1998
Utah State Tax Commission
210 N 1950 W, Salt Lake City Utah 84134
TC-20R
Utah Regulated Investment
Rev. 12/98
Company Tax Return
This return is for the calendar year ending Dec. 31, 1998, or fiscal year beginning
_________________, 19 _____ and ending ________________, 19 _____.
See page 2 for "
THE REASONS FOR
Check box if name or address changed.
AMENDED RETURN
AMENDING
" and enter the number in this box
Corporation name
Employer Identification Number
Address
Utah Charter Number
Telephone Number
(
)
City
State
ZIP Code
00
1. Net income (Federal form 1120-RIC, line 26)
$
1
00
2. Municipal interest as determined in IRC Section 852(b)(2)
2
00
3. Exclusion of net capital gain as determined in IRC Section 852(b)(2)
3
4. Net taxable income (add lines 1 through 3)
4
$
00
5. Deduction for capital gains dividends
(defined in IRC Sections 852 (b)(3)(c) & 852 (b)(5))
5
00
6. Exempt interest dividends (defined in IRC Sections 852 (b)(3)(c) & 852 (b)(5))
00
6
7. Total net taxable income (line 4 less lines 5 and 6)
7
$
00
8. Tax (line 7 multiplied by .05, or $100 minimum tax due, whichever is greater)
00
8
9.
Total the amounts listed below and enter on this line
9
00
$
Extension penalty
Late filing penalty
$
$
$
Interest
Late payment penalty
10. Total tax, penalty, and interest due (add lines 8 and 9)
00
10
11. Total prepayments (Schedule E, line 4)
00
11
00
$
12
12. Total remitted (if line 10 is larger than line 11, subtract line 11 from line 10)
Make check payable to: UTAH STATE TAX COMMISSION
$
13
00
13. Total refund (if line 11 is larger than line 10, subtract line 10 from line 11)
3
1
2
4
14. Check box(es) corresponding with installments that qualify for exceptions
(see Prepayment Requirements, page 1)
Official Use Only
Under penalties of perjury, I declare that to the best of my knowledge and belief, this return and
accompanying schedules are true, correct, and complete.
Signature of officer
Title
Date
Date signed
Preparer's signature
Check if
Preparer's social security no.
self-employed
Paid
Firm's name (or yours if self-employed)
E.I. number
Preparer's
Section
City
State
ZIP code
Preparer's complete address