Form Ac 916 PDF Details

Form Ac 916 is an important form to be familiar with if you are a business owner. This form is used for reporting payments made to vendors, and it must be filed on a quarterly basis. Knowing how to complete this form correctly can help you stay compliant with tax laws and ensure that your business records are accurate. In this blog post, we will walk you through the basics of Form Ac 916 so that you can understand how to accurately complete it. We will also provide some tips on ensuring that your business stays compliant with tax laws in regards to vendor payments. Thanks for reading!

QuestionAnswer
Form NameForm Ac 916
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesComptroller, Accum, Payees, Orig

Form Preview Example

AC 916 (Rev. 3/98)

SEE PROCEDURE MANUAL FOR INSTRUCTIONS

STATE

OFSPECIAL CHARGE VOUCHER

NEW YORK

Voucher No.

Originating Agency

Orig. Agency Code

Interest Eligible (Y/N)

Payment Date

(MM) (DD) (YY)

OSC Use Only

Liability Date

(MM) (DD) (YY)

Payee ID

Additional

Zip Code

Route

Payee Amount

MIR Date (MM) (DD) (YY)

Payee Name (Limit to 30 spaces)

IRS Code

IRS Amount

Payee Name (Limit to 30 spaces)

Stat. Type

Statistic

Indicator-Dept. Indicator-Statewide

Address (Limit to 30 spaces)

Ref/Inv. No. (Limit to 20 spaces)

Address (Limit to 30 spaces)

Ref/Inv. Date

(MM) (DD) (YY)

City (Limit to 20 spaces)

(Limit to 2 spaces) Ý

State Zip Code

DESCRIPTION OR REASON

Total Number of Payees

on this Voucher

Total Amount of this Voucher

To the State Comptroller:

Please issue your warrant in favor of the above payee(s) and for the respective amounts listed.

I certify that the above claim is correct in accordance with the provisions of the Applicable Statute, that no part has been paid except as stated, that the balance is actually due, and that taxes from which the State is exempt are excluded.

Ü______________________________________________________________________________________

Signature in InkDate

______________________________________________________________________________________

Title

STATE COMPTROLLER’S PRE-AUDIT

CERTIFIED

FOR PAYMENT OF

TOTAL AMOUNT

Verified

By________________

Audited

 

 

 

 

 

Expenditures

 

Liquidation

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cost Center Code

 

 

Object

Accum

Amount

Orig. Agency

 

PO/Contract

Line

F/P

 

 

 

 

 

 

 

Dept.

Cost Center Unit

Var

Yr

 

Dept.

Statewide

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Check if Continuation form is attached.