Form Nyc-Ext - Application For Automatic Extension Of Time To File Business Income Tax Returns - 2017
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1
2
3
4- EXT
2017
TM
Department of Finance
n
Final Return
- Check this box if you have ceased operations.
For CALENDAR YEAR 2017 or Fiscal Year beginning ___________________, 2017 and ending ________________, ________
PRINT OR TYPE
EMPLOYER IDENTIFICATION NUMBER
Name (if combined corporate filer, give name of reporting corporation)
Name
n
Change
In Care of
OR
First Name
Last Name
Unincorporated
Name
n
SOCIAL SECURITY NUMBER
Business-Individuals
Change
-
Only
(
)
FOR UNINCORPORATED BUSINESS
INDIVIDUALS ONLY
Business address (number and street)
Address
n
Change
City and State
Zip Code
Country (if not US)
BUSINESS CODE NUMBER AS PER FEDERAL RETURN
Business Telephone Number
Email Address
Tax Type
Corporation Tax
Unincorporated Business Tax (UBT)
n
n
n
n
n
Business
General-Subchapter S
Banking
Partnership
Individuals
C Corporations only
Corporations and
Subchapter S
Single-Member LLCs,
Qualified Subchapter S
Corporations only
Estates or Trusts
Subsidiaries only
NYC-2
NYC-3L
NYC-1
NYC-204
NYC-202
NYC-2A
NYC-3A
NYC-1A
NYC-204EZ
NYC-202S
NYC-2S
NYC-4S
NYC-202EIN
NYC-4SEZ
n
Check the box if the organization is a corporation and is the common parent of a group that intends to file
a combined return. If checked, attach a schedule, listing the name, address and Employer Identification
Number (EIN) for each member covered by this application.
Payment Information
For payment amount, refer to the tax form for the tax that you will be filing after the extension period.
Finance forms and instructions are available on line at NYC.gov/finance.
Payment Amount
Amount included with form.
A. Payment
Make payable to: NYC Department of Finance........................A.
1. Current Year Estimated Tax...................................................................... 1. ________________________________
2. If amount on line 1 exceeds $1,000, enter 25% of line 1
(For S Corporations only -- for UBT and C Corporations leave blank)......... 2. ________________________________
3. Total of lines 1 and 2................................................................................. 3. ________________________________
4. Total payments and credits....................................................................... 4. ________________________________
5. Balance due. Subtract line 4 from line 3................................................... 5. ________________________________
CERTIFICATION OF TAXPAYER OR OF AN ELECTED OFFICER OF THE CORPORATION
I hereby certify that this form, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.
______________________________________________________ ______________________________________________
_______________________________
Signature:
Title (if an officer):
Date:
31211791
NYC-EXT 2017
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