Form 05-139 - Texas Final Corporation Franchise Tax Report
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105-139
Do Not Staple or Paper Clip
(Rev.7-96/5)
INTERNET
TEXAS FINAL CORPORATION
b.
FRANCHISE TAX REPORT
Please do not write in space above
05400
f.
RPT
Franchise
F M
a.
c. Taxpayer number
d. REPORT YEAR
59800
Bank
Blacken this box if you are a bank
.04500
g.
h.
Blacken this box if you are a savings and loan
e.
Tax rate
Charter/COA number & type
Taxpayer name and mailing address
i.
2.
If you do not have a Texas Charter and
if PL 86-272 applied during the period
shown in Item 1, blacken this box
and see instructions.
1
Check this box if your address
has changed.
The Final Report should be completed
ONLY
if the corporation is no longer subject to the earned surplus component.
PLEASE READ INSTRUCTIONS FORM 05-365
MONTH
DAY
YEAR
MONTH
DAY
YEAR
1. Enter the beginning and ending date of your accounting period
Ending
Beginning
(See instructions for dates to use)
date
date
00
3. Gross receipts in Texas
3.
(Whole dollars only)
00
4. Gross receipts everywhere
4.
(Whole dollars only) (If you had "0" gross receipts in Texas, enter "0" in Item 10.)
5. Apportionment factor
5.
(Item 3 divided by Item 4)
6. Federal taxable income
00
6.
(Before net operating loss deduction and special deductions. See instructions)
7. Special deductions
(See instructions)
00
7a.
a. I.R.S. Form 1120, Schedule C, Special Deductions
00
7b.
b. Other authorized deductions
00
8. Officer and director compensation
8.
(See instructions)
00
9. Earned surplus
9.
(Item 6 minus Items 7a and 7b plus Item 8)
10. Apportioned earned surplus
10.
(Dollars and cents) (Multiply Item 9 by Item 5)
11. Allocated earned surplus
11.
(See instructions)
12. Apportioned plus allocated earned surplus
12.
(Item 10 plus Item 11)
13. Business loss carryover used this year
13.
(See instructions)
14. Net taxable earned surplus
14.
(Item 12 minus Item 13) (If less than "0," enter "0")
.04500
15. Tax due on net taxable earned surplus
15.
(Multiply Item 14 by
)
16. Tax credits
16.
(See instructions)
17. Total tax due
17.
(Item 15 minus Item 16)
IF THE AMOUNT IN ITEM 17 IS LESS THAN $100, YOU DO NOT OWE TAX.
Check this box if a Certificate
SKIP ITEMS 18 - 23, SIGN AND FILE THE REPORT EVEN IF NO TAX IS DUE.
of Account Status is requested.
IF THE AMOUNT IN ITEM 17 IS $100 OR MORE, COMPLETE ITEMS 18 - 23,
SIGN AND FILE THE REPORT.
SEE REQUEST FOR CERTIFICATE OF
Form 05-139 (Rev.7-96/5)
ACCOUNT STATUS ON BACK OF FORM.
18. Total tax due
18.
(Enter the amount from Item 17)
19. Enter prior payments
19.
20. Net tax due for this report
20.
(Item 18 minus Item 19)
21. PENALTY:
21.
1-30 days late-5% of Item 20. More than 30 days late-10% of Item 20
22. INTEREST:
22.
If more than 60 days late, enter interest at 12% per annum on Item 20 starting 61 days after due date.
23. TOTAL AMOUNT DUE AND PAYABLE
23.
(Item 20 plus Item 21 plus Item 22)
Taxpayer name
j.
,
,
T Code
Taxpayer number
Period
Charter number
Type
05060
k.
59060
I declare that the information in this document and any attachments is
true and correct to the best of my knowledge and belief.
Print or type name
(Officer,
director or authorized agent)
** Make amount in Item 23 payable to STATE COMPTROLLER **
Signature of officer, director or authorized agent
444
Daytime phone
Date
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