Form F-1120x - Amended Florida Corporate Income/franchise And Emergency Excise Tax Return 2003
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1
2F-1120X
Amended Florida Corporate Income/Franchise
R. 01/03
and Emergency Excise Tax Return
Use black ink. Example A - Handwritten Example B - Typed
Reason for amended return:
Name
0123456789
0 0 0 0 0 1 1 1 1 1
2 2 2 2 2 3 3 3 3 3 4 4 4 4 4 5 5 5 5 5 6 6 6 6 6 7 7 7 7 7 8 8 8 8 8 9 9 9 9 9
Amended federal return (attach copy)
IRS audit adjustment (attach copy)
FEIN
Date of Revenue
Formerly known as (if applicable)
M M D D Y Y
Agent Report
For tax year:
Beginning
Ending
(RAR)
Other adjustment
M M D D Y Y
M M D D Y Y
Address
Type of return being amended:
Date last return filed:
M M D D Y Y
F-1120
F-1120A
F-1120X
City/State/ZIP
B.
A.
Fill in applicable items
Part I
and use Part II to explain
Correct amount
As originally reported or as adjusted
(Attach amended schedules)
any changes.
1. Federal taxable income
,
,
,
.
,
,
,
.
2. State income taxes deducted in
,
,
,
.
,
,
,
.
computing federal taxable income
3. Additions to federal taxable income
,
,
,
.
,
,
,
.
4. Total of Lines 1 through 3
,
,
,
.
,
,
,
.
5. Subtractions from federal taxable
,
,
,
.
,
,
,
.
income
6. Adjusted federal income
,
,
,
.
,
,
,
.
(Line 4 minus Line 5)
7. Florida portion of adjusted federal
,
,
,
.
,
,
,
.
income
8. Nonbusiness income allocated to
,
,
,
.
,
,
,
.
Florida
9. Florida exemption
F-1120X
,
,
,
.
,
,
,
.
10. Florida net income
,
,
,
.
,
,
,
.
(Line 7 plus Line 8 minus Line 9)
(Continued on reverse side)
***DO NOT DETACH COUPON***
F-1120X
R. 01/03
Florida Department of Revenue
Amended Florida Corporate Income/Franchise
and Emergency Excise Tax Return
YEAR
M M D D Y Y
US DOLLARS
CENTS
ENDING
,
,
Total amount due
Check here if you transmitted funds electronically
from Line 20
,
,
Total credit
from Line 21
,
,
Name
Total refund
Address
from Line 23
City/St/ZIP
FEIN
Enter FEIN if not pre-addressed
F-1120X
9999090999999990000200504907099999999990999909
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