Form Nyc-Tclt - Taxicab License Transfer Tax Return printable pdf download

- TCLT

TAXICAB LICENSE TRANSFER TAX RETURN

Effective on or after March 21, 2017

Department of Finance

This is a joint return to be filed by both the transferee and the transferor at the time of payment of the tax. The return and full payment must be sent to:

Taxi and Limousine Commission, 33 Beaver Street, 22nd Floor, New York, NY 10004

(Refer to page 2 for further filing instructions.)

Name

Address

City and State

Zip Code

Country (if not US)

City and State

Zip Code

Country (if not US)

Telephone Number

Transferee’s Email Address

Telephone Number

Transferor’s Email Address

Employer Identification Number

Social Security Number

Employer Identification Number

Social Security Number

TRANSFEROR

Type of business entity:

)

Corporation

Partnership

Individual proprietor

Were all required applicable Corporate and Unincorporated Business Tax Returns filed?

)

Yes

Were Commercial Motor Vehicle Tax Returns filed?

)

Yes

TRANSFEREE

Type of business entity:

)

Corporation

Partnership

Individual proprietor

S C H E D U L E A - Computation of Tax

DATE OF TRANSFER:

1. Consideration, subject to tax, for transfer of taxicab license or interest therein (from Schedule B, line 8, page 2).... 1.

2. Tax due (multiply line 1 by .5% (0.005))......................................................................................................................... 2.

Penalties (see page 2)................................................................................................................................................ 3.

4. Interest (see page 2)................................................................................................................................................... 4.

5. TOTAL AMOUNT DUE (add lines 2, 3 and 4)......................................................................................................... 5.

I swear (or affirm) that this return has been examined by me and is, to the best of my knowledge and belief, a true and complete return, made in good faith, pur-

suant to Title 11, Chapter 14 of the Administrative Code and the regulations issued under authority thereof.

AFFIDAVIT OF TRANSFEREE

AFFIDAVIT OF TRANSFEROR

____________________________________________________________

___________________________________________________________

NAME OF TRANSFEREE

NAME OF TRANSFEROR

____________________________________________________________

___________________________________________________________

SIGNATURE OF OWNER

PARTNER

OFFICER OF CORPORATION