PDF document
- 1 -
                                                                                                                                                                                                                                                                                                                  2022
                                                                                 - 202S                                            UNINCORPORATED BUSINESS TAX RETURN FOR INDIVIDUALS
                                                                                                                                                 For CALENDAR YEAR 2022 beginning ___________________________  and ending ____________________________
                                              First name and initial                                                                             Last name                                    Name                                                  TAXPAYER’S EMAIL ADDRESS
                                                                                                                                                                                              Change  n
                                              In Care Of 
                                               
                                                                                                                                                                                                                                                    SOCIAL SECURITY NUMBER
                                               
                                              Business name 
                                               
                                              Business address (number and street)                                                                                                            Address 
                                                                                                                                                                                              Change  n
                                               
                                              City and State                                                                                                   Zip Code                   Country (if not US) 
                                  *61412291*                                                                                                                                                                                   BUSINESS CODE NUMBER        
                                              Business Telephone Number                                              Date business began in NYC (mm-dd-yy)                               Date business ended in NYC (mm-dd-yy) FROM FEDERAL SCHEDULE C:
                                               
                                                n          Amended return                                If the purpose of the amended return is to report a                               n IRS change                                Date of Final 
                                                                                                                                                                                                                                       Determination
                                                                                                         federal or state change, check the appropriate box:                                  NYS change                                               nn nn nnnn-                         -                                  
                                                                                                                                                                                           n
                                                
                                               CHECKnn     ALLFinalEngagedTHATreturnAPPLYin a -fullyCheckexemptthis boxunincorporatedif you have ceasedbusinessoperationsactivity in NYC.  nnn  Engaged Enterin a2-characterpartially exemptspecial unincorporatedcondition codebusinessif applicableactivity(see instructions) 
                      SCHEDULE A                Computation of Tax                                                            BEGIN WITH SCHEDULE B ON PAGE 2.  COMPLETE ALL OTHER SCHEDULES. TRANSFER APPLICABLE AMOUNTS TO SCHEDULE A.
                                                                                                                                                                                                                                                                                   Payment Amount
A.                                Payment      Amount being paid electronically with this return .....................................................................  A.

1.                                Business income (from page 2, Schedule B, line 6) .................................................................                                                                                  1. 
2.                                Less:      allowance for taxpayer’s services - do not enter more than 20% of line 1  
                                             or $10,000, whichever is less (see instructions) ...........................................................                                                                               2. 
3.                                Balance before exemption (line 1 less line 2) ...........................................................................                                                                             3. 
4.                                Less: exemption - $5,000 (taxpayer operating more than one business or 
                                  short period taxpayer, see instructions).....................................................................................                                                                         4. 
5.                                Taxable income (line 3 less line 4)                               (see instructions)                           ................................................................                       5. 
6.                                TAX: 4% of amount on line 5.....................................................................................................                                                                      6. 
7.                                Less:      business tax credit (select the applicable credit condition from the Business Tax Credit 
                                             Computation schedule on page 2 and enter amount) (see instructions) ..........................                                                                                             7. 
8.                                UNINCORPORATED BUSINESS TAX (line 6 less line 7)  (see instructions)...........................                                                                                                       8. 
9.                                Payment of estimated Unincorporated Business Tax, including carryover credit from 
                                  preceding year and payment with extension, NYC-EXT (see instructions) ..............................                                                                                                  9. 
10.                               If line 8 is larger than line 9, enter balance due .......................................................................                                                                           10. 
11.                               If line 8 is smaller than line 9, enter overpayment  ...................................................................                                                                             11. 
12.                               Interest (see instructions) ..............................................................12. 
13.                               Amount of line 11 to be: (a) Refunded -                                n           Direct deposit - fill out line 13c    OR                              n Paper check .                             13a. 
                                                           (b) Credited to 2023 Estimated Tax on Form NYC-5UBTI  ................................                                                                                      13b. 
13c. Routing                                                                                        Account                                                                                  ACCOUNT TYPE                       
                                  Number                                                            Number                                                                                 Checking  n                        Savings  n  
14.                               Total remittance due.  Line 10 plus line 12. ............................................................................                                                                            14. 
15.                               Gross receipts or sales from federal return...............................................................................                                                                           15.
                                                                                                                                                       CERTIFICATION  
                                  I hereby certify that this return, including any accompanying rider, is, to the best of my knowledge and belief, true, correct and complete.                                                         Firm's Email Address: 
                                I authorize the Department of Finance to discuss this return with the preparer listed below. (see instructions)..........YES   n                                                                     _________________________________________  
          SIGN           HERE    Taxpayer’s                                                                                                                                                                                                            Preparer's Social Security Number or PTIN
                                 Signature:                                                                                   Title:                                                                 Date:
                                                                                                                                                                                                                                MM-DD YY-
                                 Preparer's                                                                                   Preparer’s                                                                                                      
                      '        signature:                                                                                   printed name:                                                          Date: 
                                                                                                                                                                                                                                MM-DD YY-              Firm's Employer Identification Number
                                                                                                                                                                                          
                         ONLY                                                                                                                                                                                                  Check if       n
          PREPARER S     USE      Firm's name                          Address                                                                                Zip Code                                                      self-employed 

61412291                                        THIS RETURN MUST BE SIGNED. (SEE REVERSE FOR MAILING INSTRUCTIONS.)                                                                                                                                                                                               NYC-202S  2022 



- 2 -
Form NYC-202S  2022                                                                                                                                                                  Page 2 
 
