Free CT-240 (Fill-in) - New York

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CT-240
(9/08)

New York State Department of Taxation and Finance

Foreign Corporation License Fee Return
Tax Law ­ Article 9, Section 181.1 Based on period ended

Employer identification number

File number

Business telephone number

(
Legal name of corporation

)
Trade name/DBA State or country of incorporation

Mailing name (if different from legal name above)

Date received (for Tax Department use only)

c/o
Number and street or PO box Date of incorporation

City

State

ZIP code

Foreign corporations: date began business in NYS Audit (for Tax Department use only)

If your name, employer identification number, address, or owner/officer information has changed, you must file Form DTF-95. If only your address has changed, you may file Form DTF-96. You can get these forms from our Web site or by fax or phone. See the Need help? section of the instructions.

A. Pay amount shown on line 12. Make payable to: New York State Corporation Tax Attach your payment here. Detach all check stubs. (See instructions for details.)

Payment enclosed

A.

Computation of license fee (see instructions)
Issued and outstanding par value stock at face value....................................................................... 1. Par value stock allocated to New York State (multiply line 1 by line 17, line 20, or line 25) ...................... 2. Fee -- par value stock (multiply line 2 by .0005) .................................................................................. 3. Number of shares of no-par value stock issued and outstanding .... 4. Number of shares of no-par value stock allocated to New York State (multiply line 4 by line 17, line 20, or line 25) ..................................... 5. 6 Fee -- no-par value stock (multiply line 5 by 5 cents (.05)) ................................................................... 6. 7 Total license fee (line 3 plus line 6 or $10, whichever is greater) ............................................................ 7. 8 License fee previously paid .............................................................................................................. 8. 9 License fee due with this report (subtract line 8 from line 7) ................................................................. 9. 10 Interest (see instructions) .................................................................................................................. 10. 11 Additional charges (see instructions) ................................................................................................. 11. 12 Balance due (add lines 9, 10, and 11 and enter here; enter the payment amount on line A above) ............. 12. Schedule A -- Foreign corporations (including S corporations and corporations included in a combined return) taxable under Tax Law, Article 9-A (see instructions) 13 Allocated business and investment capital from Form CT-3, line 39 ................................................ 13. 14 Allocated subsidiary capital from Form CT-3-ATT, line 29 ................................................................. 14. 15 Total allocated capital (add lines 13 and 14) ........................................................................................ 15. 16 Total capital from Form CT-3, line 32 ................................................................................................ 16. 17 License fee allocation (divide line 15 by line 16) ................................................................................... 17. % 1 2 3 4 5

Schedule B -- Foreign corporations taxable under Tax Law, Article 9 (see instructions)
18 Gross assets, less United States obligations and cash, employed in New York State ..................... 18. 19 Gross assets, less United States obligations and cash, wherever employed ................................... 19. 20 License fee allocation (divide line 18 by line 19) ................................................................................... 20.

%

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CT-240 (9/08)

Schedule C -- Foreign corporations taxable under Tax Law, Article 32 (see instructions)
21 22 23 24 25 Allocated business capital................................................................................................................. Allocated subsidiary capital ............................................................................................................. Total allocated business and subsidiary capital (add lines 21 and 22) ................................................. Total worldwide capital ..................................................................................................................... License fee allocation (divide line 23 by line 24) ................................................................................... 21. 22. 23. 24. 25.
Designee's phone number ( )

%

Designee's name (print) Third ­ party Yes No designee Designee's e-mail address (see instructions)

PIN
Official title Date ID number Address City State Date ZIP code

Certification: I certify that this return and any attachments are to the best of my knowledge and belief true, correct, and complete. Authorized person Paid preparer use only
Signature of authorized person E-mail address of authorized person

Firm's name (or yours if self-employed) Signature of individual preparing this return E-mail address of individual preparing this return

41602080094