,400 or less, your credit on line 20 is the entire amount of tax on line 19. (NO TAX WILL BE DUE)
1.
If the amount on page 1, line 19, is $5,400 or over, no credit is allowed. Enter "0" on line 20.
2.
If the amount on page 1, line 19, is over $3,400 but less than $5,400, your credit is computed by the following formula:
3.
___________
(
)
$5,400 minus tax on line 19
=
=
your credit
tax on page 1, line 19 X
$2,000
,
26
PREPAYMENTS CLAIMED ON SCHEDULE A
LINE
DATE
AMOUNT
A. Payment with declaration, Form NYC-5UB (1) ...............
B. Payment with Notice of Estimated Tax Due (2) ..............
C. Payment with Notice of Estimated Tax Due (3) ..............
D. Payment with Notice of Estimated Tax Due (4) ..............
E. Payment with extension, Form NYC-EXT .......................
F. Overpayment credited from preceding year ....................
G. TOTAL of A through F. (Enter on Schedule A, line 26)...............
1 0 6 5
1 0 6 5 -
AT TA C H F E D E R A L F O R M
O R
B A N D A L L A C C O M PA N Y I N G S C H E D U L E S
60431291
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1 s
I N C L U D I N G T H E I N D I V I D U A L K
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