Form Mt-170 - Waste Tire Management Fee Quarterly Return Page 2

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MT-170 (8/11) (back)
If an outside individual or firm prepared the return, all applicable entries
You may not be liable for penalties if your failure to file or remit the fees is
in the paid preparer section must be completed, including identification
due to reasonable cause and not due to willful neglect. If you think you are
numbers (see Paid preparer identification numbers). Failure to sign the
not liable for these additional charges, attach a statement to your return
return will delay the processing of any refunds and may result in penalties.
explaining the delay in filing, payment, or both (Tax Law section 1085).
Paid preparer identification numbers — New York State Tax Law requires
Note: You may compute your penalty and interest by accessing our Web
certain paid tax return preparers and facilitators of refund anticipation loans
site, or you may call and we will compute the penalty and interest for you
(see Need help? ).
(RALs) and refund anticipation checks (RACs) to register electronically with
the Tax Department. When completing this section, you must enter your
• If you understate the net amount of fees due — If the net amount of
New York tax preparer registration identification number (NYTPRIN) if you
fees you report is understated by 10% or $5,000, whichever is greater,
are required to have one. (Information on the New York State Tax Preparer
you must pay a penalty of 10% of the amount of understated fees.
Registration Program is available on our Web site (see Need help?).) In
You may not be liable for this penalty if (1) there is or was substantial
addition, you must enter your federal preparer tax identification number
authority for your calculation of the net amount, (2) there is adequate
(PTIN) if you have one; if not, you must enter your social security number
disclosure on the return or in an attached statement, or (3) there was
(SSN). (PTIN information is available at )
reasonable cause for the understatement (see Tax Law section 1085(k)).
Attach check or money order payable to: Commissioner of Taxation and
Finance
Need help?
On your check, write Form MT‑170, your sales tax identification number, and the
period for which you are reporting.
Visit our Web site at
• get information and manage your taxes online
Fee for payments returned by banks
• check for new online services and features
The law allows the Tax Department to charge a $50 fee when a check,
money order, or electronic payment is returned by a bank for nonpayment.
Business Tax Information Center:
(518) 457-5342
However, if an electronic payment is returned as a result of an error by
the bank or the department, the department won’t charge the fee. If your
To order forms and publications:
(518) 457-5431
payment is returned, we will send a separate bill for $50 for each return or
other tax document associated with the returned payment.
Text Telephone (TTY) Hotline
Penalties and interest
(for persons with hearing and
speech disabilities using a TTY):
(518) 485-5082
Interest
• If you pay after the due date — If you do not pay the entire net amount
of fees due (line 3) on or before the due date, you must pay interest on
Privacy notification
the amount of the underpayment from the due date of the return to the
The Commissioner of Taxation and Finance may collect and maintain
date full payment is made.
personal information pursuant to the New York State Tax Law, including but
not limited to, sections 5‑a, 171, 171‑a, 287, 308, 429, 475, 505, 697, 1096,
Penalties
1142, and 1415 of that Law; and may require disclosure of social security
• If you file and pay after the due date — Compute additional charges
numbers pursuant to 42 USC 405(c)(2)(C)(i).
for late filing and late payment on the net amount of fees due, minus any
payment made on or before the due date.
This information will be used to determine and administer tax liabilities
and, when authorized by law, for certain tax offset and exchange of tax
A. If you do not file a return when due, add to the net fees 5% per
information programs as well as for any other lawful purpose.
month up to 25% (Tax Law section 1085(a)(1)(A)).
B. If you do not file a return within 60 days of the due date, the
Information concerning quarterly wages paid to employees is provided
additional charge in item A above cannot be less than the smaller
to certain state agencies for purposes of fraud prevention, support
of $100 or 100% of the net fees required to be shown on the return
enforcement, evaluation of the effectiveness of certain employment and
(Tax Law section 1085 (a)(1)(B)).
training programs and other purposes authorized by law.
C. If you do not pay the net fees shown on a return when due,
Failure to provide the required information may subject you to civil or
add to the net fees ½% per month up to a total of 25% (Tax Law
criminal penalties, or both, under the Tax Law.
section 1085 (a)(2)).
This information is maintained by the Manager of Document Management,
D. The total of the additional charges in items A and C may not
NYS Tax Department, W A Harriman Campus, Albany NY 12227;
exceed 5% for any one month, except as provided for in item B
telephone (518) 457‑5181.
above (Tax Law section 1085 (a)).
MT-170 (8/11) (back)
I hereby certify that this return is true and correct. I make these statements with the knowledge that knowingly making a false or fraudulent
statement on this document is a misdemeanor under section 210.45 of the Penal Law.
Signature of authorized person
Official title
Authorized
person
E‑mail address of authorized person
Telephone number
Date
(
)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
Paid
(or yours if self-employed)
preparer
Signature of individual preparing this document
Address
City
State
ZIP code
use
only
E‑mail address of individual preparing this document
Preparer’s NYTPRIN
Date
(see instr.)
Mail to:
NYS TAX DEPARTMENT
WASTE TIRE MANAGEMENT FEE
PO BOX 4100
BINGHAMTON NY 13902-4100

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