Form Ct-1120 - Corporation Business Tax Return 2001 Page 2

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– – – – – COMPUTATION OF MINIMUM TAX BASE
SCHEDULE D
COLUMN A
COLUMN B
COLUMN C
(See instructions)
BEGINNING OF YEAR
END OF YEAR
(COLUMN A plus
1. Capital stock (Federal Schedule L, Lines 22a and 22b) ...........................................
COLUMN B)
2. Surplus and undivided profits (Federal Schedule L, Lines 23, 24, and 25) ............
DIVIDED BY 2
3. Surplus reserves (Attach schedule) ........................................................................
4. Total (Add Lines 1, 2, and 3). Enter average in Column C ......................................
5. Holdings of stock of private corporations ( Schedule E ). Enter average in Column C
6. Balance (Subtract Line 5, Column C from Line 4, Column C). Enter here and on Schedule B , Line 1 ...............................................
SCHEDULE E
– – – – – HOLDINGS OF STOCK
NAME OF CORPORATION
BEGINNING OF YEAR
END OF YEAR
AMOUNT
AMOUNT
TREASURY STOCK
TOTAL (Enter here and on Schedule D , Line 5) ................................................................................................
SCHEDULE F
– – – – – TAXES
COLUMN A
COLUMN B
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1. Payroll
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
2. Real property
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
3. Personal property
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
4. Sales and use
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
5. Other (See instructions)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
6. Connecticut corporation business
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
(deducted in the computation of Federal Taxable Income)
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
7. Tax on or measured by income or profits imposed by other states or political subdivisions
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
(deducted in the computation of Federal Taxable Income). ATTACH SCHEDULE
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6 7
8. Total unallowable deduction for corporation business tax purposes
(Add Line 6 and Line 7, Column B. Enter here and on front, Computation of Net Income , Line 3.) ...................................................
SCHEDULE G
– – – – – ADDITIONAL REQUIRED INFORMATION
Name of Officer
Home Address
Title
1. Is the principal place of business located in Connecticut?
Yes
No
If “No,” enter state where principal place of business is
located ____________________________State of incorporation ______ Date of organization _____________
Date qualified in Connecticut _______________ Date business began in Connecticut________________
2. In which Connecticut towns does the corporation own or lease (as lessee) real or tangible personal property, or perform services?
_________________________________________________________________________________________
3. (a.) Did this corporation transfer a controlling interest in an entity owning Connecticut real property?
Yes
No
If “Yes,” enter: Entity Name _ _ _ _ _ _ _ _ _ _ _ ______________________________ Federal Employer ID Number ___________________________
(b.) Was there a transfer of a controlling interest in your company owning Connecticut real property ?
Yes
No
If “Yes,” enter: Transferor Name
_ _ _ _ _ _ _ _ ___________________________ Federal Employer ID Number ___________________________
4. Did any corporation at any time during the year own a majority of the voting stock of this corporation?
Yes
No
If “Yes,” enter the name of such corporation: _____________________________ Federal Employer ID Number ____________________________
5. Last taxable year this corporation was audited by the Internal Revenue Service
_ _ _ _ _ ______________
Were adjustments reported to Connecticut?
Yes
No
(If “No,” attach explanation.)
6. Is this corporation exempt from Connecticut corporation business tax?
Yes
(If “Yes” attach explanation of exemption including statutory cite)
I declare under penalty of law that I have examined this return (including any accompanying schedules and statements) and, to the best of my knowledge and belief,
DECLARATION:
it is true, complete, and correct. I understand that the penalty for willfully delivering a false return to DRS is a fine of not more than $5,000, or imprisonment for
not more than five years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the preparer has any knowledge.
Signature of Corporate Officer
Date
May DRS contact the preparer
SIGN HERE
shown below about this return?
Title
Telephone Number
Yes
No
Keep a
(
)
(See instructions, Page 16)
copy
Paid Preparer’s Signature
Date
Preparer’s SSN or PTIN
of this
return for
your records
Firm’s Name and Address
FEIN
Telephone Number
(
)
Form CT-1120 Back (Rev. 12/01)

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