Form Ct-184-M - Transportation And Transmission Corporation Mta Surcharge Return - 2013 Page 2

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Page 2 of 2 CT-184-M (2013)
Schedule A — Computation of MCTD allocation percentage
(use 2013 figures; see instructions)
A
B
Part 1 — General transportation or transmission corporations
MCTD
New York State
(see instructions)
17
General transportation corporations: enter revenue miles or miles
of transportation. Cable television operators: enter gross receipts
............................................................................................ 17
(see instructions)
18
MCTD allocation percentage
(divide line 17, column A,
............................................ 18
by line 17, column B; enter here and on line 2)
%
Part 2 — Corporations operating vessels in MCTD territorial waters
A
B
(see instructions)
MCTD territorial waters
NYS territorial waters
19
Aggregate number of working days ............................................................. 19
20
MCTD allocation percentage
(divide line 19, column A,
............................................ 20
by line 19, column B; enter here and on line 2)
%
Part 3 — Telegraph corporations and local telephone corporations
(see instructions)
A
B
MCTD
New York State
21
Gross operating revenue from telegraph services
............ 21
(see instructions)
22
Gross operating revenue from local telephone services
22
(see instructions)
23
Total gross operating revenue from telegraph services and local
telephone services
............. 23
(add lines 21 and 22, column A and column B)
24
MCTD allocation percentage
(divide line 23, column A,
............................................ 24
by line 23, column B; enter here and on line 2)
%
Composition of prepayments claimed on line 7
(see instructions)
Date paid
Amount
25 Mandatory first installment .....................................................................
25
26a Second installment from Form CT-400 ....................................................
26a
26b Third installment from Form CT-400 ........................................................
26b
26c Fourth installment from Form CT-400 ......................................................
26c
27 Payment with extension request, from Form CT-5.9, line 10 ..................
27
28 Overpayment credited from prior year ............................................................................................. 28
29 Add lines 25 through 28 .................................................................................................................
29
Period
30 Overpayment transferred from Form CT-184
..................................................
30
31 Total prepayments
.......................................................... 31
(add lines 29 and 30; enter here and on line 7)
Designee’s name
Designee’s phone number
(print)
Third – party
Yes
No
(
)
designee
Designee’s e-mail address
(see instructions)
PIN
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Printed name of authorized person
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
404002130094

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