Nyc 5Ubti Form – Fill Out and Use This PDF

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First name and initial		Last name
Business name
Business address (number and street)
City and State			Zip Code
Business Telephone Number	Taxpayerʼs EmailAddress

SOCIAL SECURITY NUMBER

BUSINESS CODE NUMBER AS PER FEDERAL RETURN

ESTATES, TRUSTS AND LLCs ONLY, ENTER EMPLOYER IDENTIFICATION NUMBER

Make remittance payable to the order of:

NYC DEPARTMENT OF FINANCE

Payment must be made in U.S. dollars,

drawn on a U.S. bank.

MAILINGINSTRUCTIONS

DECLARATIONS WITH REMITTANCES			ALL OTHERS
NYC DEPARTMENT OF FINANCE			NYC DEPARTMENT OF FINANCE
UNINCORPORATED BUSINESS TAX			UNINCORPORATED BUSINESS TAX
P. O. BOX 5070			P. O. BOX 5080
KINGSTON, NY 12402-5070			KINGSTON, NY 12402-5080

NOTE

IfanyduedatefallsonSaturday,Sundayorlegalholiday,filingwillbetimelyifmadeby thenextdaywhichisnotaSaturday,Sundayorholiday.

PURPOSEOFDECLARATION

This declaration form provides a means of paying Unincorporated Business Tax on a current basis for individuals, estates and trusts engaged in carrying on an unincorporated business or profession, as defined in Section 11-502 of the Administrative Code. Partnerships use Form NYC-5UB for filing their declarations.

Everyunincorporatedbusinessmustfileanincometaxreturnafterthecloseofitstaxableyear and pay any balance of tax due. If the tax has been overpaid, adjustment will be made only after the return has been filed.

WHOMUSTMAKEADECLARATION

A2012declarationmustbemadebyeveryindividual,estateandtrustcarryingonanunincor- poratedbusinessorprofessioninNewYorkCityifitsestimatedtax(line6oftaxcomputation schedule) can reasonably be expected to exceed $3,400 for the calendar year 2012 (or, in the case of a fiscal year taxpayer, for the fiscal year beginning in 2012).

WHENANDWHERETOFILEDECLARATION

You must file the declarationfor the calendar year 2012 on or beforeApril 17, 2012, or on the applicable later dates specified in these instructions.

-Declarationswithremittances-	- Allotherdeclarations-
NYCDepartmentofFinance	NYCDepartmentofFinance
UnincorporatedBusinessTax	UnincorporatedBusinessTax
P.O.Box5070	P.O.Box5080
Kingston,NY12402-5070	Kingston,NY12402-5080

Fiscal year taxpayers, read instructions opposite regarding filing dates.

HOWTOESTIMATEUNINCORPORATEDBUSINESSTAXTheworksheetonthe front of this form will help you in estimating the tax for 2012.

LINE1-

The term “net income from business expected in 2012” means the amount estimated to be the 2012netincomefrombusiness,includingprofessions,beforetheunincorporatedbusinessex- emption.SeeScheduleA,line14ofthe2011UnincorporatedBusinessTaxReturnandrelated instructions (Form NYC-202).

LINE2-EXEMPTION

For the amount of the allowable exemption, see the instructions for the 2011 Form NYC-202, ScheduleA, line 15.

LINE4-UNINCORPORATEDBUSINESSTAX

If you expect to receive a refund or credit in 2012 of any sales or compensating use tax for whichacreditwasclaimedinaprioryearunderAdministrativeCodeSections11-503(k)(sales andusetaxcredit),theamountoftheestimatedrefundorcreditmustbeaddedtothetaxshown on line 4 of the tax computation schedule.

LINE5b-OTHERCREDITS

Enteronline5btheamountestimatedtobethesumofanycreditsallowablefor2012underAd- ministrativeCodeSections11-503(e)(realestatetaxescalationcredit),11-503(f)(employment opportunity relocation costs credit) 11-503(i) (relocation and employment assistance program (REAP) credit, 11-503(l) (lower Manhattan REAP Credit) 11-503(m) (NYC Film Production Credit,)11-503(n)(IndustrialBusinessZoneCredit)and11-503(o)(BiotechnologyCredit). (For additional details concerning these credits, refer to instructions for Forms NYC-114.5, NYC- 114.6,NYC-114.8,NYC-114.9andNYC-114.10)

DECLARATION

Online1aofthedeclaration(line7aoftheEstimatedTaxWorksheet),entertheamounttheun- incorporatedbusinessreportedastaxonline23ofits2011FormNYC-202orline8ofits2011 FormNYC-202S. Online1b(line7boftheEstimatedTaxWorksheet)entertheamountfrom line 6 of the Estimated Tax Worksheet. This is the amount the business estimates as its 2012 Unincorporated BusinessTax liability.

PAYMENTOFESTIMATEDTAX

Exceptasspecifiedelsewhereintheseinstructions,theestimatedtaxonline1bofthedeclara- tionispayableinequalinstallmentsonorbeforeApril17,2012,June15,2012,September17, 2012 and January 15, 2013. The first installment payment must accompany the declaration. However, the estimated tax may be paid in full with the declaration.

