Form Reap - Application For Certificate Of Eligibility For Reap Benefits printable pdf download

Form Reap - Application For Certificate Of Eligibility For Reap Benefits

NEW YORK CITY DEPARTMENT OF FINANCE

RELOCATION AND EMPLOYMENT ASSISTANCE PROGRAM (REAP)

APPLICATION FOR CERTIFICATE OF ELIGIBILITY FOR REAP BENEFITS

APPLIED TO UNINCORPORATED BUSINESS TAX, GENERAL CORPORATION TAX,

BANKING CORPORATION TAX, OR UTILITY TAX

PART I: APPLICANT AND SITE INFORMATION

SECTION A: APPLICANT INFORMATION

APPLICANT’S COMPANY NAME:

DATE STAMP

CONTACT PERSON:

ADDRESS:

SOCIAL SECURITY NUMBER:

CITY/STATE:

ZIP CODE:

MAIN BUSINESS ACTIVITY:

EMPLOYER IDENTIFICATION NUMBER:

TELEPHONE NUMBER:

SECTION B: ORIGINAL SITE INFORMATION

Have you conducted substantial business operations at one or more business locations outside

of New York City or in the borough of Manhattan, south of the center line of 96th Street, for at

least 24 consecutive months immediately preceding the taxable year of the relocation with

respect to which this application is made? ..............................................................................................

YES

If “YES,” complete the following schedule for the locations, and attach copies of your federal tax returns for the two years

immediately preceding the taxable year of the relocation.

STREET

CITY AND

NATURE OF

NUMBER OF

DATES AT

ADDRESS

STATE

ACTIVITIES

EMPLOYEES

LOCATION

Visit Finance at nyc.gov/finance

REAP Rev. 11/23/11

Form Reap - Application For Certificate Of Eligibility For Reap Benefits