Arizona Form 120s - S Corporation Income Tax Return

AZ Form 120S (2001) Page 2

Schedule A - Other Information

YYYY

A1 Date business began in Arizona or date income was rst derived from Arizona sources ______/______/______ .

A2 Address at which tax records are located for audit purposes:

_____________________________________________________________________________________________________________________

A3 The taxpayer designates the individual listed below as the person to contact to schedule an audit of this return and authorizes

the disclosure of condential information to this individual. (See instruction page 8)

Name and title ____________________________________________________________ Phone # _(_______)____________________________

A4 List prior taxable years for which a federal examination has been nalized __________________________________________________________

_____________________________________________________________________________________________________________________

NOTE: ARS § 43-327 requires the taxpayer, within ninety days after nal determination, to report these changes under separate

cover to the Arizona Department of Revenue or to le amended returns reporting these changes. (See instruction page 1)

A5 Amount of net income subject to Arizona corporate income tax for prior taxable year (2000 Form 120S, line 11) _____________________________

A6 Indicate tax accounting method:

Cash

Accrual

Other

(Specify method) ________________________________________

Schedule B - Apportionment Formula (Multistate S Corporations Only)

See instruction pages 8 and 9

NOTE: Qualifying air carriers must use Schedule ACA

B1 Property Factor

Column A

Column B

Column C

Value of real and tangible personal property (by averaging the value of

Total

Total Within

Ratio Within

owned property used at the beginning and end of the tax period; rented

Within

and

Arizona

property at capitalized value)

Arizona

Without Arizona

A ÷ B

a. Owned property (at original cost):

Inventories ............................................................................................

Depreciable assets ...............................................................................

Land......................................................................................................

Other assets - (describe) ___________________________________

Minus: Construction in progress (if included in above totals) ...............

(

)

(

)

Minus: Nonbusiness property (if included in above totals) ...................

(

)

(

)

Total of section a...................................................................................

b. Rented property (capitalize at 8 times net rental paid) .........................

c. Total owned and rented property (section a total plus section b)..........

•

B2 Payroll Factor

Total wages, salaries, commissions and other compensation to employees

(per federal Form 1120S or payroll reports) .................................................

•

B3 Sales Factor

a. Sales delivered or shipped to Arizona purchasers................................

b. Other gross receipts .............................................................................

c. Total sales and other gross receipts .....................................................

d. Double weight Arizona sales and gross receipts ..................................

X 2

e. Sales factor (for column A - multiply item c by item d; for column B -

enter amount from item c).....................................................................

•

B4 Total ratio - add B1(c), B2 and B3(e) in column C ............................................................................................................................

•

B5 Average apportionment ratio - divide B4 by four (4). Enter the result in column C and on page 1, line 7 ......................................

•

Schedule C - Shareholder Information

Prepare a schedule that lists each shareholder’s name, address, TIN, and pro rate share of income or loss.

Label the listing as “Schedule C - Shareholder Information” and attach the schedule immediately after page 2 of the Form 120S.

Certication

The following certication must be signed by one or more of the following ofcers (president, treasurer, or any other principal ofcer).

Under penalties of perjury, I (we), the undersigned ofcer(s) authorized to sign this return, declare that I (we) have examined this return, including the

accompanying schedules and statements, and to the best of my (our) knowledge and belief, it is a true, correct and complete return, made in good faith, for

the taxable year stated pursuant to the income tax laws of the State of Arizona.

___________________________________________________________________________________________________________________________________

Ofcer’s signature

Title

Date

Please

Sign

___________________________________________________________________________________________________________________________________

Here

Ofcer’s signature

Title

Date