Form Ct-5.9-E - Request For Three-Month Extension To File Form Ct-186-E - New York State Department Of Taxation And Finance - 2012
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1CT-5.9-E
New York State Department of Taxation and Finance
Request for Three-Month Extension to File
Form CT-186-E
(for telecommunications tax return and utility services tax return)
Tax Law — Article 9, Section 193
2012
For calendar year
Employer identification number
File number
Business telephone number
(
)
Legal name of corporation
Trade name/DBA
Mailing name (if different from legal name)
State or country of incorporation
Date received (for Tax Department use only)
c/o
Number and street or PO box
Date of incorporation
City
State
ZIP code
Foreign corporations: date began
business in NYS
Audit use
If you need to update your address or phone information for corporation tax, or other tax types,
you can do so online. See Business information in Form CT-1.
Important: File this form to request a three-month extension of time to file Form CT-186-E. Do not use this form to request an
extension for any other New York State tax forms.
Payment enclosed
A. Pay amount shown on line 12. Make payable to: New York State Corporation Tax
Attach your payment here. Detach all check stubs.
A
(See instructions for details.)
A. NYS tax
B. MTA surcharge
Computation of estimated taxes and MTA surcharges
1 Excise tax on telecommunications services
1
................
(see instructions)
2 Tax on the furnishing of utility services .................................................
2
3 Total taxes
.................................................................
3
(add lines 1 and 2)
4 MTA surcharge related to telecommunication services ..........................
4
5 MTA surcharge on the furnishing of utility services ................................
5
6 Total MTA surcharges
..................................................
6
(add lines 4 and 5)
First installment of estimated tax:
7a If line 1 is over $1,000, see instructions; otherwise enter 0 ................... 7a
7b If line 2 is over $1,000, see instructions; otherwise enter 0 ................... 7b
8 Add lines 7a and 7b ..............................................................................
8
9 Total
9
....................
(column A, add lines 3 and 8; column B, add lines 6 and 8)
10 Total prepayments
..........
10
(transfer amounts from line 17, columns A and B)
11 Balance
........................................................
11
(subtract line 10 from line 9)
12 Total taxes and surcharges balance
(add line 11, columns A and B and enter here; enter the payment
..................................................................................................................... 12
amount on line A above)
Composition of prepayments claimed on line 10
A. NYS tax
B. MTA surcharge
(see instructions)
Date paid
Amount
Amount
13 Mandatory first installment ........................................
13
14a Second installment from Form CT-400 ...................... 14a
14b Third installment from Form CT-400 .......................... 14b
14c Fourth installment from Form CT-400 ........................ 14c
15 Overpayment credited from prior years ...................................................... 15
Period
16 Overpayment credited from Form CT-
............ 16
17 Total prepayments
.. 17
(total all entries in column A and column B; also enter on line 10)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
(or yours if self-employed)
Paid
preparer
Signature of individual preparing this document
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this document
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
459001120094
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