Ct 3 Details

Form Ct3 is a questionnaire used to measure the communication and relational skills of children. It was developed in 1998 by researchers at the University of Alberta in Canada. The form consists of 36 items, which are answered on a 4-point scale from “never” to “very often.” The questionnaire covers five areas: Cooperation, assertion, empathy, perspective taking, and self-control. Researchers have found that Form Ct3 is an effective tool for assessing the social-emotional development of children. The questionnaire can be used with individuals aged 3 to 18 years.

Listed below are some information about form ct3. This figure can provide information about the form's size, finalization duration, and the fields you are required to fill.

QuestionAnswer
Form NameForm Ct3
Form Length8 pages
Fillable?No
Fillable fields0
Avg. time to fill out2 min
Other namesnys ct 3 amended return, form 3 nys print, nys dtf ct tax payment, ct nys

Form Preview Example

Department of Taxation and Finance

General Business Corporation Franchise Tax Return

Tax Law – Article 9-A

CT-3

Caution: This form must be used only for tax periods beginning on or after January 1, 2020. If you use it for any prior periods, the return will not be processed and will not be considered timely filed. As a result, penalties and interest may be incurred.

See instructions, Form CT-3-I, before completing return.

 

 

 

All filers must enter tax period:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

FINAL RETURN

 

 

 

AMENDED RETURN

 

 

 

 

 

 

 

beginning

 

 

 

ending

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Employer identification number (EIN)

File number

Business telephone number

 

 

If you claim an overpayment,

 

 

 

 

 

 

 

 

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mark an X in the box

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Legal name of corporation

 

 

 

 

 

 

 

 

Trade name/DBA

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mailing address

 

 

 

 

 

 

 

 

State or country of incorporation

 

 

 

 

 

 

 

 

Care of (c/o)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Number and street or PO box

 

 

 

 

Date of incorporation

Foreign corporations: date began business in NYS

 

 

 

 

 

 

 

 

 

 

 

 

City

U.S. state/Canadian province

ZIP/Postal code

 

 

Country (if not United States)

For office use only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Principal business activity in NYS

 

 

NAICS business code number (from NYS Pub 910)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you need to update your address or phone information for corporation tax, or other tax types, you can do so online.

See Business information in Form CT-1.

A.Pay amount shown on Part 2, line 19c. Make payable to: New York State Corporation Tax

Attach your payment here. (Detach all check stubs; see instructions for details.)

A

Payment enclosed

B. Are you subject to the metropolitan transportation business tax (MTA surcharge)? (see instructions;

mark an X in the appropriate box) ..................................................................................................................

B

Yes

No

C. If you are disclaiming tax liability in New York State based on Public Law 86-272, mark an X

in the box (see instructions) ...................................................................................................................................................

C

D. Do you have an interest in any partnerships? (mark an X in the appropriate box) ...........................................

If Yes, enter the name(s) and EIN(s) on Form CT-60 and attach it to your return.

D

Yes

No

Third – party

Yes

No

Designee’s name (print)

(

)

 

 

 

 

Designee’s phone number

designee

 

 

 

 

 

Designee’s email 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.

Authorized

Printed name of authorized person

 

Signature of authorized person

 

Official title

 

person

Email address of authorized person

 

 

 

Telephone number

 

 

Date

 

 

 

 

 

(

)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PAID

Firm’s name (or yours if self-employed)

 

 

Firm’s EIN

 

 

 

 

Preparer’s PTIN or SSN

preparer

 

 

 

 

 

 

 

 

 

 

 

 

use

Signature of individual preparing this return

Address

City

 

State

ZIP code

 

 

 

 

 

 

 

 

 

 

 

 

only

 

 

 

 

 

 

 

 

 

 

 

Email address of individual preparing this return

 

 

Preparer’s NYTPRIN or

Excl. code

Date

 

(see instr.)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

See instructions for where to file.

