RETURN OF EXCISE TAX BY VENDORS OF UTILITY SERVICES 
                                                                                                                            -UXS                       FOR USE BY PERSONS (OTHER THAN A LIMITED FARE OMNIBUS COMPANY) NOT SUBJECT TO THE SUPERVISION 
                                                                                                                                                       OF THE DEPARTMENT OF PUBLIC SERVICE WHO FURNISH OR SELL UTILITY SERVICES OR OPERATE OMNIBUSES
                                                                                                                                                       Period beginning ________-_________-________                               Period ending ________-_________-________
                                                                                                            Name:                                                                                                                                                        Name              EMPLOYER 
                                                                                                                                                                                                                                                                         Change  n
                                                                                                               __________________________________________________________________________________________                                                                                  IDENTIFICATION 
                                                                                                                                                                                                                                                                                           NUMBER: 
                                                                                                            In Care of:                                                                                                                                                                    OR
                                                                                                               __________________________________________________________________________________________                                                                                   SOCIAL 
                                                                                                            Address (number and street):                                                                                                                                 Address           SECURITY 
                                                                                                                                                                                                                                                                                           NUMBER: 
                                                                                                                                                                                                                                                                         Change  n          
                                                                                                               __________________________________________________________________________________________                                                                                   
                                                                                                                                                                                                                                                                                           FEDERAL 
                                                                                                            City and State:                             Zip:                                                                                                        Country (if not US):   BUSINESS 
                                                                                                                                                                                                                                                                                           CODE: 
                                                                                             *70312391*        __________________________________________________________________________________________                                                                                   
                                                                                                            Business Telephone Number:              Taxpayer’s Email Address                                                                                                               2-CHARACTER SPECIAL CONDITION CODE                                       
                                                                                                          
                                                                                                                                                                                                                                                                                           IF APPLICABLE (SEE INSTRUCTIONS                                       ):
                                                                                                         Check type of business entity:     n Corporation      n Partnership     n Individual                                                                                                                                                                           n Amended return 
                                                                                                                                                                                                                                                                                      
                                                                                                         n      Initial return:  Date business began nn nn nnnn   -                -                                                                                                     n Final(Checkreturn:this box ifDateyou havebusinessceased operationsendedinnn nn nnnn NYC)   -    -
SCHEDULE A                                                                                               Computation of Gross Operating Income (See instructions)                                                                                                                                                                                                   Payment Amount
A.     Payment                                                                                             Amount being paid electronically with this return ..................................................  A.                                                                                                                                              
                                                                                                                                                                                                                                                                            COLUMN A  -  TAXABLE AT 1.17%                                                            COLUMN B  -  TAXABLE AT 2.35%
  t                                                                                          RECEIPTS FROM SALES AND SERVICES(without any deductions) 
                                                                                         1.  Gas ··································································································································································  1.                                                                                     1. 
                                                                                         2.  Electricity ··················································································································································  2.                                                                                             2. 
                                                                                         3.  Steam ···························································································································································  3.                                                                                          3. 
                                                                                         4.  Water      ····························································································································································  4.                                                                                    4. 
                                                                                         5.  Refrigeration  ·······································································································································  5.                                                                                                     5. 
                                                         (see instructions)              6.  Telecommunications Services              ························································································  6.                                                                                                                          6. 
                                                                                         7.  Passenger revenue (omnibus operation) ·························································   7.                                                                                                                                                           7. 
    GROSS OPERATING INCOME                                                               8.  Miscellaneous (attach schedule) ················································································   8.                                                                                                                                          8. 
  t                                                                                      9.  TOTAL GROSS OPERATING INCOME                        ····························································   9.                                                                                                                                          9. 
                                                                                 
                                                                                10.  line 9, Column A X 1.17%               ·······································································································································································································   10. 
                                                                                11.  line 9, Column B X 2.35% ·······································································································································································································   11. 
                                              t                                 12.  Add lines 10 and 11 ························································································································································································································   12. 
                                                         
