Form Et-1 - Financial Institution Excise Tax Return - 2009 Page 2
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4090002E1
Alabama ET-1 – 2009
Page 2
SCHEDULE A – IN ACCORDANCE WITH SECTION 40-16-6, THE INFORMATION REQUESTED BELOW MUST BE PROVIDED
Department
Percentage In
Department
Municipalities In Which Business Is
Percentage In
Counties In Which Business Is Conducted
Use Only
Each County
Use Only
Conducted In Each County
Each Municipality
________%
________%
________%
________%
________%
________%
Check here
________%
________%
if no office is
________%
________%
maintained in
________%
________%
this state.
________%
________%
________%
________%
________%
________%
________%
________%
SCHEDULE B – Alabama Net Operating Loss Carryforward Calculation
Column 1
Column 2
Column 3
Column 4
Column 5
Loss Year End
Amount of Alabama
Amount used in years
Amount used
Remaining unused
MM / DD / YYYY
net operating loss
prior to this year
this year
net operating loss
•
•
•
•
•
•
•
•
•
•
•
•
Alabama net operating loss (enter here and on line 30, page 1).
SCHEDULE D – Bad Debts – Reserve Method (See Instructions)
Trade Notes And Accounts
Amount Added To Reserve
Amount
Reserve For
Year
Receivable Outstanding
Current Year’s
Charged Against
Bad Debts At
At End of Year
Provision
Recoveries
Reserve
End of Year
•
2003
•
2004
•
2005
•
2006
•
2007
•
SCHEDULE E – Taxes Deducted
SCHEDULE F – Alabama Taxes Used As Credits
2008
•
•
Franchise Taxes and Permits
Sales Taxes: Supplies, etc.
•
•
Privilege Taxes
Furniture, Fixtures
•
•
Social Security Taxes
Use Taxes
•
•
Ad Valorem Taxes
State Tax on Utilities
•
•
Other Taxes – Attach Schedule
State Tax on Telephone
•
•
TOTAL TO LINE 12, PAGE 1 . . . . . . . . . . . . . .
Other Allowable Credits
•
AFFIDAVIT
TOTAL TO LINE 33, PAGE 1 . . . . . . . . . . . . . .
•
I authorize a representative of the Department of Revenue to discuss my return and attachments with my preparer.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge and belief, they
are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Please
Sign
Here
Your signature
Date
Title or Position
Preparer’s
Date
Preparer’s Social Security No.
Paid
•
•
signature
Preparer’s
•
•
Firm’s name (or yours
E.I. No.
if self-employed)
Use Only
•
•
ZIP Code
and address
Person to contact for information
Telephone
• (
)
concerning this return . . . . . . . . . . . . . . . . . . . . . . . . Name
Number
ADOR
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