Form Tc-20r - Utah Regulated Investment Company Tax Return - 2001
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1
22001
Utah State Tax Commission
210 N 1950 W, Salt Lake City Utah 84134
TC-20R
Utah Regulated Investment
Rev. 12/01
Company Tax Return
This return is for the calendar year ending Dec. 31, 2001, or fiscal year beginning
______________________ and ending _____________________.
AMENDED RETURN
Corporation name
Employer Identification Number
Address
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
3. Exclusion of net capital gain as determined in IRC Section 852(b)(2)
00
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.
Utah use tax, if $400 or less (see page 3)
00
10
11. Total tax, penalty, and interest due (add lines 8, 9 and 10)
00
11
12. Total prepayments (Schedule E, line 4)
00
12
00
13
$
13. Total remitted (if line 11 is larger than line 12, subtract line 12 from line 11)
Make check payable to: UTAH STATE TAX COMMISSION
$
14
00
14. Total refund (if line 12 is larger than line 11, subtract line 11 from line 12)
3
4
1
2
15. Check box(es) corresponding with installments that qualify for exceptions
(see “Exceptions to Penalty on Estimated Tax,” page 2)
Attach supporting documentation.
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 SSN or PTIN
self-employed
Paid
Firm's name (or yours if self-employed)
Employer Identification Number
Preparer's
Section
City
State
Preparer's complete address
ZIP code
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