- UXP
RETURN OF EXCISE TAX BY UTILITIES
TM
FOR USE BY UTILITIES OTHER THAN RAILROADS, BUS COMPANIES, AND OTHER COMMON CARRIERS
Department of Finance
Period beginning ________-_________-________
Period ending ________-_________-________
Name:
Name
n
EMPLOYER
Change
IDENTIFICATION
:
__________________________________________________________________________________________
NUMBER
In Care of:
OR
SOCIAL
__________________________________________________________________________________________
SECURITY
:
Address (number and street):
Address
n
NUMBER
Change
FEDERAL
__________________________________________________________________________________________
City and State:
Zip:
Country (if not US):
BUSINESS
:
CODE
__________________________________________________________________________________________
-
2
Business Telephone Number:
Taxpayer’s Email Address
CHARACTER SPECIAL CONDITION CODE
(
):
IF APPLICABLE
SEE INSTRUCTIONS
n
n
n
n
Check type of business entity:
Corporation
Partnership
Individual
Amended return
nn-nn-nnnn
nn-nn-nnnn
n
n
Initial return: Date business began
Final return: Date business ended
SCHEDULE A
C o m p u t a t i o n o f G r o s s I n c o m e
( S e e i n s t r u c t i o n s )
Payment Amount
Payment
Amount being paid electronically with this return ............................................. A.
A.
UTILITY INCOME (without any deductions)
1. Revenue from sales or services
1.
·····················································································································································································································
MISCELLANEOUS REVENUE (without any deductions)
2. Commissions
2.
···························································································································································································································································
3. Merchandise and jobbing
3.
··································································································································································································································
4. Miscellaneous service
4.
········································································································································································································································
5. Advertising
5.
······································································································································································································································································
6. Licenses
6.
···········································································································································································································································································
7. Miscellaneous (explain in Schedule C)
7.
····································································································································································································
8. TOTAL (add lines 1 through 7)
8.
······················································································································································································································
NON- OPERATING INCOME
9. Interest from persons other than corporations
9.
······················································································································································································
10. Royalties
10.
·········································································································································································································································································
11. Profits from the sale of securities
11.
···················································································································································································································
12. Profit from the sale of real property
12.
··············································································································································································································
13. Profit from sale of personal property (other than property of a kind which would properly be included in the inventory of the taxpayer)
13.
····························
Miscellaneous (including gains or profits from any source whatsoever) (explain in Schedule C)
14
14.
·······················································································
15. TOTAL NON-OPERATING INCOME (add lines 9 through 14)
15.
····················································································································································
16. GROSS INCOME (add lines 8 and 15)
16.
····································································································································································································
17. Tax (line 16 x 2.35%)
17.
············································································································································································································································
18. Sales and use tax refunded
18.
······························································································································································································································
19. TOTAL TAX (add lines 17 and 18)
19.
···············································································································································································································
20a. REAP Credit (from NYC-9.5UTX, Section I, line 11, or Section II, line 3) (attach form)
20a.
··
20b. LMREAP Credit (from Form NYC-9.8UTX, Section I, line 11, or Section II, line 3)
20b.
·········
20c. Credit for rebates and discounts of charges for energy users (attach schedule)
20c.
··············
20d. Previous payment
20d.
··················································································································································
21. TOTAL PAYMENTS AND CREDITS (add lines 20a through 20d)
21.
············································································································································
22. If line 19 is larger than line 21, enter balance due
22.
··············································································································································································
23. If line 19 is smaller than line 21, enter overpayment
23.
·········································································································································································
24. Amount of line 23 to be refunded
24.
··················································································································································································································
25. Interest (see instructions)
25.
···································································································································································································································
26. Penalty (see instructions)
26.
···································································································································································································································
27. TOTAL REMITTANCE DUE (add lines 22, 25 and 26)
27.
····································································································································································
Firm's Email Address
I hereby certify that this return, including any accompanying schedules or statements, has been examined by me, and is, to the best of my knowledge and belief, true, correct and complete.
n
I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) .................YES
________________________________________
Preparer's Social Security Number or PTIN
Signature of owner, partner or officer of corporation s
Title s
Date s
Preparer's signature s
Preparer’s printed name s
Date s
Check if self-
Firm's Employer Identification Number
employed 4
n
Firm's name s
Address s
Zip Code s
70111891
S E E PA G E 2 F O R M A I L I N G A N D PAY M E N T I N F O R M AT I O N
NYC-UXP 2017