Form Pt-350 - Petroleum Business Tax Return For Fuel Consumption - Commercial Vessels - 2015
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1
2PT-350
(For office use only)
New York State Department of Taxation and Finance
Petroleum Business Tax Return for Fuel
Consumption — Commercial Vessels
Tax Law — Article 13-A
For the month of:
, 2015
Legal name
EIN or SSN
DBA
Business telephone number
(if different from legal name)
(
)
Street address
(number and street)
City
State
ZIP code
Attach your check or money order payable to: Commissioner of Taxation and Finance.
Enter the amount of your remittance here (from line 17 below) .......................................................................
$
A
B
C
Tugboat and towboat operators may use lines 1 through 7 (working days method) or Schedule A
(tax per trip method) to compute the tax due. All other commercial vessel operators must use
Motor fuel
Diesel motor fuel
Totals
lines 1 through 7 (working days method) to compute the tax due. On lines 1 through 7, include
only working days and gallons of fuel used by vessels using the working days method.
1 Total working days in New York State (NYS) territorial waters
1
(see instructions)
2 Total working days everywhere .................................................
2
3 Working days ratio
3
...
(divide line 1 by line 2; round to nearest .0001)
4 Total gallons of fuel used everywhere .......................................
4
5 Gallons used in NYS
..............................
5
(multiply line 3 by line 4)
6 Tax rate
6
.............................................................
0.178
0.1605
(see instructions)
7 Tax
.......
7
$
$
$
(multiply line 5 by the rate on line 6; enter total in column C)
8 Tax from Schedule A on back ...................................................
8
$
9 Total tax
..........................................................
9
$
(add lines 7 and 8)
10 Gallons of fuel purchased in NYS with the taxes included ....... 10
11 NYS tax paid on fuel purchases
(multiply line 10 by the
.............. 11
$
$
$
rate of tax paid; enter total in column C) (see instructions)
12 Tax due/overpayment
....................... 12
$
(subtract line 11 from line 9)
13 Credit available from prior returns
....................... 13
$
(attach copies)
14 Tax due/overpayment after credits
(subtract line 13 from line 12; if
14
$
line 12 is an overpayment, add lines 12 and 13 and enter on line 18 below)
15 Penalty
............................................................. 15
$
(see instructions)
16 Interest
............................................................. 16
$
(see instructions)
17 Total amount due
................................... 17
$
(add lines 14, 15, and 16)
18 Refund/credit amount
... 18
$
(if line 14 is an overpayment, enter that amount)
19 Amount to be credited to the next filed return .......................... 19
$
20 Amount to be refunded
................... 20
$
(subtract line 19 from line 18)
Designee’s name
Designee’s phone number
(print)
Third – party
Yes
No
(
)
designee
Designee’s e-mail address
(see instructions)
PIN
Certification: I, the claimant, or an officer or authorized representative of the claimant, certify that this return is true and complete, and I file
this return with the knowledge that willfully issuing a return required to be filed that is not believed to be true and correct to every material
matter is a misdemeanor under New York State Tax Law section 1812-f(c)(1) and Penal Law section 210.45, punishable by a fine up to
$10,000 for an individual or $20,000 for a corporation. If the amount of tax intended to be evaded is $1,000 or more, it is a felony under Tax
Law section 1812-f(c)(1), punishable by a fine up to $50,000 or more for an individual or $250,000 or more for a corporation. I also understand
that the Tax Department is authorized to investigate the accuracy of any information entered on this return.
Signature of authorized person
Official title
Authorized
person
E-mail address of authorized person
Date
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
(or yours if self-employed)
Paid
preparer
Signature of individual preparing this return
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this return
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
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