                                                                                13.  Sales and use tax refunded ······································································································································································································   13. 
                                                                                14.  TOTAL TAX (Add lines 12 and 13)                     ·················································································································································································   14. 
                                                                                15a.  REAP Credit(from NYC-9.5UTX, Section I             , line 11, or Section II,(attachline 3)form) ......                                                                             15a. 
                                                                                15b. LMREAP Credit (from Form NYC-9.8UTX, Section I, line 11, or Section II, line 3)                                                                                                ...  15b. 
                                                                                15c. Credit for rebates and discounts of charges for energy users (attach schedule).      15c. 
                                                                                15d.  Previous payment            ..............................................................................................................................     15d. 
                                                                                16.  TOTAL PAYMENTS AND CREDITS (add lines 15a through 15d) ·························································································    16. 
                                                                                17.  If line 14 is larger than line 16, enter balance due                      ···································································································································    17. 
                                                                                18.  If line 14 is smaller than line 16, enter overpayment                     ····································································································································    18. 
                                                                                19.  Amount of line 18 to be applied to:                   (a) Refund   ············································································································································    19a. 
                                                                                                                                           (b) Corporation Tax, or              ·················································································································     19b. 
                                                     COMPUTATION OF AMOUNT DUE                                                             (c) Unincorporated Business Tax                                                                                                    ·········································································    19c. 
                                              t                                 20.  Interest(see instructions)             ······································································································································································································                       20. 
                                                                                21.  Penalty (see instructions)             ·····································································································································································································      21. 
                                                                                22.  TOTAL REMITTANCE DUE (line 17 plus lines 20 and 21) ···········································································································     22.
                                                                                           I hereby certify that this return, including any accompanying schedules or statements, has been examined by me, and is, to the best of my knowledge and belief, true, correct and complete.                                      Firm's Email Address: 
                                                                                t          I authorize the Dept. of Finance to discuss this return with the preparer listed below. (see instructions) .................YES   n                                                                                              __________________________________________ 
                                                                                                                                                                                                                                                                                                                                                                 Preparer's Social Security Number or PTIN
                                                                                           Signature of owner, partner  or officer of corporations      Titles                                                                                                                            Date  s
                                                                                          
                                                                                TAXPAYER  Preparer's signature s                         Preparer’s printed name s                                                                                                                        Date s               Check if self- 
                                                                                                                                                                                                                                                                                                                                                                 Firm's Employer Identification Number
                                                                                                                                                                                                                                                                                                               employed  4  
                                                                                                                                                                                                                                                                                                                
                           CERTIFICATION OF                                    t         Firm's name s                                 Address s                                                                                                                                          Zip Code s              n
70312391                                                                                                                    SEE PAGE 2 FOR MAILING AND PAYMENT INFORMATION                                                                                                                                                                                                        NYC-UXS - 2022

Form NYC-UXS                                                                                                                                                                                                                                                           Page 2

SCHEDULE B
 Enter below the names and addresses of all locations where the taxpayer conducts business covered by this return and the amount of gross operating income 
 applicable to each location.  Attach rider if additional space is needed.
             NAME                                                                                 ADDRESS                                    GROSS OPERATING 
                                                                                                                                                                                                                                                           INCOME

ADDITIONAL INFORMATION REQUIRED 

 A. State kind and nature of business__________________________________________________________________________________________________ 
 B. Telephone number (_______) ________ - __________________ 
 C. If a corporation, in what state did you incorporate? _____________________________________ 
 D. Does this return cover business at more than one location?......................n YES n NO  (IF YES, YOU MUST COMPLETE SCHEDULE B ABOVE) 
 E. The books of the taxpayer are in the care of: _________________________________________________________________________________________ 
                                Name  s                                                           Address  s                                                                                                                                             Telephone  s 
 
 F. 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  
 G. If "YES", were all required Commercial Rent Tax Returns filed? ....................................................................................................................................................................................  n YES       n NO 
    Please enter Employer Identification Number which was used on the Commercial Rent Tax Return:___________________________ 