Content of Form CT-3

Part 1

– General corporate information

Part 5

– Computation of investment capital for the current tax year

Part 2

– Computation of balance due or overpayment

Part 6

– Computation of business apportionment factor

Part 3

– Computation of tax on business income base

Part 7

– Summary of tax credits claimed

Part 4

– Computation of tax on capital base

 

 

567001200094

Page 2 of 8 CT-3 (2020)

Part 1 – General corporate information

Section A – Qualification for preferential tax rates – If you are a corporation as identified in this section and qualify for

preferential tax rates, mark an X in the boxes that apply to you (see instructions).

1A qualified emerging technology company (QETC) for purposes of the lower tax rates, capital base tax cap, and fixed

dollar minimum tax amounts

1

2A qualified New York manufacturer based on the principally engaged test for purposes of the lower business income

base tax rate and fixed dollar minimum tax amounts

2

3A qualified New York manufacturer based on the principally engaged test for purposes of the lower capital base

tax rate and capital base tax cap

3

4A qualified New York manufacturer based on the significant employment and property test for purposes of the lower

 

tax rates, capital base tax cap, and fixed dollar minimum tax amounts

4

5 A small business eligible for the capital base tax exception

5

 

If you marked this box, complete line 5a; also mark the box at line 5b or 5c, if applicable.

 

5A

Total capital contributions

5A

5B

Small business taxpayers only: you are also a QETC

5B

5C

Small business taxpayers only: you are also a qualified New York manufacturer

5C

6A qualified entity of a New York State innovation hot spot that operates solely within such New York State innovation

 

hot spot, and you have elected to be subject only to the fixed dollar minimum tax base

6

Section B – New York State information (see instructions)

 

1

Number of New York State employees

1

2

Wages paid to New York State employees

2

3

Number of business establishments in New York State

3

4

If you have an interest in, or have rented, real property in New York State, mark an X in the box

4

5If you are claiming an exception to the related member expense addback under Tax Law §208.9(o)(2)(B),

mark an X in the box

5

5A If you marked the line 5 box, use line 5a to report the applicable exception

Number

Amount

number (1-4) and the amount of royalty payments

5A

 

6If you are not protected by Public Law 86-272 and are subject to tax solely as a result of deriving receipts in

New York State, mark an X in the box

6

Section C – Filing information

1Federal return filed – you must mark an X in one box and attach a complete copy of your federal return

 

 

1120-REIT

 

 

 

 

1120

1120 consolidated

or 1120-RIC

 

 

1120S

1120F

1120-H

2Amended return – If you marked the amended return box on page 1, then for any item(s) that apply, mark an X in the box

and attach documentation:

 

Failure to meet investment capital holding period

 

 

 

 

Final federal

Date of determination

NOL

Capital loss

 

 

 

 

 

 

determination

 

 

carryback

carryback ...

1139

1120X

 

 

2a Enter the tax due amount from your most recently filed New York State return for this tax period

2a

3Required attachments – For all forms, other than tax credit claim forms, that are attached to this return, mark an X in the applicable box(es)

CT-3.1

CT-3.2

CT-3.3

CT-3.4

CT-60

CT-225

Other (identify):

4If you are claiming tax credits, enter the number of tax credit forms attached to this return. Where multiple forms

are filed for the same credit, count EACH form filed

4

5 If you filed federal Form 1120F and you have effectively connected income (ECI), mark an X in the box

5

6Were you required to report any nonqualified deferred compensation, as required by Internal Revenue

Code (IRC) §457A, on your 2020 federal return? (see instructions)

Yes

No

7If you are a foreign corporation computing your tax taking into account only your distributive shares from multiple limited

partnerships, mark an X in the box and file Form CT-60 ........................................................................................................

