Form Ct-1120 - Corporation Business Tax Return - 2010 Page 3
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1
2
3Column A
Column B
Schedule F – Taxes
1. Payroll....................................................................................
00
2. Real property .........................................................................
00
3. Personal property ..................................................................
00
4. Sales and use ........................................................................
00
5. Other: See instructions. ........................................................
00
6. Connecticut corporation business tax deducted in the
computation of federal taxable income ..................................
00
7. Tax on or measured by income or profi ts imposed by other
states or political subdivisions deducted in the computation
of federal taxable income: Attach schedule. .........................
00
8. Total unallowable deduction for corporation business tax purposes: Add Line 6 and Line 7, Column B.
Enter here and on Schedule D, Line 3. .....................................................................................................
00
Schedule G – Additional Required Information – Attach a schedule of corporate offi cers’ names, titles, and addresses. See instructions.
1. In which CT town(s) does the corporation own or lease, as lessee, real or tangible personal property, or perform services?
_____________________________________________________________________________________________________________________________________
2. (a) Did this corporation directly or indirectly transfer a controlling interest in an entity owning CT real property?
Yes
No
___________________
If Yes, enter: Entity name
Federal Employer ID Number
_____________________________________
(b) Was there a direct or indirect transfer of a controlling interest in your company owning CT real property?
Yes
No
If Yes, enter: Transferor name
_____________________________________
Federal Employer ID Number
___________________
(c) If the answer to either 2(a) or 2(b) is Yes, enter: Transferee(s) name ___________________________________________________
Date of transfer _________________________ , and attach a list of addresses for all Connecticut realty property transferred.
3. Did any corporation at any time during the year own a majority of the voting stock of this corporation?
Yes
No
If
Yes, enter: Corporation name
Federal Employer ID Number
_______________________________________
_____________________
4. Last taxable year this corporation was audited by the Internal Revenue Service
_______________________
Were adjustments reported to CT?
Yes
No (If No, attach explanation.)
Declaration: 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, it is true, complete, and correct. I understand the penalty for willfully delivering a false return or document to the Department of
Revenue Services (DRS) is a fi ne of not more than $5,000, imprisonment for not more than fi ve 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.
Corporate offi cer’s name (print)
Date
Corporate offi cer’s signature
Telephone number
Sign Here
(
)
Title
May DRS contact the preparer shown below about this return?
Keep a
Yes
No
See instructions, Page 18.
copy
of this
Paid preparer’s name (print)
Date
return for
your
Paid preparer’s signature
Preparer’s SSN or PTIN
records.
Firm’s name and address
FEIN
Telephone number
(
)
Mail paper return with payment to:
Mail paper return without payment to:
Make check payable to:
Department of Revenue Services
Department of Revenue Services
Commissioner of Revenue Services
State of Connecticut
State of Connecticut
Attach check to return with paper clip.
PO Box 2974
PO Box 150406
Do not staple.
Hartford CT 06104-2974
Hartford CT 06115-0406
Page 3 of 3
Form CT-1120 (Rev. 12/10)
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