Name:___________________________________________________________________________ SSN: _________________________________________
    SCHEDULE B                 Computation of Total Income 
  Items of business income, gain, loss or deduction 
1.   Net profit (or loss) from business, as reported for federal tax purposes                                                                                   
     from federal Schedule C, Schedule C-EZ or Schedule F ........................................................................... 1. 
                                                                                                                                                                
2.   Other business income (or loss) (see instructions) ..................................................................................... 2.                
3.   Income taxes and unincorporated business tax paid this year and deducted on federal return ................ 3. 
4.   Total income (combine lines 1, 2 and 3) ..................................................................................................... 4. 
5.   Less: Charitable contributions (not to exceed 5% of line 4) (see instructions)...........................................   5.
6.   Balance (line 4 less line 5) .......................................................................................................................... 6.
 Business Tax Credit Computation
                                                                                        
 1.  If the amount on page 1, line 6, is $3,400 or less, your credit on line 7         3. If the amount on page 1, line 6, is over $3,400 but less than $5,400,  
     is the entire amount of tax on line 6.  (NO TAX WILL BE DUE.)                        your credit is computed by the following formula:
 2.  If the amount on page 1, line 6, is $5,400 or over, no credit is                     Amount on pg. 1, line             6  X($5,400 minus tax on line)6                 = ___________ 
     allowed. Enter “0” on line 7.                                                                                                                              $2,000            your credit
    SCHEDULE C                  The following information must be entered for this return to be complete.
1.   Nature of business or profession:  ____________________________________________________________________________________ 
2.   New York State Sales Tax ID Number: ____________________________________ 
3.   Did you file a New York City Unincorporated Business Tax Return for the following years: 
     2020:            n YES  n   NO                       2021:    n YES                  n NO 
     If “NO,” state reason:  ______________________________________________________________________________________________ 
 4.  Enter home address: __________________________________________________________________________ Zip Code: ___________ 
5.   If business terminated during the current taxable year, state date terminated. (mm-dd-yy)  ________ _______-                                                   _______-
     (Attach a statement showing disposition of business property.) 
6.   Has the Internal Revenue Service or the New York State Department of Taxation and Finance increased or decreased any taxable income 
     (loss) reported in any tax period, or are you currently being audited? ............. n YES        n                    NO 
     If "YES", by whom?        n Internal Revenue Service                                    State period(s):  Beg.:________________  End.:________________  
                                                                                                                                                               MM-DD-YY           MM-DD-YY  
                               n New York State Department of Taxation and Finance           State period(s):  Beg.:________________  End.:________________  
                                                                                                                                                               MM-DD-YY           MM-DD-YY  
7.   If “YES” to question 6: 
7a. For years prior to 1/1/15, has Form(s) NYC-115 (Report of Federal/State Change in Taxable Income) been filed? ..............n                                                 YES     n NO 
7b. For years beginning on or after 1/1/15, has an amended return(s) been filed? ..................................................................... n                          YES     n NO 
8.   Does this taxpayer pay rent greater than $200,000 for any premises in NYC in the borough of Manhattan south  
     of 96th Street for the purpose of carrying on any trade, business, profession, vocation or commercial activity?  ................. n                                         YES     n NO 
9.   If "YES", were all required Commercial Rent Tax Returns filed? ............................................................................................ n                YES     n NO 
     Please enter Employer Identification Number or Social Security Number which was used on the Commercial Rent Tax Return:___________________________

                                PREPAYMENTS CLAIMED ON    SCHEDULE         A  ,LINE        9                                   DATE                                         AMOUNT          
                             A. Payment with declaration, Form NYC-5UBTI (1)  ......................................... 
                             B. Payment with Notice of Estimated Tax Due (2) ............................................ 
                             C Payment with Notice of Estimated Tax Due (3) ............................................ 
                             D. Payment with Notice of Estimated Tax Due (4) ............................................  
                             E. Payment with extension, Form NYC-EXT ..................................................... 
                             F. Overpayment credited from preceding year  ................................................. 
                             G. TOTAL of A, B, C, D, E, F (enter on Schedule A, line 9) .................................
                                                                           MAILING INSTRUCTIONS
                            Attach copy of federal Form 1040, Schedule C, Schedule C-EZ or Schedule F.  If this is a final return, attach an entire copy of federal Form 1040.  
                            Make remittance payable to the order of NYC DEPARTMENT OF FINANCE. Payment must be made in U.S. dollars and drawn on a U.S. bank. 
                                      To receive proper credit, you must enter your correct Social Security Number on your tax return and remittance. 
                                                    The due date for the calendar year 2022 return is on or before April 18, 2023.  
                                 For fiscal years beginning in 2022, file on or before the 15th day of the fourth month following the close of the fiscal year.
           *61422291*       ALL RETURNS EXCEPT REFUND              RETURNS                REMITTANCES                                                                RETURNS CLAIMING REFUNDS 
                                                                      PAY ONLINE WITH FORM NYC-200V 
                            NYC DEPARTMENT OF FINANCE                                  AT NYC.GOV/ESERVICES                                                         NYC DEPARTMENT OF FINANCE 
                            UNINCORPORATED BUSINESS TAX                                        OR                                                                   UNINCORPORATED BUSINESS TAX 
                            P.O. BOX 5564                        Mail Payment and Form NYC-200V ONLY to:                                                            P.O. BOX 5563 
                                                                            NYC DEPARTMENT OF FINANCE 
                            BINGHAMTON, NY 13902-5564                                      P.O. BOX 3933                                                            BINGHAMTON, NY 13902-5563
  61422291                                                                      NEW YORK, NY 10008-3933






PDF file checksum: 2142144201

(Plugin #1/9.12/13.0)