567002200094

CT-3 (2020) Page 3 of 8

Part 2 – Computation of balance due or overpayment

 

Largest of three tax bases, minus credits

 

 

1A

Business income base tax (from Part 3, line 20)

1A

 

1B

Capital base tax (from Part 4, line 15; see instructions)

1B

 

 

New York receipts

 

 

1C

Fixed dollar minimum tax (see instr)

..... 1C

 

2

Tax due (enter the amount from line 1a, 1b, or 1c, whichever is largest; see instructions)

2

3

Tax credits used (from Part 7, line 2; see instructions)

3

4

Tax due after credits (subtract line 3 from line 2; if line 3 is more than line 2, enter 0)

4

Penalties and interest

 

 

5Estimated tax penalty (see instructions; if Form CT-222 is

 

attached, mark an X in the box)

5

6

Interest on late payment (see instructions)

6

7

Late filing and late payment penalties (see instructions)

7

8

Total penalties and interest (add lines 5, 6, and 7)

8

Voluntary gifts/contributions

 

9

Total voluntary gifts/contributions (from Form CT-227, Part 2, line 1)

9

10

Total amount due (add lines 4, 8, and 9)

10

Prepayments

 

11

Mandatory first installment from Form CT-300 (see instructions)

11

12

Second installment (from Form CT-400)

12

13

Third installment (from Form CT-400)

13

14

Fourth installment (from Form CT-400)

14

15

Payment with extension request (from Form CT-5, line 5)

15

16

Overpayment credited from prior years (see instr.) Period

16

17

Overpayment credited from CT-3-M Period

17

18

Total prepayments (add lines 11 through 17; see instructions)

18

Payment due or overpayment to be credited/refunded (see instructions)

 

19a

Underpayment

19a

19b

Additional amount for 2021 MFI

19b

19c

Balance due

19c

20a

Excess prepayments

20a

20b

Amount previously credited to 2021 MFI

20b

20c

Overpayment

20c

21

Amount of overpayment to be credited to next period

21

22

Balance of overpayment available (subtract line 21 from line 20c)

22

23

Amount of overpayment to be credited to Form CT-3-M

23

24

Balance of overpayment to be refunded (subtract line 23 from line 22)

24

25

Unused tax credits to be refunded

25

26

Unused tax credits applied to next period

26

567003200094

Page 4 of 8 CT-3 (2020)

Part 3 – Computation of tax on business income base

1Federal taxable income (FTI) before net operating loss (NOL) and special deductions (see instructions)

2 Additions to FTI (from Form CT-225, line 5) ........................................................................................

3 Add lines 1 and 2 ............................................................................................................................

4 Subtractions from FTI (from Form CT-225, line 10) .............................................................................

5 Subtract line 4 from line 3 ...............................................................................................................

6 Subtraction modification for qualified banks (from Form CT-3.2, Schedule A, line 1; see instructions) ... 7 Entire net income (ENI) (subtract line 6 from line 5) ...........................................................................

8 Investment and other exempt income (from Form CT-3.1, Schedule D, line 1) ....................................

9 Subtract line 8 from line 7 ...............................................................................................................

10Excess interest deductions attributable to investment income, investment capital, and other

exempt income (from Form CT-3.1, Schedule D, line 2) ...................................................................

11 Business income (add lines 9 and 10) ...............................................................................................

12Addback of income previously reported as investment income (from Form CT-3.1, Schedule F,

line 6; if zero, enter 0; see instructions) .............................................................................................

13 Business income after addback (add lines 11 and 12) .......................................................................

14 Business apportionment factor (from Part 6, line 56) .........................................................................

15 Apportioned business income after addback (multiply line 13 by line 14) ...........................................

16 Prior net operating loss conversion subtraction (from Form CT-3.3, Schedule C, line 4) .......................

17 Subtract line 16 from line 15 ...........................................................................................................

18 NOL deduction (from Form CT-3.4, line 6) ..........................................................................................

19 Business income base (subtract line 18 from line 17) .........................................................................

20Business income base tax (multiply line 19 by the appropriate business income tax rate from the tax

rates schedule in Form CT-3-I; enter here and on Part 2, line 1a; see instructions) .................................

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

Note: If you make any entry on line 2, 4, 6, 8, 10, 12, 16, or 18, you must complete and file the appropriate attachment form, or any tax benefit claimed may be disallowed, or there may be a delay in receiving such benefit. In addition, all amounts entered on these lines

must be entered as positive numbers.

