Form Ct-186-P - Utility Services Tax Return - Gross Income - 2012 Page 2
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2Page 2 of 2 CT-186-P (2012)
Computation of tax
(continued)
21 Amount to be credited to Form CT-186-P/M ...................................................................................
21
22 Amount of overpayment to be refunded
22
...............................................
(subtract line 21 from line 20)
23 Amount of unused tax credits to be refunded
........................................................
23
(see instructions)
24 Refundable tax credits to be credited to next year’s tax
........................................
(see instructions)
24
Composition of prepayments claimed on line 12
Date paid
Amount
(see instructions)
25 Mandatory first installment ................................................................................... 25
26 Second installment from Form CT-400 ................................................................. 26
27 Third installment from Form CT-400 ..................................................................... 27
28 Fourth installment from Form CT-400 ................................................................... 28
29 Payment with extension request, Form CT-5.9, line 5 .......................................... 29
30 Overpayment credited from prior years ............................................................................................. 30
31 Overpayment credited from Form CT-186-P/M
Period
.................................................... 31
32 Total prepayments
.................................................... 32
(add lines 25 through 31; enter here and on line 12)
Designee’s name
Designee’s phone number
(print)
Third – party
Yes
No
(
)
designee
Designee’s e-mail address
(see instructions)
PIN
Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete.
Printed name of authorized person
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 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.
413002120094
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