                                MAILING INSTRUCTIONS 

 ALL RETURNS EXCEPT REFUND      RETURNS                                   REMITTANCES                                               RETURNS CLAIMING                                                                                                                  REFUNDS 
    NYC DEPARTMENT OF FINANCE   PAY ONLINE WITH FORM NYC-200V                                                                       NYC DEPARTMENT OF FINANCE 
             UTILITY TAX                                      AT NYC.GOV/ESERVICES                                                           UTILITY TAX 
     P.O. BOX 5564                                                                    OR                                                     P.O. BOX 5563 
    BINGHAMTON, NY 13902-5564   Mail Payment and Form NYC-200V ONLY to:                                                             BINGHAMTON, NY 13902-5563
                                       NYC DEPARTMENT OF FINANCE 
                                                                                    P.O. BOX 3933 
                                                              NEW YORK, NY 10008-3933

    *70322391*

    70322391

                                                                                                                     NEW YORK CITY DEPARTMENT OF FINANCE

 Instructions for Form NYC-UXS

      IMPORTANT INFORMATION CONCERNING FORM NYC-200V AND PAYMENT OF TAX DUE
   Payments may be made on the NYC Department of Finance website at            nyc.gov/eservices, or via check or money order.  If paying with 
   check or money order, do not include these payments with your New York City return.  Checks and money orders must be accompanied by 
   payment voucher form NYC-200V and sent to the address on the voucher.  Form NYC-200V must be postmarked by the return due date to 
   avoid late payment penalties and interest.  See form NYC-200V for more information.
GENERAL  INFORMATION                                                          GENERAL DEFINITIONS 
                                                                               
                                                                              1. “Gross operating income” includes (1) receipts from furnishing or sell-
HIGHLIGHTS OF LEGISLATION                                                        ing gas, electricity, steam, water or refrigeration, or furnishing or selling 
 
For tax periods beginning on or after January 1, 2009, Utility Tax re-           gas, electric, steam, water, refrigeration or telecommunications services, 
funds may be claimed up to three years from the time the return is filed         (2) receipts from omnibus services (except limited fare omnibus compa-
or two years from the time the tax is paid, the same as the period apply-        nies, see Item 3), whether or not a profit is realized, without deduction for 
ing to refunds of General Corporation Tax, Business Corporation Tax,             any cost, expense or discount paid or 3) for tax periods beginning on or 
the Unincorporated Business Tax, and the Bank Tax.  Administrative               after August 1, 2002, 84 percent of ALL charges for mobile telecommu-
Code section 11-1108(a), as amended by Chapter 201 of the Laws of                nications services to customers where the place of primary use of the cus-
2009, section 35.                                                                tomer is in the City.  Such receipts are deemed to be derived from business 
                                                                                 conducted wholly within the City. See, Ad. Code §11-1102(c) as amended.  
Beginning January 1, 2006, metered sales of energy to tenants of cer-            For this purpose, "place of primary use" has the same meaning as in the 
tain cooperative housing corporations are exempted from the City util-           Federal Mobile Telecommunications Sourcing Act of 2000.  See, Ad. Code 
ity tax.  The exemption applies to cooperative corporations with at least        §11-1101(20) as amended.  For tax periods beginning on or after August 
1,500 apartments that own or operate a cogeneration facility that was in         1, 2002, “Gross operating income” does not include the taxpayer’s dis-
place before January 1, 2004 (or that replaces such a facility), and that        tributive share, if any, of income gains, losses and deductions from any 
make metered sales of the energy produced for the development’s ten-             partnership subject to the NYC Utility Tax as a utility or vendor of utility 
ants or occupants.  See Ad. Code §§11-1101.25, 11-1101.26 and 11-                services, including its share of separately reported items.  Ad. Code §11-
1102(g).  A return must still be filed by the cooperative corporation using      1102(f)(2). (See “Vendor of utility services” defined below.) 
                                                                               
a tax rate of zero. 
                                                                              2. “Vendor of Utility Services”  Every  person (1) not subject to the 
 
                                                                                 supervision of the New York State Department of Public Service who 
For information concerning the Relocation Employment Assistance Program 
                                                                                 furnishes or sells gas, electricity, steam, water or refrigeration or fur-
(REAP) see the Department of Finance website at: 
                                                                                 nishes or sells gas, electric, steam, water, refrigeration or telecommuni-
   http://www1.nyc.gov/site/finance/benefits/business-reap.page 
                                                                                 cations services, or (2) who operates omnibuses (including school 
 