567004200094

 

 

 

 

 

 

 

 

 

 

CT-3 (2020) Page 5 of 8

 

 

 

 

 

 

 

Part 4 – Computation of tax on capital base (see instructions)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A

 

 

B

 

 

 

C

 

 

 

Beginning of year

 

 

End of year

 

 

 

Average value

1

Total assets from federal return

1

 

 

 

 

 

 

 

 

 

 

2

Real property and marketable securities

2

 

 

 

 

 

 

 

 

 

 

 

included on line 1

 

 

 

 

 

 

 

 

 

 

3

Subtract line 2 from line 1

3

 

 

 

 

 

 

 

 

 

 

4

Real property and marketable securities

 

 

 

 

 

 

 

 

 

 

 

 

at fair market value

4

 

 

 

 

 

 

 

 

 

 

5

Adjusted total assets (add lines 3 and 4)

5

 

 

 

 

 

 

 

 

 

 

6

Total liabilities

6

 

 

 

 

 

 

 

 

 

 

7

........................................................Total net assets (subtract line 6, column C, from line 5, column C)

7

 

 

 

8

............................................................Investment capital (from Part 5, line 19; if zero or less, enter 0)

8

 

 

 

9

.......................................................................................Business capital (subtract line 8 from line 7)

 

 

 

 

 

 

9

 

 

 

10

Addback of capital previously reported as investment capital (from Part 5, line 20, column C; if zero or less, enter 0)

10

 

 

 

11

Total business capital (add lines 9 and 10)

 

 

 

 

 

 

11

 

 

 

12

.........................................................................Business apportionment factor (from Part 6, line 56)

12

 

 

 

13

...................................................................Apportioned business capital (multiply line 11 by line 12)

13

 

 

 

14

New small business (if in first two tax years, mark an X in one box) Year one

Year two

 

 

 

 

 

15Capital base tax (multiply line 13 by the appropriate capital base tax rate from the tax rates schedule in

Form CT-3-I; enter here and on Part 2, line 1b)

15

Part 5 – Computation of investment capital for the current tax year (see instructions)

A

B

C

Average fair

Liabilities attributable to

Net average value

market value

column A amount

(column A - column B)

16

Total capital that generates income

 

 

 

 

 

 

claimed to not be taxable by New York

 

 

 

 

 

 

under the U.S. Constitution

 

 

 

 

 

 

(from Form CT-3.1, Schedule E, line 1)

16

 

 

 

 

17

Total of stocks actually held for more than

 

 

 

 

 

 

one year (from Form CT-3.1, Schedule E,

 

 

 

 

 

 

line 2)

17

 

 

 

 

18

Total of stocks presumed held for more

 

 

 

 

 

 

than one year (from Form CT-3.1,

 

 

 

 

 

 

Schedule E, line 3)

18

 

 

 

 

19Total investment capital for the current year (Add column C lines 16, 17, and 18; enter the result here

and on Part 4, line 8. If zero or less, enter 0.)

19

Addback of capital previously reported as investment capital

20Total of stocks previously presumed held for more than one year, but did not meet

the holding period (from Form CT-3.1, Schedule F, line 1; enter here and on

Part 4, line 10)..........................................

A

B

C

Average fair market

Liabilities attributable

Net average value as

value as previously reported

to column A amount as

previously reported

 

previously reported

(column A - column B)

20

567005200094

Page 6 of 8 CT-3 (2020)

Part 6 – Computation of business apportionment factor (see instructions)

Mark an X in this box only if you have no receipts required to be included in the denominator of the apportionment factor (see instr.) ..

