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Form NYC-202 2012

Page 3

Name ___________________________________________________________________________ SSN / EIN _____________________________________

ALLOCATION OF BUSINESS INCOME - Taxpayers who carry on business both inside and outside New York City should complete Schedule C,

Parts 1, 2 and 3 (below). Taxpayers who do not carry on business both inside and outside New York City should omit Schedule C, Parts 1 and

2 (below), enter 100% on Part 3, line 5 and enter 100% on Schedule A, line 2.

S C H E D U L E C

Complete this schedule if business is carried on both inside and outside New York City

List location of each place of business INSIDE New York City, nature of activities at each location (manufacturing, sales office, executive office, public

Part 1

warehouse, contractor, converter, etc.), and number of employees, their wages, salaries and duties at each location.

Complete Address

Rent

Nature of Activities

No. of Employees

Wages, Salaries, Etc.

Duties

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

Total

List location of each place of business OUTSIDE New York City, nature of activities at each location (manufacturing, sales office, executive office,

Part 2

public warehouse, contractor, converter, etc.), and number of employees, their wages, salaries and duties at each location.

Complete Address

Rent

Nature of Activities

No. of Employees

Wages, Salaries, Etc.

Duties

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

NUMBER AND STREET

CITY

STATE

ZIP

Total

Formula Basis Allocation of Income

Part 3

DESCRIPTION OF ITEMS USED AS FACTORS

l COLUMN A - NEW YORK CITY l COLUMN B - EVERYWHERE

l COLUMN C

1. Average value of the real and tangible

personal property of the business (see instr)

PERCENTAGE IN

NEW YORK CITY

a. Business real property owned ................................... 1a.

b. Business real property rented from others (rent x 8). 1b.

(COLUMN A

DIVIDED BY

c. Business tangible personal property owned .............. 1c.

COLUMN B)

d. Business tangible personal property rented from others (rent x 8) 1d.

e. Total of lines 1a - 1d .................................................. 1e.

f. Multiply Column C of line 1e by 20..............................1f.

2a. Wages, salaries and other personal service

compensation paid to employees during the year..... 2a.

2b. Multiply Column C of line 2a by 20.............................2b.

3a. Gross sales of merchandise or

charges for services during the year ......................... 3a.

3b. Multiply Column C of line 3a by 60....................................................................................................................................................3b.

Weighted Factor Allocation

4a. Add Column C, lines 1f, 2b and 3b....................................................................................................................................................4a.

4b. Divide line 4a by 100 if no factors are missing. If a factor is missing, divide line 4a by the total of the

weights of the factors present. Enter as percentage. Round to the nearest one hundredth of a percentage point. ......................4b.

Business Allocation Percentage

5. Enter percentage from line 4b. Transfer to page 1, Schedule A, line 2. See instructions..................................................................5.

IS ANY PLACE OF BUSINESS LISTED IN PARTS 1 AND 2 LOCATED IN YOUR HOME? .......

YES

.....

DID YOU CLAIM A DEDUCTION FOR EXPENSES OF AN OFFICE IN YOUR HOME?

YES

Investment Capital and Allocation and Cash Election

S C H E D U L E D

DESCRIPTION OF INVESTMENT

No. of Shares or

Average

Liabilities Attributable

Net Average Value