Form A-213 - Corporation Schedule A - Petition For Compromise Of Delinquent Taxes

ADVERTISEMENT

CORPORATION SCHEDULE A
Wisconsin Department of Revenue
PETITION FOR COMPROMISE OF DELINQUENT TAXES
To be submitted in duplicate with Form A-212
1. Statement of Income - Corporation
IMPORTANT: If a corporation submits offer in compromise, furnish information requested below from income tax returns, as adjusted, for past 2 years and from records for current year from January 1
to date.
1A. GROSS INCOME
Year ______________
Year _______________
JAN 1 TO
(1) GROSS SALES OR RECEIPTS( less returns & allowances )
$
$
$
(2) COST OF GOODS SOLD
(3) GROSS PROFIT-TRADING OR MANUFACTURING
(4) GROSS PROFIT-FROM OTHER SOURCES
(5) INTEREST INCOME
(6) RENTS AND ROYALTIES
(7) GAINS & LOSSES
(8) DIVIDENDS
(9) OTHER INCOME (Specify)
(10)
Total Income
$
$
$
1B. DEDUCTIONS
(1) COMPENSATION OF OFFICERS
$
$
$
(2) SALARIES & WAGES (Not deducted elsewhere)
(3) RENTS
(4) REPAIRS
(5) BAD DEBTS
(6) INTEREST
(7) TAXES
(8) LOSSES
(9) DIVIDENDS
(10) DEPRECIATION AND DEPLETION
(11) CONTRIBUTIONS
(12) ADVERTISING
(13) OTHER DEDUCTIONS (Specify)
(14)
Total Deductions
$
$
$
1C
Net Income (Loss)
$
$
$
1D
Nontaxable Income
$
$
$
1E
Unallowable Deductions
$
$
$
2. Salaries paid to principal officers and dividends distributed - Corporation
IMPORTANT: If corporation submits offer in compromise, show SALARIES paid to principal officers FOR PAST 3 YEARS and AMOUNTS DISTRIBUTED in dividends, if any, DURING AND SINCE
THE TAXABLE YEARS COVERED BY THIS OFFER.
2A. SALARIES PAID TO (Name and Title)
Year ______________
Year _______________
Year _______________
PRESIDENT
(1)
$
$
$
VICE PRESIDENT
(2)
TREASURER
(3)
(4)
(5)
Total
$
$
$
2B.YEAR ________
YEAR __________
DIVIDEND PAID
DIVIDEND PAID
YEAR ___________
DIVIDEND PAID
(1)
(1)
$
(1)
(2)
(2)
(2)
(3)
(3)
(3)
(4)
(4)
(4)
(5)
(5)
(5)
(6) Total
(6) Total
$
$
(6)
Total
$
3. Is this corporation in process of liquidation?
4. List principal officers from the beginning of the taxable period covered by this compromise to the present time. Show the period each person was an officer of this corporation.
% OF TOTAL COMMON
FULL NAME
SOC. SEC. NO
TITLE
YEARS THIS TITLE HELD
SHARES HELD
A-213

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go