New York State Department of Taxation and Finance
MTA-6
Metropolitan Commuter Transportation
Mobility Tax Return
For Self-Employed Individuals (including partners)
For the full year January 1, 2013, through December 31, 2013, or fiscal year beginning ...
1 3
and ending ...
For help completing your return, see instructions, Form MTA-6-I.
Your social security number
Your first name and middle initial
Your last name
Mark an X if
Mailing address
Apartment no.
(number and street or rural route)
address
change
Amended return ...................
City, village, or post office
State
ZIP code
Enter your 2-character special condition code
If applicable, also enter your second 2-character
if applicable
......................................
special condition code .................................................
(see instructions)
1 Net earnings from self-employment allocated to the metropolitan commuter transportation
district (MCTD) (
............................................................................................... 1.
see instructions)
2 Metropolitan commuter transportation mobility tax (MCTMT)
....... 2.
(multiply line 1 by .34% (.0034))
3 Total estimated MCTMT payments and/or extension payments with Form MTA-7 (
3.
see instructions)
4 MCTMT balance due
.......... 4.
(if line 2 is more than line 3, subtract line 3 from line 2; pay this amount)
5 Estimated tax penalty
(include this amount in line 4 or
............... 5.
reduce the overpayment on line 6; see instructions)
6 MCTMT overpaid
(if line 2 is less than line 3, subtract line 2 from line 3;
...................................................................................... 6.
enter here and mark an X in box 7a or 7b)
7a. Refund
or
7b. Credit to your 2014 estimated MCTMT
Print designee’s name
Designee’s phone number
Personal identification
Third-party
number (PIN)
designee ?
(see instr.)
(
)
E-mail:
Yes
No
Paid preparer must complete ( see instructions )
Date:
Taxpayer must sign here
Preparer’s NYTPRIN
Preparer’s signature
Your signature
Preparer’s PTIN or SSN
Firm’s name (or yours, if self-employed)
Employer identification number
Address
Your occupation
Daytime phone number
Mark an X if
Date
self-employed
E-mail:
E-mail:
Make your check or money order payable to Commissioner of Taxation and Finance.
Mail to: MCTMT PROCESSING CENTER, PO BOX 4135, BINGHAMTON NY 13902-4135
For information about private delivery services, see instructions.
0091130094