Arizona Form 120 - Arizona Corporation Income Tax Return - 2004

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Arizona Corporation Income Tax Return
ARIZONA FORM
2004
120
MM
MM
DD
DD
YYYY
YYYY
MM
MM
DD
DD
YYYY
YYYY
For taxable year beginning ______/______/________, and ending ______/______/________
CHECK ONE:
Mail to: Arizona Department of Revenue, PO Box 29079, Phoenix AZ 85038-9079
Calendar year
Fiscal year
Business telephone number
Name
Employer identifi cation number (EIN)
Please
AZ withholding tax number
(
)
Number and street or PO Box
Type
Business activity code number
or
(from federal Form 1120)
AZ transaction privilege tax number
City, or town, state, and ZIP code
Print
FOR DOR USE ONLY
68
Check box if:
This is a fi rst return
Name change
Address change
A
Is FEDERAL return fi led on a consolidated basis?
Yes
No
If yes, list EIN of common parent from consolidated return
B
ARIZONA fi ling method: (Check only one) See instruction pages 2-3
1
Separate company
2
Combined (unitary group)
3
Consolidated
C
If ARIZONA fi ling method is combined or consolidated, see Form 51 instructions
Are there any additions or deletions on Form 51?
Yes
No
D
Is this the corporation’s fi nal ARIZONA return?
Yes
No
81
66
If yes, check one:
Dissolved
Withdrawn
Merged/Reorganized
CHECK BOX IF:
F
82
82
List EIN of the sucessor corporation, if any
Federal extension used to fi le return.
1 Taxable income - per attached federal return ..................................................................................................................................
1
00
2 Additions to taxable income - from page 2, Schedule A, line A13....................................................................................................
2
00
3 Total taxable income - add lines 1 and 2 .........................................................................................................................................
3
00
4 Subtractions from taxable income - from page 2, Schedule B, line B13..........................................................................................
4
00
5 Adjusted income - subtract line 4 from line 3. WHOLLY ARIZONA CORPORATIONS GO TO LINE 13 .........................................
5
00
6 Arizona adjusted income - from line 5. MULTISTATE CORPORATIONS ONLY .............................................................................
6
00
7 Nonapportionable or allocable amounts - from page 3, Schedule D, line D8. Multistate corporations only ....................................
7
00
8 Adjusted business income - subtract line 7 from line 6. Multistate corporations only......................................................................
8
00
.
9 Arizona apportionment ratio - from Schedule C or Schedule ACA .....................................
9
10 Adjusted business income apportioned to Arizona - line 8 multiplied by line 9. Multistate corporations only..................................
10
00
11 Other income allocated to Arizona - from page 3, Schedule E, line E7. Multistate corporations only .............................................
11
00
12 Adjusted income attributable to Arizona - add lines 10 and 11. Multistate corporations only ..........................................................
12
00
13 Arizona income before NOL - from line 5 or line 12.........................................................................................................................
13
00
14 Arizona basis net operating loss carryover - attach computation schedule.....................................................................................
14
00
15 Arizona taxable income - subtract line 14 from line 13 ....................................................................................................................
15
00
16 Enter tax. Tax is 6.968 percent of line 15 or fi fty dollars ($50), whichever is greater...............................................................
16
00
17 Tax from recapture of tax credits - from Form 300, Part II, line 25 ..................................................................................................
17
00
18 Subtotal - add lines 16 and 17 .........................................................................................................................................................
18
00
19 Clean Elections Fund Tax Reduction. Check this box to send $5 to the fund and reduce the tax (line 18) by $5.
Enter the amount of the tax reduction................................................................................................................................
A
19
00
19
20 Nonrefundable tax credits - from Arizona Form 300, Part II, line 48................................................................................................
20
00
21 Credit type - enter form number for each nonrefundable credit claimed .. 21
3
3
3
3
22 Tax liability - subtract the sum of lines 19 and 20 from line 18 ........................................................................................................
22
00
23 Clean Elections Fund Tax Credit. SEE INSTRUCTIONS BEFORE COMPLETING THIS LINE......................................................
23
00
24 Tax liability after Clean Elections Fund tax credit - subtract line 23 from line 22 .............................................................................
24
00
25 Refundable tax credits - see instructions..........................................................................................
25
00
26 Credit type - enter form number for each refundable credit claimed ..... 26
3
3
27 Retroactive consolidation tax payment credit - see instructions .......................................................
27
00
28 Extension payment made with Form 120EXT - see instructions ......................................................
28
00
29 Estimated tax payments - see instructions .......................................................................................
29
00
30 Total payments - see instructions ....................................................................................................................................................
30
00
31 Balance of tax due - If line 24 is larger than line 30, enter balance of tax due. Skip line 32............................................................
31
00
32 Overpayment of tax - If line 30 is larger than line 24, enter overpayment of tax .............................................................................
32
00
33 Penalty and interest .........................................................................................................................................................................
33
00
34 Estimated tax underpayment penalty. If Form 220 is attached, check box........................................................................
A
34
00
34
35 Donation to Citizens Clean Elections Fund - see instructions .........................................................................................................
35
00
36 TOTAL DUE - payment must accompany return .............................................................................................................................
36
00
37 OVERPAYMENT - see instructions .................................................................................................................................................
37
00
38 Amount of line 37 to be applied to 2005 estimated tax .....................................................................
38
00
39 Amount to be refunded - subtract line 38 from line 37 .....................................................................................................................
39
00
ADOR 91-0024 (04)

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