Form Nyc-4s-Ez - General Corporation Tax Return - 2009

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GENERAL CORPORATION TAX RETURN

2009

NEW YORK CITY DEPARTMENT OF FINANCE

NYC

E Z

Finance

I I

Check box if you are filing

a 52- 53-week taxable year

For CALENDAR YEAR 2009 or FISCAL YEAR beginning _______________ 2009 and ending ___________________

I I

Amended return

Final return

Check box if the corporation has ceased operations.

Special short-period return (See inst.)

Name

EMPLOYER IDENTIFICATION NUMBER

Address (number and street)

City and State

Zip Code

BUSINESS CODE NUMBER AS PER FEDERAL RETURN

Business Telephone Number

Date business began in NYC

S C H E D U L E A

Computation of Tax

BEGIN WITH SCHEDULES B1 or B2 ON PAGE 2. TRANSFER APPLICABLE AMOUNT TO SCHEDULE A.

Payment Enclosed

A. Payment

Enter amount shown on line 11 - Make check payable to: NYC Department of Finance

X .0885..

1. Net income (from Schedule B1, line 3 or B2, line 6)

2. Minimum tax (See instructions) - NYC Gross Receipts:

................. 2.

3. Tax (line 1 or 2, whichever is larger) ..............................................................................................

4. First installment of 2010 estimated tax:

(a) If application for extension has been filed, enter amount from line 2 of Form NYC-EXT..........

4a.

(b) If application for extension has not been filed and line 3 exceeds $1,000,

enter 25% of line 3 (see instructions) .......................................................................................

4b.

5. Total before prepayments (add lines 3 and 4a or 4b)......................................................................

6. Prepayments (see instructions) .......................................................................................................

7. Balance due (line 5 less line 6)........................................................................................................

8. Overpayment (line 6 less line 5)......................................................................................................

9. Interest (see instructions) .................................................................... 9.

10. Amount of line 8 to be: (a) Refunded ...........................................................................................

10a.

(b) Credited to 2010 estimated tax .......................................................

10b.

11. TOTAL REMITTANCE DUE (see instructions) Enter payment amount on line A above ...............

11.

12. Federal return filed:

1120

1120C

1120S

1120H

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YOUR FEDERAL RETURN SHOULD NOT BE ATTACHED TO THIS FORM

13. Gross income...............................................................................................................................

13.

CERTIFICATION OF AN ELECTED OFFICER OF THE CORPORATION

I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.

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I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) ............................................YES

Officerʼs

G Preparer's Social Security Number or PTIN

signature:

Title:

Date:

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Check if self-

Preparer's

Preparerʼs

employed:

signature:

printed name: