Form Nyc-204 - Unincorporated Business Tax Return For Partnerships (Including Limited Liability Companies) - 2017 Page 4

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Form NYC-204 - 2017
Page 4
Name
EIN
S C H E D U L E C
Partnership Information
-
THIS SCHEDULE MUST BE COMPLETED FOR PARTNERSHIPS TO CLAIM ALLOWANCE FOR PARTNER'S SERVICES
AND FOR PARTNERS TO CLAIM THE UBT PAID CREDIT ON THEIR UBT, GCT,BCT OR PIT RETURNS.
How many partners are in this partnership?
Number of active partners
Á
Á
Please provide the following information: Full Name and Address, Employer Identification Number or Social Security Number, check Yes or No if
individual partner is a resident of NYC, enter type of partner (C if Corporation, S if S Corporation, I if Individual, P if Partnership, LLP or LLC, O if
Other), check the appropriate box if partner is a general or a limited partner.
A
B
C
D
E
F
G
H
I
Is Individual
Percentage
Partner’s
Percentage of
Employer Identification Number
Partner a
Partner
Name and Zip Code (if within USA)
Interest
Partner
of Time
Distributive
Distributive
Resident of
- or -
Type
Name and Country (if outside of USA)
%
(4)
Devoted
Share
Share
NYC? (4)
Social Security Number
to Business
(see instr.)
(see instr.)
YES
NO
GENERAL LIMITED
(a)
%
%
%
(b)
%
%
%
(c)
%
%
%
(d)
%
%
%
(e)
%
%
%
TOTALS:
100%
S C H E D U L E D
Investment Capital and Allocation and Cash Election
A
B
C
D
E
F
G
DESCRIPTION OF INVESTMENT
No. of Shares or
Average
Liabilities
Net Average Value
Issuer's
Value Allocated
to NYC
Amount of
Value
Attributable to Invest-
(column C minus column D)
Allocation
LIST EACH STOCK AND SECURITY
(column E X column F)
Securities
ment Capital
Percentage
(USE RIDER IF NECESSARY)
%
1. Totals (including items on rider)
%
2. Investment allocation percentage
2.
(line 1G divided by line 1E. Round to the nearest one hundredth of a percentage point)
3. Cash -
(To treat cash as investment capital,
you must include it on this line.)
4. Investment capital. Total of line 1e and 3e
1 0 6 5
1 0 6 5 -
AT TA C H F E D E R A L F O R M
O R
B A N D A L L A C C O M PA N Y I N G S C H E D U L E S
-
1 s
I N C L U D I N G T H E I N D I V I D U A L K
60441791
60441791

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