A – New York State

B – Everywhere

Section 210-A.2

 

1

Sales of tangible personal property

1

2

Sales of electricity

2

3

Net gains from sales of real property

3

Section 210-A.3

 

4

Rentals of real and tangible personal property

4

5

Royalties from patents, copyrights, trademarks, and similar intangible

 

 

personal property

5

6

Sales of rights for certain closed-circuit and cable TV transmissions

 

 

of an event

6

Section 210-A.4

 

7

Sale, licensing, or granting access to digital products

7

Section 210-A.5(a)(1) – Fixed percentage method for qualified financial instruments (QFIs)

8 To make this irrevocable election, mark an X in the box (see instructions)

8

Section 210-A.5(a)(2)Mark an X in each box that is applicable (see line 8 instructions)

Section 210-A.5(a)(2)(A)

 

 

 

 

 

 

9

Interest from loans secured by real property

 

 

 

 

10

Net gains from sales of loans secured by real property

 

 

 

 

11

Interest from loans not secured by real property (QFI

 

 

 

 

 

)

 

 

12

Net gains from sales of loans not secured by real property (QFI

 

)

 

Section 210-A.5(a)(2)(B) (QFI

 

 

 

 

 

 

)

 

 

 

 

13

Interest from federal debt

 

 

 

 

 

 

 

 

 

 

 

 

14

 

 

 

 

 

 

 

15

Interest from NYS and its political subdivisions debt

 

 

 

 

16

Net gains from federal, NYS, and NYS political subdivisions debt

17

Interest from other states and their political subdivisions debt

18

Net gains from other states and their political subdivisions debt

Section 210-A.5(a)(2)(C) (QFI

 

 

 

 

 

 

)

 

 

 

 

19Interest from asset-backed securities and other government agency debt

20Net gains from government agency debt or asset-backed securities

 

sold through an exchange

21

Net gains from all other asset-backed securities

Section 210-A.5(a)(2)(D) (QFI

)

22

Interest from corporate bonds

23Net gains from corporate bonds sold through broker/dealer or

licensed exchange ...........................................................................

24 Net gains from other corporate bonds .................................................

Section 210-A.5(a)(2)(E)

25Net interest from reverse repurchase and securities borrowing agreements

Section 210-A.5(a)(2)(F)

26

Net interest from federal funds

............................................................

Section 210-A.5(a)(2)(I) (QFI

)

27

Net income from sales of physical commodities

Section 210-A.5(a)(2)(J) (QFI

)

28

Marked to market net gains

Section 210-A.5(a)(2)(H) (QFI

)

29

210-A.5(a)(2)(G) (QFI

)

Interest from other financial instruments

30

Net gains and other income from other financial instruments

9

10

11

12

13

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

567006200094

CT-3 (2020) Page 7 of 8

Part 6 – Computation of business apportionment factor (continued)

A – New York State

B – Everywhere

Section 210-A.5(b)

 

 

 

 

 

31

Brokerage commissions

31

 

 

 

 

32

Margin interest earned on behalf of brokerage accounts

32

 

 

 

 

33

Fees for advisory services for underwriting or management of underwriting

33

 

 

 

 

34

Receipts from primary spread of selling concessions

34

 

 

 

 

35

Receipts from account maintenance fees

35

 

 

 

 

36

Fees for management or advisory services

36

 

 

 

 

37

..................................................Interest from an affiliated corporation

37

 

 

 

 

Section 210-A.5(c)

 

 

 

 

 

38

Interest, fees, and penalties from credit cards

38

 

 

 

 

39

Service charges and fees from credit cards

39

 

 

 

 

40

Receipts from merchant discounts

40

 

 

 

 

41

Receipts from credit card authorizations and settlement processing ..

41

 

 

 

 

42

Other credit card processing receipts

42

 

 

 

 

Section 210-A.5(d)

 

 

 

 

 

43

Receipts from certain services to investment companies

43

 

 

 

 

 

 

 

 

 

 

Section 210-A.5-a

 

 

 

 

 

44

Global intangible low-taxed income

44

0

00

 

 

 

 

 

 

 

 

Section 210-A.6

 

 

 

 

 

45

Receipts from railroad and trucking business

45

 

 

 

 

 

 

 

 

 

 

Section 210-A.6-a

 

 

 

 

 

46

Receipts from the operation of vessels

46

 

 

 

 

 

 

 

 

 

 

Section 210-A.7

 

 

 

 

 

47

Receipts from air freight forwarding

47

 

 

 

 

48

Receipts from other aviation services

48

 

 

 

 

 

 

 

 

 

 

Section 210-A.8

 

 

 

 

 

