STATE OF CONNECTICUT
DEPARTMENT OF REVENUE SERVICES
(Rev. 12/98)
ENTER INCOME YEAR
BEGINNING __________________, 1998 AND
ENDING _________________, 19 ___
CT TAX REGISTRATION NUMBER
Total Assets
L
Corporation Name
A
B
Gross Receipts
E
Number and Street
DATE RECEIVED (For Dept. Use Only)
L
Federal Business Activity Code
H
City or Town
State
ZIP Code
FEDERAL EMPLOYER ID NUMBER
E
R
Audited By
F
O
E
CHANGE OF:
Mailing Address
Closing Month
RETURN STATUS:
Initial Return
Final Return
Short Period
IF THIS IS A SHORT PERIOD, PLEASE CHECK CORRESPONDING BOX:
Merger
Acquisition
Change of Filing Status
IF THIS IS A FINAL RETURN, HAS THE CORPORATION:
DISSOLVED
WITHDRAWN
MERGED / REORGANIZED (Enter survivor’s CT Tax Registration Number)____________________________
State of incorporation _____ Date of organization _____________ Date qualified in CT _____________ Date business began in CT_______________
DOES THIS RETURN INCLUDE THE ASSETS, LIABILITIES AND ITEMS OF INCOME, DEDUCTION AND CREDIT OF A SUBSIDIARY THAT IS A
QUALIFIED SUBCHAPTER S SUBSIDIARY (QSSS)? ..................................................................................................
Yes
N o
If yes, please indicate how many QSSSs are included in this return
________________ and attach a copy of the federal QSSS election form and a
schedule listing the name and Connecticut Tax Registration Numbers of each .
Yes
N o
Was this company included in a Connecticut Combined Corporation Business Tax Return for any prior year? .............
1. Federal ordinary income (loss) (Federal Form 1120S, Line 21) ...........................................................
1
2. Unallowable deduction for corporation tax (Schedule F, Line 8) .........................................................
2
3. Net Income: (Add Line 1 and Line 2) ...................................................................................................
3
1. Net Income (Line 3 above) (If 100% Connecticut, also enter on Schedule A, Line 3) ...........................
1
2. Apportionment fraction (Carry to six places. See instructions.) .........................................................
2
0.
3. Connecticut net income (Multiply Line 1 by Line 2) ..............................................................................
3
4. Operating loss carryover (Form CT-1120/CT-1120S ATT, Schedule H, Line 6) ....................................
4
5. Connecticut S corporation net income or loss (Subtract Line 4 from Line 3) ........................................
5
6. Connecticut S corporation net income subject to tax: Multiply Line 5 by 75% (.75) .............................
6
7. TAX: Multiply Line 6 by 9.50% (.095) .................................................................................................
7
1. Minimum tax base (Schedule D, Line 6, Column C) (If 100% Connecticut, enter on Line 3) ...................
1
2. Apportionment fraction (Carry to six places. See instructions.) .........................................................
2
0.
3. Multiply Line 1 by Line 2 .....................................................................................................................
3
4. Number of months covered by this return ..........................................................................................
4
5. Multiply Line 3 by Line 4, then divide by 12 .........................................................................................
5
6. TAX: (3 and 1/10 mills per dollar. Multiply Line 5 by .0031) (Maximum tax for Sch. B is $1,000,000) ....
6
1. Tax (Larger of Schedule A, Line 7, or Schedule B, Line 6 or $250) .....................................................
1
2. Tax Credits (Form CT-1120SK, Part III, Line 13, Column B) ..................................................................
2
3. Balance of tax payable (Subtract Line 2 from Line 1. If zero or less, enter -0-) ..................................
3
1 2 3 4 5 6 7
1 2 3 4 5 6 7
1 2 3 4 5 6 7
(a) Paid with application for extension, Form CT-1120S EXT ......
4a
1 2 3 4 5 6 7
4.
1 2 3 4 5 6 7
TAX
1 2 3 4 5 6 7
(b) Paid with estimates (Forms CT-1120 ESA, ESB, ESC & ESD)
4b
1 2 3 4 5 6 7
1 2 3 4 5 6 7
PAYMENTS
(c) Overpayment from prior year ..................................................
4c
4
5. Balance of tax due (overpaid) (Subtract Line 4 from Line 3) ...............................................................
5
6. Add: Penalty
(6a) ___________ Interest
(6b) _________ CT-1120I Interest
(6c) _______
6
7. Amount to be: credited to 1999 estimated tax
(7a) _______________ refunded
(7b) _______
7
8. Balance due with this return (Add Line 5 and Line 6) ...................................................................
8
Make check payable to: COMMISSIONER OF REVENUE SERVICES. Write the S corporation’s Connecticut Tax Registration Number
and “1998 Form CT-1120S” on the check. Attach check to return with paper clip. DO NOT STAPLE.
Mail to:
STATE OF CONNECTICUT
Department of Revenue Services
Attach a complete copy of federal Form 1120S including
PO Box 150406
all schedules as filed with the Internal Revenue Service
Hartford CT 06115-0406
Check if you do not want a booklet sent to you next year. Checking this box does not relieve you of your responsibility to file.