Form Nyc-Ext.1 - Application For Additional Extension Business, General And Banking Corporation Taxes - 2017

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- EXT.1
APPLICATION FOR ADDITIONAL EXTENSION
2017
TM
BUSINESS, GENERAL AND BANKING CORPORATION TAXES
Department of Finance
For CALENDAR YEAR 2017 or FISCAL YEAR beginning ________________________ , 2017 and ending _________________________________
Print or Type:
TAXPAYER’S EMAIL ADDRESS
Name (if combined corporate filer, give name of reporting corporation - see instructions)
Name
n
Change
In Care of
EMPLOYER IDENTIFICATION NUMBER
Address (number and street)
Address
n
Change
BUSINESS CODE NUMBER AS PER FEDERAL RETURN
City and State
Zip Code
Country (if not US)
CHECK THE TAX TYPE AND TYPE OF RETURN FOR WHICH THIS EXTENSION IS BEING FILED. CHECK ONLY ONE BOX FOR EACH.
Business Corporation Tax
General Corporation Tax
Banking Corporation Tax
n
n
n
C Corporations only
Subchapter S Corporations only
Subchapter S Corporations only
NYC-2
NYC-3L
NYC-1
n
n
n
NYC-2A
NYC-3A
NYC-1A
n
n
n
NYC-2S
NYC-4S
n
n
NYC-4SEZ
n
The taxpayer named above requests an additional 3-month extension of time until
________ ________ ________ to file its tax return.
MM
DD
YYYY
Explain in detail why an additional extension of time to file is needed.
SCHEDULE A
This schedule should be completed by NYC combined return filers (Form NYC-2A, NYC-3A or NYC-1A)
List name and Employer Identification Number for each member in the combined group. Attach rider for additional names.
(
)
NAME OF MEMBER CORPORATION
EXCLUDING REPORTING CORPORATION
EMPLOYER IDENTIFICATION NUMBER
1.
2.
3.
4.
5.
6.
C E R T I F I C AT I O N O F A N E L E C T E D O F F I C E R O F T H E C O R P O R AT I O N
I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
:
SIGN HERE
Signature of Officer:
Title:
Date:
M A I L I N G I N S T R U C T I O N S
To receive proper credit, you must enter your correct Employer Identification Number on your application.
Mail your completed application to the following address:
NYC DEPARTMENT OF FINANCE
P.O. BOX 5564
BINGHAMTON, NY 13902-5564
31311791
NYC-EXT.1 - 2017

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