Form 4590 - Business Tax Annual Return For Financial Institutions - 2009 Page 2

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4590, Page 2

FEIN or TR Number

29. Recapture of Certain Business Tax Credits from Form 4587, line 12 ...................................................................

29.

30. Total Tax Liability. Add lines 28 and 29 .............................................................................................................

30.

PART 2: PAYMENTS, REFUNDABLE CREDITS AND TAX DUE

31. Overpayment credited from prior return ..........................................................

31.

32. Estimated tax payments ..................................................................................

32.

33. Tax paid with request for extension .................................................................

33.

34. Refundable credits from Form 4574, line 25 ...................................................

34.

35. Total Payments. Add lines 31 through 34. (If not amending, then skip to line 37) ...............................................

35.

a. Payment made with the original return ................................. 36a.

AMENDED

36.

RETURN

b. Overpayment received on the original return ....................... 36b.

ONLY

c. Add lines 35 and 36a and subtract line 36b from the sum ... .................................................... 36c.

37. TAX DUE. Subtract line 35 (or line 36c, if amending) from line 30. If less than zero, leave blank .......................

37.

38. Underpaid estimate penalty and interest from Form 4582, line 38 ........................................................................

38.

% =

39. Annual return penalty (a)

(b)

plus interest of (c)

. Total ..... 39d.

40. PAYMENT DUE. If line 37 is blank, go to line 41. Otherwise, add lines 37, 38 and 39d .....................................

40.

PART 3: REFUND OR CREDIT FORWARD

41. Overpayment. Subtract lines 30, 38 and 39d from line 35 (or line 36c, if amending). If less than zero, leave

blank (see instructions)..........................................................................................................................................

41.

42. CREDIT FORWARD. Amount of overpayment on line 41 to be credited forward .................................................

42.

43. REFUND. Amount of overpayment on line 41 to be refunded ...............................................................................

43.

Taxpayer Certification.

Preparer Certification.

I declare under penalty of perjury that the information in

I declare under penalty of perjury that this

this return and attachments is true and complete to the best of my knowledge.

return is based on all information of which I have any knowledge.

Preparer’s PTIN, FEIN or SSN