Supplemental Information to be Supplied by All Corporations
TC-20_2 2010
20002
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1. What is the date of incorporation (mm/dd/yyyy) __________ _ and in what state? _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _
2. If this corporation is dissolved or withdrawn, see Dissolution or Withdrawal in the General Instructions.
3. __ _ Yes
_ __ No
(mark “X”) Did this corporation at any time during its tax year own more than 50 percent of the
voting stock of another corporation or corporations?
If yes, provide the following for each corporation so owned: (attach additional pages if necessary):
Name of corporation __ _ __ _ __ __ _ __________ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
Address ___ __ _ __ _ __ _ __ __ _ __________ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
City, state, ZIP Code__ _ __ _ __ __ _ __________ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
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Percentage of stock owned __ _ __ __ _ ___ %
Date stock acquired (mm/dd/yyyy) _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
4. __ _ Yes
_ __ No
(mark “X”) Is 50 percent or more of the voting stock of this corporation owned by
another corporation?
If yes, provide the following information about the corporation:
Name of corporation __ _ __ _ __ __ _ __________ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
Address ___ __ _ __ _ __ _ __ __ _ __________ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
City, state, ZIP Code__ _ __ _ __ __ _ __________ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _
Percentage of stock held __ _ __ __ __ ___ %
5. __ _ Yes
_ __ No
(mark “X”) Did this corporation or its subsidiary(ies) have a change in control or ownership,
or acquire control or ownership of any other legal entity this year?
6. Where are the corporate books and records maintained?
___ ___ _ ___ _ __ __ _ __ _ __ __ _ _________ _ __ _ _ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _
7. What is the state of commercial domicile? __ _ __________ _ _ _ __ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _
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8. What is the last year for which a federal examination has been completed? _ _ _ __ _ _ _ _ _ _ __ _
mm/dd/yyyy
Under separate cover, send a summary and supporting schedules for all federal adjustments and the federal tax
liability for each year for which federal audit adjustments have not been reported to the Tax Commission and indicate
date of final determination. Forward information to:
Auditing Division, Utah State Tax Commission, 210 North 1950 West, Salt Lake City, UT 84134-2000.
9. For what years are federal examinations now in progress, and/or final determination of past examinations still pending?
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mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
10. For what years have extensions for proposing additional assessments of federal tax been agreed to with the Internal
Revenue Service?
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mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
mm/dd/yyyy
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