Form Au-12 - Application For Credit Or Refund Of Sales Or Use Tax - Qualified Empire Zone Enterprise (Qeze)
Download a blank fillable Form Au-12 - Application For Credit Or Refund Of Sales Or Use Tax - Qualified Empire Zone Enterprise (Qeze) in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Au-12 - Application For Credit Or Refund Of Sales Or Use Tax - Qualified Empire Zone Enterprise (Qeze) with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2AU-12
New York State Department of Taxation and Finance
Application for Credit or Refund of Sales or
(12/10)
Use Tax — Qualified Empire Zone Enterprise (QEZE)
• Read Form AU-12-I, Instructions for Form AU-12, before completing this application.
• You may file this form only once each sales tax quarter.
• Do not use this form to apply for a refund of tax paid on qualifying purchases of motor fuel or diesel motor fuel.
Use Form FT-500, Application for Refund of Sales Tax paid on Automotive Fuels.
Applicant information
(Please type or print legibly.)
Legal name of business
Federal Employer Identification Number (EIN)
DBA
Telephone number
(if different from above)
(
)
Address of empire zone (EZ) location where items and/or services are used
(if you have more than one EZ location, attach a list of all EZ locations included in this claim)
Number and street
City
State
ZIP code
Mailing address
(if different from address above)
c/o name
Number and street
City
State
ZIP code
Representative’s name
Telephone number
Period covered by claim (date(s) of purchase)
(if any)
(mm/dd/yyyy)
(
)
—
/
/
/
/
Representative’s mailing address
Refund claimed
(number and street or rural route)
$
City
State
ZIP code
Credit claimed
$
If credit shown above has already been claimed on a
sales tax return, enter the period covered
by the quarterly or annual return
—
/
/
/
/
Basis for claim
(Mark an X in boxes that apply.)
A Tangible personal property or services (other than consumer utility services and motor vehicles). The property or services are
used or consumed directly and predominantly (at least 50%) by the QEZE in an EZ in which the QEZE has qualified for benefits.
B Consumer utility services (other than telephony and telegraphy, telephone and telegraph services, and telephone answering
services). The services are used or consumed directly and exclusively (100%) by the QEZE in an EZ in which the QEZE has
qualified for benefits.
C Telephony and telegraphy, telephone and telegraph services, and telephone answering services. The services are delivered
and billed to the QEZE at an address in an EZ in which the QEZE has qualified for benefits.
D Motor vehicle used predominantly (at least 50%) in an EZ in which the QEZE has qualified for benefits.
E Tangible personal property related to a qualifying motor vehicle (as described in D above).
Employment test
(mark an X in the box next to the applicable employment test and attach the appropriate form to the application.)
AU-12.1, Employment Test for Businesses Certified by Empire State Development (ESD) Before April 1, 2005
AU-12.2, Employment Test for Businesses Certified by Empire State Development (ESD) On or After April 1, 2005, and Before April 1, 2009
AU-12.3, Employment Test for Businesses Certified by Empire State Development (ESD) On or After April 1, 2009
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dtf-82 - 2006 - Application For Qualified Empire Zone Enterprise (qeze) Sales Tax Certification
Financial
Form St-100.1 - Quarterly Schedule W - Report Of Purchases Eligible For Credit By A Qualified Empire Zone Enterprise (qeze) - 2015
Financial
Form St-101.1 - Annual Schedule W - Report Of Purchases Eligible For Credit By A Qualified Empire Zone Enterprise (qeze) - 2015
Financial
Form St-810.1 - Quarterly Schedule W For Part-quarterly (monthly) Filers - Report Of Purchases Eligible For Credit By A Qualified Empire Zone Enterprise (qeze) - 2015
Financial
Form St-121.6 - Qualified Empire Zone Enterprise (qeze) Exempt Purchase Certificate - 2005
Financial
Related Categories
Parent category: Financial