Arizona Form 120x Draft - Arizona Amended Corporation Income Tax Return

Name:

EIN:

AZ Form 120X (2010)

Page 2 of 2

Schedule C - Apportionment Formula (Multistate Corporations Only)

See instructions, pages 5 and 6.

NOTE: Qualifying air carriers must use Schedule ACA

C1 Property Factor

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

Column A

Column B

Column C

Total Within Arizona

Total Everywhere

Ratio Within

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

Round to the

Arizona

property at capitalized value)

A ÷ B

Nearest Dollar

a. Owned property (at original cost):

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

Depreciable assets - (do not include Construction in Progress) ..............

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

Other assets - (describe)

Less: 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) .............

•

C2 Payroll Factor

Total wages, salaries, commissions and other compensation to

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

•

C3 Sales Factor

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

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

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

d. Weight Arizona sales - (STANDARD uses X 2; ENHANCED uses X 8) ..........

X 2

X 8

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

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

•

C4 Total ratio - add C1(c), C2, and C3(e), in column C .............................................................................................................................

•

C5 Average apportionment ratio - divide C4, column C, by the denominator (STANDARD divides by four (4);

ENHANCED divides by ten (10)). Enter the result in column C, and on page 1, line 9(c) ....................................................................

•

Schedule D - Schedule of Payments (List payment date and amount).

Payment with original return

Payment after original return ﬁ led

Total - add lines 1, 2 and 3

Schedule E - Explanation of Changes (See instructions, page 6).

Certiﬁ cation

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

Under penalties of perjury, I (we), the undersigned ofﬁ 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.

Please

Ofﬁ cer’s signature

Date

Title

Sign

Here

Ofﬁ cer’s signature

Date

Title

Paid

Preparer’s