Form Nyc-202 - Unincorporated Business Tax Return For Individuals And Single-Member Llcs - 2017 Page 5

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Form NYC-202 2017
Page 5
Name ___________________________________________________________________________ SSN _________________________________________
If you are taking a Net Operating Loss Deduction this year, please attach
S C H E D U L E E
Form NYC-NOLD-UBTI
S C H E D U L E F
The following information must be entered for this return to be complete. (See Instructions)
1. Nature of business or profession: _____________________________________________________________________________________
2. New York State Sales Tax ID Number:________________________________________
3. Did you file a New York City Unincorporated Business Tax Return for the following years:
2015:
2016:
n
YES
n
NO
n
YES
n
NO
If “NO,” state reason: ______________________________________________________________________________________________
4. Enter home address: __________________________________________________________________________ Zip Code: ___________
5. If business terminated during the current taxable year, state date terminated. (mm-dd-yy) ________ - _______ - _______
(Attach a statement showing disposition of business property.)
6. Has the Internal Revenue Service or the New York State Department of Taxation and Finance increased or decreased any taxable income
n
YES
n
NO
(loss) reported in any tax period, or are you currently being audited? .......................
n
If "YES", by whom?
Internal Revenue Service
State period(s): Beg.:________________
End.:________________
-
-
-
-
MM
DD
YY
MM
DD
YY
n
State period(s): Beg.:________________
End.:________________
New York State Department of Taxation and Finance
-
-
-
-
MM
DD
YY
MM
DD
YY
7. Has Form NYC-115 (Report of Federal/State Change in Taxable Income) been filed?
YES
NO
Only applicable for years prior to 1/1/15. For years beginning on or after 1/1/15, file an amended return. (see instructions)
n
n
YES
NO
8. Did you calculate a depreciation deduction by the application of the federal Accelerated Cost Recovery System (ACRS) (see instr.)? ......
n
n
n
YES
n
NO
9. were you a participant in a “Safe Harbor Leasing” transaction during the period covered by this return? .............................
Does this taxpayer pay rent greater than $200,000 for any premises in NYC in the borough of Manhattan south of
10.
96th Street for the purpose of carrying on any trade, business, profession, vocation or commercial activity?...................
n
YES
n
NO
If "YES", were all required Commercial Rent Tax Returns filed? ...........................................................................................
n
YES
n
NO
11.
Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return:__________________________
C E R T I F I C AT I O N
Firm’s Email Address:
I hereby certify that this return, including any accompanying rider, 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
_______________________________________
S
Preparer's Social Security Number or PTIN
IGN
Signature of taxpayer
Title
Date
:
HERE
Preparer's
Preparer’s
n
P
'
Check if self-
REPARER
S
signature
printed name
Date
employed 4
USE
ONLY
Firm's Employer Identification Number
Firm's name
Address
Zip Code
(or yours, if self-employed)
s
s
s
MAILING INSTRUCTIONS
Attach copy of federal Form 1040, Schedule C, Schedule C-EZ or Schedule F. If this is a final return, attach an entire copy of federal Form 1040.
Make remittance payable to the order of NYC DEPARTMENT OF FINANCE. Payment must be made in U.S. dollars and drawn on a U.S. bank.
To receive proper credit, you must enter your correct Social Security Number on your tax return and remittance.
The due date for the calendar year 2017 return is on or before April 17, 2018.
For fiscal years beginning in 2017, file on or before the 15th day of the fourth month following the close of the fiscal year.
ALL RETURNS EXCEPT REFUND RETURNS
REMITTANCES
RETURNS CLAIMING REFUNDS
PAY ONLINE WITH FORM NYC-200V
NYC DEPARTMENT OF FINANCE
NYC DEPARTMENT OF FINANCE
AT NYC.GOV/ESERVICES
UNINCORPORATED BUSINESS TAX
UNINCORPORATED BUSINESS TAX
P.O. BOX 5564
OR
P.O. BOX 5563
Mail Payment and Form NYC-200V ONLY to:
BINGHAMTON, NY 13902-5564
BINGHAMTON, NY 13902-5563
NYC DEPARTMENT OF FINANCE
P.O. BOX 3933
NEw YORK, NY 10008-3933
60251791
60251791

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