Form Bca 1.35 - Computation Of Property 2015
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BCA 1.35
FORM
ALLOCATION FACTOR
INTERROGATORIES
Business Corporation Act
Secretary of State
Department of Business Services
501 S. Second St., Rm. 350
Springfield, IL 62756
217-782-6961
This form acts as a supplement to form
BCA 1.15, Statement of Correction.
__________________________ File #___________________________ Date Reviewed:__________________ Approved: ________
________ Submit in duplicate ________ Type or Print clearly in black ink ________ Do not write above this line ________
In accordance with the provisions of the Business Corporation Act of 1983, as amended, the Secretary of State herewith propounds the
following interrogatories verifying property owned and business transacted as of the applicable date.
PART I: COMPUTATION OF PROPERTY
(Gross Assets — See Notes on Page 3)
Line reference to
(a)
(b)
The information below
Schedule L of
Property
Property
is given as of
IRS Forms
wherever
located in
____________________ , _______
1120 & 1120S
located
Illinois
Month & Day
Year
Cash
1
$ ________________
$ ________________
Trade notes and accounts receivable
2a
$ ________________
$ ________________
Inventories
3
$ ________________
$ ________________
U.S. Government obligations
4
$ ________________
$ ________________
Tax-exempt securities
5
$ ________________
$ ________________
Other current assets
6
$ ________________
$ ________________
Loans to stockholders
7
$ ________________
$ ________________
Mortgage and real estate loans
8
$ ________________
$ ________________
Other investments
9
$ ________________
$ ________________
Buildings and other depreciable assets
10a
$ ________________
$ ________________
Depletable assets
11a
$ ________________
$ ________________
Land
12
$ ________________
$ ________________
Intangible assets
13a
$ ________________
$ ________________
Other assets
14
$ ________________
$ ________________
TOTAL PROPERTY
$ ________________
$ ________________
(Gross Assets)
Page 1
Printed by authority of the State of Illinois. January 2015 — 1 — C 287.7
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