49

Advertising in newspapers or periodicals

49

 

 

 

 

50

Advertising on television or radio

50

 

 

 

 

51

Advertising via other means

51

 

 

 

 

 

 

 

 

 

 

Section 210-A.9

 

 

 

 

 

52

Transportation or transmission of gas through pipes

52

 

 

 

 

Section 210-A.10

 

 

 

 

 

53

Receipts from other services/activities not specified

53

 

 

 

 

Section 210-A.11

 

 

 

 

 

54

Discretionary adjustments

54

 

 

 

 

 

 

 

 

 

 

Total receipts

 

 

 

 

 

55

Add lines 1 through 54 in columns A and B

55

 

 

 

 

Calculation of business apportionment factor

 

 

 

 

 

56New York State business apportionment factor (divide line 55, column A by line 55, column B and enter the

resulting decimal here; round to the sixth decimal place after the decimal point; see instructions)

56

Enter line 56 on Part 3, Computation of tax on business income base, line 14; and on Part 4, Computation of tax on capital base, line 12.

567007200094

Page 8 of 8 CT-3 (2020)

Part 7 – Summary of tax credits claimed

1Have you been convicted of an offense, or are you an owner of an entity convicted of an offense, defined in New York State

Penal Law, Article 200 or 496, or section 195.20? (see Form CT-1; mark an X in one box)........................

1

Yes

No

Enter in the appropriate box below the amount of each tax credit used to reduce the tax due shown on Part 2, line 2, and attach the corresponding properly completed claim form. The amount of credit to enter is computed on each credit form and carried to this section.

CT-37

 

 

CT-607

 

 

CT-651

CT-40

 

 

CT-611

 

 

CT-652

 

 

 

 

CT-41

 

 

CT-611.1

 

 

DTF-621

 

 

 

 

CT-43

 

 

CT-611.2

 

 

DTF-622

 

 

 

 

CT-44

 

 

CT-612

 

 

DTF-624

 

 

 

 

CT-46

 

 

CT-613

 

 

DTF-630

 

 

 

 

CT-47

 

 

CT-631

 

 

Other credits

 

 

 

 

CT-236

 

 

CT-633

 

 

 

 

 

 

 

 

CT-238

 

 

CT-634

 

 

 

 

 

 

 

 

CT-239

 

 

CT-635

 

 

 

 

 

 

 

 

CT-241

 

 

CT-636

 

 

 

 

 

 

 

 

CT-242

 

 

CT-637

 

 

 

 

 

 

 

 

CT-246

 

 

CT-638

 

 

 

 

 

 

 

 

CT-248

 

 

CT-640

 

 

 

 

 

 

 

 

CT-249

 

 

CT-641

 

 

 

 

 

 

 

 

CT-250

 

 

CT-642

 

 

 

 

 

 

 

 

CT-261

 

 

CT-643

 

 

 

 

 

 

 

 

CT-501

 

 

CT-644

 

 

 

 

 

 

 

 

CT-601

 

 

CT-645

 

 

 

 

 

 

 

 

CT-602

 

 

CT-646

 

 

 

 

 

 

 

 

CT-603

 

 

CT-647

 

 

 

 

 

 

 

 

CT-604

 

 

CT-648

 

 

 

 

 

 

 

 

CT-605

 

 

CT-649

 

 

 

 

 

 

 

 

CT-606

 

 

CT-650

 

 

 

 

 

 

 

 

2Total tax credits claimed above (enter here and on Part 2, line 3; attach appropriate form for each credit

claimed) ........................................................................................................................................

3 Total tax credits claimed that are refund eligible (see instructions) ...................................................

2

3

4A If you claimed the QEZE tax reduction credit and you had a 100% zone allocation factor, mark an X in the box ................

4B If you claimed the tax-free NY area tax elimination credit, and you had a 100% area allocation factor, mark an X

in the box ...........................................................................................................................................................................

4C If you claimed the tax-free NY area excise tax on telecommunications credit and you had a 100% area allocation

factor, mark an X in the box ...............................................................................................................................................

4A

4B

4C

567008200094

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