Form 1350 - Corporate Income Tax Declaration For Electronic Filing

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1350
1350
STATE OF SOUTH CAROLINA
SC8453C
DEPARTMENT OF REVENUE
CORPORATE INCOME TAX
(Rev. 7/22/09)
3415
DECLARATION FOR ELECTRONIC FILING
Part 1: Corporation and Tax Return Information
Corporation Name
FEIN
1
00
1. Federal taxable income
Check form filed:
SC1120, line 1;
SC1120S, line 1
D
2
2. SC Corporate Income Tax (SC1120, line 7; SC1120S, line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
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3. Total Payments and Refundable Credits (SC1120, line 15, SC1120S line 9). . . . . . . . . . . . . . . . . . . . . . .
3
00
Part 2: Declaration of Taxpayer/Corporate Officer
N
O
Under penalties of perjury, I declare I am an officer of the above corporation and to the best of my knowledge and belief,
T
the information on this South Carolina Corporate Income Tax Return is true, correct, and complete.
If I have filed a balance due return, I understand that if the SC Department of Revenue does not receive full and timely
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payment of the tax liability, I will remain liable for the tax liability and all applicable interest and penalties.
A
I
I declare that I have compared the information on the corporate return with the information provided to the electronic
return originator (ERO) and the amount agrees with the amounts on the South Carolina corporate tax return. To the best
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of my knowledge, the return is true and complete. I consent that the return and accompanying schedules and statements
be sent to the Internal Revenue Service (IRS) by the ERO, and subsequently by the IRS to the SC Department of
Revenue.
Signature
Date
Sign
K
Here
Title
Paid Preparer Authorization:*
Check here if the Department of Revenue may
E
discuss the return with the preparer shown below.
E
Part 3: Declaration of Electronic Return Originator (ERO)/Paid Preparer
P
Under penalties of perjury, I declare that I have reviewed the above corporation’s return and to the best of my knowledge
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and belief, the information on this South Carolina Corporate Income Tax Return is true, correct, and complete.
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I declare that I have received the above taxpayer’s return and the entries on this form are complete and correct to the best
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of my knowledge. I have obtained the corporate officer’s signature on this form before submitting the return to the SC
Department of Revenue. I have provided the taxpayer with a copy of all forms and information to be filed with the SC
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Department of Revenue, and have followed all IRS requirements specified by the IRS and SC Department of Revenue. If
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I am the preparer, I declare that I have examined the above taxpayer’s return and accompanying schedules and
statements, and to the best of my knowledge, they are true and complete. This declaration is based on all information of
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which I have knowledge.
R
Date
Check if
Check if
PTIN or FEIN
ERO
ERO's
also paid
self-
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signature
preparer
employed
Use
E
Firm name (or
Only
yours if self-employed)
C
PTIN or FEIN
Date
Check if
Preparer
O
Paid
self-
signature
Preparer's
employed
R
Use
Firm name (or
D
yours if self-employed)
Only
ZIP code
and address
S
34151027

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