Form F-1120x - Amended Florida Corporate Income/franchise And Emergency Excise Tax Return 2001
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1
2F-1120X
R. 01/01
Amended Florida Corporate Income/Franchise
and Emergency Excise Tax Return
Corporate Income Tax is imposed by section 220.11, Florida Statutes.
Use black ink. Example A - Handwritten Example B - Typed
Reason for amended return:
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
0123456789
Amended federal return (attach copy)
Name __________________________________
IRS audit adjustment (attach copy)
FEIN
Address ________________________________
Date of Revenue
M M D D Y Y
For tax year:
Agent Report (RAR)
Beginning
Ending
_______________________________________
Other adjustment
M M D D Y Y
M M D D Y Y
City/State/ZIP ____________________________
Type of return being amended:
Date last return filed:
M M D D Y Y
F-1120
F-1120A
F-1120X
Fill in applicable items and
B.
Part I
use Part II to explain any
A.
Correct amount
changes.
As originally reported or as adjusted
(Attach amended schedules)
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
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,
.
income
8. Non-business income allocated to
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Florida
9. Florida exemption
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10. Florida net income
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,
.
(Line 7 plus Line 8 minus Line 9)
F-1120X
(Continued on reverse side)
***DO NOT DETACH COUPON***
F-1120X
R. 01/01
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
F-1120X
,
,
Name
Total Refund
Address
From Line 23
City/St/ZIP
FEIN
Enter FEIN if not pre-addressed
9999090999999990000200504907099999999990999909
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