Iftherewasanoverpaymentonthe2011UnincorporatedBusinessTaxReturnandonline30b oftheNYC-202orline13boftheNYC-202Syouelectedtohavethatoverpaymentappliedas acredittowardyour2012estimatedtax,entertheamountfromline30boftheNYC-202orline 13b of the NYC-202S on line 3 of the declaration.

Make remittance payable to NYC DEPARTMENT OF FINANCE. All remittances must be payableinU.S.dollarsdrawnonaU.S.bank. Checksdrawnonforeignbankswillberejected and returned.Aseparate check for the declaration will expedite processing of the payment.

AMENDEDDECLARATION

If, after a declaration is filed, the estimated tax increases or decreases because of a change in income,deductions,orallocation,youshouldfileanamendeddeclarationonorbeforethenext date for payment of an installment of estimated tax. This is done by completing the amended scheduleoftheNoticeofEstimatedTaxPaymentDue(FormNYC-B100). Thisnoticewillbe automatically mailed to you.

CHARGEFORUNDERPAYMENTOFINSTALLMENTSOFESTIMATEDTAX

Acharge is imposed for underpayment of an installment of estimated tax for 2012. For infor- mation regarding interest rates, call 311. If calling from outside of the five NYC boroughs, please call 212-NEW-YORK (212-639-9675). The Administrative Code follows provisions similar to the Internal Revenue Code with respect to underpayments of estimated tax. Form NYC-221maybeusedtodetermineifanychargeforunderpaymentisdueorifanyexceptions apply. Ifitappearsthattherewasanunderpaymentofanyinstallmentofestimatedtax,acom- pleted copy of Form NYC-221 may be attached to the return explaining why an additional charge should not be made.

PENALTIES

The law imposes penalties for failure to make a declaration or pay estimated tax due or for making a false or fraudulent declaration or certification.

FISCALYEARTAXPAYERS

AtaxpayerfilingitsUnincorporatedBusinessTaxReturnonafiscalyearbasisshouldsubstitute thecorrespondingfiscalyearmonthsforthemonthsspecifiedintheinstructions.Forexample, ifthefiscalyearbeginsonApril1,2012,theDeclarationofEstimatedUnincorporatedBusiness Tax will be due on July 16, 2012, together with payment of first quarter estimated tax. In this case,equalinstallmentswillbedueonorbeforeSeptember17,2012,December17,2012,and April 16, 2013.

CHANGESININCOME

EventhoughonApril17,2012, youdonotexpectyourunincorporatedbusinesstaxtoexceed $3,400, a change in income, allocation or exemption may require that a declaration be filed later. In this event the requirements are as follows:

		File	Amountof		Installment
Ifrequirementforfilingoccurs:		declarationby:	estimated		payment
			taxdue		dates
AFTER	BUT BEFORE
April 1, 2012	June 2, 2012	June 15, 2012	1/3	(1)	June 15, 2012
				(2)	Sept. 17, 2012
				(3)	Jan. 15, 2013
June 1, 2012	Sept. 2, 2012	Sept. 17, 2012	1/2	(1)	Sept. 17, 2012
				(2)	Jan. 15, 2013
Sept. 1, 2012	Jan. 1, 2013	Jan. 15, 2013	100%		None

If you file your 2012 Unincorporated BusinessTax Return by February 15, 2013, and pay the fullbalanceoftaxdue,youneednot:(A) fileanamendeddeclarationoranoriginaldeclaration otherwisedueforthefirsttimeonJanuary15,2013,or(B) paythelastinstallmentofestimated tax otherwise due and payable on January 15, 2013.

CAUTION

An extension of time to file your federal tax return or New York State personal income tax return does NOTextend the filing date of your NewYork City tax return.

ELECTRONICFILING

Note:Registerforelectronicfiling. Itisaneasy,secureandconvenientwaytofileandpayan extension on-line. For more information log on to nyc.gov/nycefile

NOTE

Filing a declaration or an amended declaration, or payment of the last installment on January 15,2013,or filingataxreturnbyFebruary15, 2013,will not satisfythefilingrequirementsif you failed to file or pay an estimated tax which was due earlier in the taxable year.

PRIVACYACTNOTIFICATION

TheFederalPrivacyActof1974,asamended,requiresagenciesrequestingSocialSecurityNumberstoin- form individuals from whom they seek this information as to whether compliance with the request is vol- untaryormandatory,whytherequestisbeingmadeandhowtheinformationwillbeused.Thedisclosure ofSocialSecurityNumbersfortaxpayersismandatoryandisrequiredbysection11-102.1oftheAdmin- istrative Code of the City of NewYork. Such numbers disclosed on any report or return are requested for taxadministrationpurposesandwillbeusedtofacilitatetheprocessingoftaxreturnsandtoestablishand maintain a uniform system for identifying taxpayers who are or may be subject to taxes administered and collectedbytheDepartmentofFinance,and,asmayberequiredbylaw,orwhenthetaxpayergiveswritten authorizationtotheDepartmentofFinanceforanotherdepartment,person,agencyorentitytohaveaccess (limitedorotherwise)totheinformationcontainedinhisorherreturn.