                                                                                 buses), whether or not the operation is on the public streets and re-
Effective for tax periods beginning on and after August 1, 2002, entities 
                                                                                 gardless of whether the furnishing, selling or operation constitutes the 
that receive eighty percent or more of their gross receipts from charges 
                                                                                 main activity of the person.  Effective for tax periods beginning on and 
for the provision of mobile telecommunications services to customers 
                                                                                 after August 1, 2002, entities that receive eighty percent or more of 
will be taxed as if they were regulated utilities for purposes of the New 
                                                                                 their gross receipts from charges for the provision of mobile telecom-
York City Utility Tax, General Corporation Tax, Business Corporation 
                                                                                 munications services to customers will be taxed as if they were sub-
Tax, Banking Corporation Tax and Unincorporated Business Tax.  Thus, 
                                                                                 ject to the supervision of the Department of Public Service of the State 
such entities will be subject to only the New York City Utility Tax.  The 
                                                                                 of New York and will NOT be considered vendors of utility services.  
amount of gross income subject to tax has been amended to conform to           
the Federal Mobile Telecommunications Sourcing Act of 2000.  In ad-           3. “Limited Fare Omnibus Companies”        Omnibus companies fran-
dition, if any such entity is a partnership, its partners will not be subject    chised by the City whose principal source of revenue is from trans-
to the New York City Utility Tax on their distributive share of the in-          porting passengers daily within the City over fixed routes at fares no 
come of any such entity.  Finally, for tax years beginning on and after Au-      higher than those charged by the New York City Transit Authority.  
gust 1, 2002, partners in any such entity will not be subject to General         Limited fare omnibus companies are required to file NYC-UXRB. 
Corporation Tax, Business Corporation Tax, Banking Corporation Tax             
or Unincorporated Business Tax on their distributive share of the income      Line 13 - Sales and Compensating Use Tax Refunds 
of any such entity.  Laws of New York of 2002, Chapter 93, Part C and         If you received a refund in the current period of any sales and use taxes 
Laws of New York of 2015, Chapter 60, Part D.                                 for which you claimed a credit in a prior period, enter the amount of such 
                                                                              refund on line 13. 
NOTE: There have been substantial changes to the Energy Cost Savings           
Program.  For information, call 311 or, if outside New York City, 212-        Line 15a - Credits from form NYC-9.5UTX 
NEW-YORK (212-639-9675).                                                      Enter on this line the credit against the Utility Tax for the relocation and 
                                                                              employment assistance program.  (Attach Form NYC-9.5UTX.) 
Taxpayers first becoming subject to the utility tax must file monthly re-      
turns for every month of the calendar year in which they first become         Line 15b - Credits from form NYC-9.8UTX 
subject to tax.                                                               Enter on this line the credit against the Utility Tax for the new Lower 
                                                                              Manhattan relocation and employment assistance program.  (Attach Form 
Special Condition Codes                                                       NYC-9.8.UTX.) 
Check the Finance website for applicable special condition codes. If ap-       
plicable, enter the two character code in the box provided on the form.       IMPOSITION/BASIS/RATE OF TAX 
                                                                              The tax is imposed on every vendor of utility services for the privilege of 

Form NYC-UXS                                                                                                                                                                               Page 2

exercising a franchise or franchises, holding property or doing business                                               Preparer Authorization:  If you want to allow the Department of Fi-
in New York City.                                                                                                      nance to discuss your return with the paid preparer who signed it, you 
                                                                                                                       must check the "yes" box in the signature area of the return. This author-
A vendor of utility services is taxable on gross operating income as de-                                               ization applies only to the individual whose signature appears in the "Pre-
fined above.  The following chart provides the rates.                                                                  parer's Use Only" section of your return.  It does not apply to the firm, if 
                                                                                                                       any, shown in that section.  By checking the "Yes" box, you are author-
   ___________________________________________________CLASS t RATE  t                                                  izing the Department of Finance to call the preparer to answer any ques-
                                                                                                                       tions that may arise during the processing of your return.  Also, you are 
 l  Vendors of utility services other than                                                                             authorizing the preparer to: 
   omnibus operators...................................................................2.35% of gross operating income  
 l Omnibus operators not subject to                                                                                    l   Give the Department any information missing from your return, 
   Department of Public Service supervision ...............1.17% of gross operating income                              
                                                                                                                       l   Call the Department for information about the processing of your 
                                                                                                                           return or the status of your refund or payment(s), and 
                                                                                                                        
