Biotechnology Tax Credit Application - New York Department Of Finance printable pdf download

N Y C d E p a r t m E N t o f f I N a N C E

BIOTECHNOLOGY TAX CREDIT APPLICATION

Calendar Year

Ending

FOR GENERAL CORPORATION TAX, BUSINESS CORPORATION TAX

Department of Finance

December 31, 2017

AND UNINCORPORATED BUSINESS TAX

Filing Due Date: January 16, 2018

For detailed instructions and mailing information, refer to the complete set of instructions at the end of this application.

Social Security Number

Name: ____________________________________________________________

fIrSt NamE

laSt NamE

Business

address: ___________________________________________________________

NumBEr aNd StrEEt

Employer Identification Number

City: ______________________________________________________________

State: _______________________ Zip Code: ___________________________

Business type:

Individual

partnership

llC

Corporation

Business

telephone Number: ____________________________________ address: ____________________________________________

mailing address (if different than Business address):

_________________________________________________________________________________________________________

StrEEt NumBEr aNd NamE

CItY

StatE

ZIp CodE

SCHEDULE A - QETC Eligibility Requirements

(All the questions in Schedule A pertain to the tax year for which you are claiming the credit.)

PART 1 - Location and Sales - (mark an X in the appropriate boxes.)

Is the company located in New York City? ......................................................................................1.

Yes

are the total annual product sales of the company $10,000,000 or less? ......................................2.

Yes

does the company engage in biotechnologies? ............................................................................3.

Yes

If you answered Yes to questions 1, 2 and 3, continue with part 2.

If you answered No to either question 1, 2 or 3, stop. You are not a QEtC engaged in biotechnologies

and cannot claim this credit for the current tax year.

PART 2 - QETC Business Activities

Research and development (R&D) activities (See Instructions)

does the company have r&d activities in New York City?.............................................................4.

Yes

If No, skip lines 5 through 8 and continue with question 9. If Yes, continue with line 5

Enter the amount of r&d expenditures...........................................................................................5. _______________________

Enter the amount of net sales for the current year. (If you have any amount of r&d expenditures

but zero net sales, you are a QEtC; mark the Yes box on line 8.)............................................................6. _______________________

r&d funds percentage ( divide the amount on line 5 by the amount on line 6,

and round the result to the fourth decimal place )...........................................................................7. _______________________

does the percentage entered on line 7 equal or exceed the percentage specified in the instructions for line 8? ...8.

Yes

If you answered Yes to question 8, you are a QEtC. Continue with Schedule B.

If you answered No to question 8, you may continue with question 9 or see instructions.

Primary products and services (See Instructions)

does the company have products or services that may be classified as emerging technologies? 9.

Yes

If Yes, describe the company’s emerging technology products or services, and continue with line 10.

______________________________________________________________________________________________________

If you answered No to line 4 and line 9, stop. You are not a QEtC and cannot claim this credit.

10. Enter your gross receipts or sales from the company’s emerging technology products or

services described on line 9 ..........................................................................................................10. _______________________

11. Enter your gross receipts or sales from all the company’s products or services.....................................11. _______________________

12. divide the amount on line 10 by the amount on line 11 ( round the result to the fourth decimal place) ....12. _______________________

13. Is the percentage entered on line 12 greater than 50%? ..............................................................13.

Yes

If you answered Yes to question 13, continue with Schedule B.

If you answered No to question 13, stop. You are not a QEtC and cannot claim this credit.

Biotech - rev. 12.14.2017