Arizona Form 120a - Arizona Corporation Income Tax Return (Short Form)

Form 120A (2000) Page 2

Schedule A - Additions to Taxable Income

Taxes based on income paid to any state (INCLUDING ARIZONA), local governments or foreign governments .........................

Interest on obligations of other states, foreign countries, or political subdivisions ..........................................................................

Special deductions claimed on federal return .................................................................................................................................

Federal net operating loss deduction claimed on federal return .....................................................................................................

Federal income tax refunds received in the taxable year - see instructions ...................................................................................

Commissions and other expenses paid or accrued to a Domestic International Sales Corporation (DISC) ..................................

Capital investment by qualified defense contractor - attach schedule ............................................................................................

Claim of right adjustments - attach schedule ..................................................................................................................................

Additions related to Arizona tax credits - attach schedule ..............................................................................................................

A10

A10 Other additions to federal taxable income - attach schedule ..........................................................................................................

A11

A11 Total - add lines A1 through A10. Enter total here and on page 1, line 2 ......................................................................................

Schedule B - Subtractions From Taxable Income

Dividends received from corporations doing 50% or more of their business in Arizona ................................................................

Dividends received from 50% or more controlled domestic corporations .......................................................................................

Foreign dividend gross-up ..............................................................................................................................................................

Dividends received from foreign corporations ................................................................................................................................

Dividends received from a DISC .....................................................................................................................................................

Interest on U.S. obligations .............................................................................................................................................................

Agricultural crops charitable contribution ........................................................................................................................................

Alternative fuel vehicles and equipment - see instructions .............................................................................................................

Capital investment by qualified defense contractor - attach schedule ...........................................................................................

B10

B10 Claim of right adjustment - attach schedule ....................................................................................................................................

B11 Other subtractions from federal taxable income - attach schedule .................................................................................................

B11

B12 Total - add lines B1 through B11. Enter total here and on page 1, line 4 ......................................................................................

B12

Schedule C - Additional Information

Date business began in Arizona ______/______/______ . Principal business activity

YYYY

Address at which tax records are located for audit purposes:

The taxpayer designates the individual listed below as the person to contact for information concerning this return and authorizes

the disclosure of confidential information to this individual.

Name and title

Phone # (

)

List prior taxable years for which a federal examination has been finalized

NOTE: ARS § 43-327 requires the taxpayer, within ninety days after final determination, to report these changes under separate

cover to the Arizona Department of Revenue or to file amended returns reporting these changes.

Amount of Arizona taxable income for prior taxable year (1999 Form 120A, line 7)

(Specify method)

Indicate tax accounting method:

Cash

Accrual

Other

Certification

The following certification must be signed by one or more of the following officers (president, treasurer, or any other principal officer).

Under penalties of perjury, I (we), the undersigned officer(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

Officer's signature

Title

Date

Sign

Here

Officer's signature

Title

Date

Paid

Preparer's