INTEREST                                                                                                               l   Respond to certain notices that you have shared with the preparer 
If the tax is not paid on or before the due date, interest must be paid on                                                 about math errors, offsets, and return preparation.  The notices will 
the amount of the underpayment from the due date to the date paid.  For                                                    not be sent to the preparer. 
information as to the applicable rate of interest visit the Finance website                                             
at nyc.gov/finance or call 311.  Interest amounting to less than $1 need                                               You are not authorizing the preparer to receive any refund check, bind 
not be paid.                                                                                                           you to anything (including any additional tax liability), or otherwise rep-
                                                                                                                       resent you before the Department.  The authorization cannot be revoked, 
PENALTIES                                                                                                              however, the authorization will automatically expire twelve (12) months 
a) A late filing penalty is assessed if you fail to file this form when                                                after the due date (without regard to any extensions) for filing this return.  
   due, unless the failure is due to reasonable cause.  For every month                                                Failure to check the box will be deemed a denial of authority. 
   or partial month that this form is late, add to the tax (less any pay-                                               
   ments made on or before the due date) 5%, up to a total of 25%.                                                     MAILING INSTRUCTIONS 
                                                                                                                        
b) If this form is filed more than 60 days late, the above late filing                                                 All returns, except refund returns: 
   penalty cannot be less than the lesser of (1) $100 or (2) 100% of the                                                
   amount required to be shown on the form (less any payments made                                                     NYC Department of Finance  
   by the due date or credits claimed on the return).                                                                  Utility Tax 
                                                                                                                       P.O. Box 5564 
c) A late payment penalty is assessed if you fail to pay the tax shown on                                              Binghamton, NY 13902-5564 
   this form by the prescribed filing date, unless the failure is due to rea-                                           
   sonable cause.  For every month or partial month that your payment is                                               Remittances - Pay online with Form NYC-200V at          nyc.gov/eser-
   late, add to the tax (less any payments made) 1/2%, up to a total of 25%.                                           vices, or Mail payment and Form NYC-200V only to: 
                                                                                                                        
d) The total of the additional charges in  and  a                                      maycnot exceed 5%               NYC Department of Finance 
   for any one month except as provided for in   b.                                                                    P.O. Box 3933 
                                                                                                                       New York, NY  10008-3933 
e) Additional penalties may be imposed on any underpayment of the tax.                                                  
                                                                                                                       Returns claiming refunds: 
If you claim not to be liable for these additional charges, attach a state-                                             
ment to your return explaining the delay in filing, payment or both.                                                   NYC Department of Finance  
                                                                                                                       Utility Tax 
FILING A RETURN AND PAYMENT OF TAX                                                                                     P.O. Box 5563 
Returns are due on or before the 25th day of each month, if filing on a                                                Binghamton, NY 13902-5563 
monthly basis, covering gross operating income for the preceding calen-                                                           
dar month. However, if the tax liability is less than $100,000 for the pre-                                                       
ceding calendar year, determined on an annual or annualized basis, returns                                             T O AVOID THE IMPOSITION   OF PENALTIES, your amount of the tax due must be 
are due for the current tax year on a semi-annual basis on or before July                                              paid in full and this return must be filed and postmarked within 25 days 
25th and January 25th covering a six-month tax period of January-June                                                  after the end of the period covered by the return.
and July-December, respectively.   
 
Payment must be made in U.S. dollars, drawn on a U.S. bank.  Checks 
drawn on foreign banks will be rejected and returned.  Make remittance 
payable to the order of:  NYC DEPARTMENT OF FINANCE. 
 
SIGNATURE 
This report must be signed by an officer authorized to certify that the 
statements contained herein are true.  If the taxpayer is a partnership or 
another unincorporated entity, this return must be signed by a person duly 
authorized to act on behalf of the taxpayer.  
 
For further information, call 311.  If calling from outside the five bor-
oughs, call 212-NEW-YORK (212-639-9675).