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Form Nyc-Uxp - Return Of Excise Tax By Utilities For Use By Utilities Other Than Railroads, Bus Companies, And Other Common Carriers Page 2

Form NYC-UXP

Page 2

S C H E D U L E B

S C H E D U L E C

Enter below all income received during the period covered

Details of miscellaneous income, lines 7 and 14

by this return and NOT reported in Schedule A.

reported in Schedule A.

REFER TO LINE

EXPLANATION

AMOUNT

EXPLANATION

AMOUNT

ON PAGE 1

ADDITIONAL INFORMATION REQUIRED

A. State kind and nature of business _________________________________________________________________________________________________

B. Telephone number (_____) _________ - _________________

C. If a corporation, in what state did you incorporate? ____________________________________________________________________________________

D. Does this return cover business at more than one location?

Yes

.........................................................................................................................................................................................................

(

IF YES, YOU MUST ATTACH A SCHEDULE LISTING ADDRESS AND GROSS INCOME APPLICABLE TO EACH LOCATION.)

E. The books of the taxpayer are in the care of: ________________________________________________________________________________________

Name

Address

Telephone

F. Does this taxpayer pay rent greater than $200,000 for any premises in NYC in the borough of Manhattan south of

96th Street for the purpose of carrying on any trade, business, profession, vocation or commercial activity?

YES

....................................................................

G. If "YES", were all required Commercial Rent Tax Returns filed?

YES

....................................................................................................................................................................................

Please enter Employer Identification Number which was used on the Commercial Rent Tax Return:___________________________

MAILING INSTRUCTIONS

ALL RETURNS EXCEPT REFUND RETURNS

REMITTANCES

RETURNS CLAIMING REFUNDS

PAY ONLINE WITH FORM NYC-200V

NYC DEPARTMENT OF FINANCE

AT NYC.GOV/ESERVICES

UTILITY TAX

P.O. BOX 5564

P.O. BOX 5563

Mail Payment and Form NYC-200V ONLY to: