Form C-8000x - Single Business Tax Amended Return Page 2

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Federal Employer Identification Number
As Reported
Correct
TAX BASE
or Adjusted
Amount
34
.00
.00
What amount did you enter on line 32 or 33 (whichever applies)?
34
34
ADJUSTMENTS
35
.00
.00
Capital acquisition deduction (from C-8000D)
35
35
36
.00
.00
Recapture of capital acquisition deduction (from C-8000D)
36
36
37
.00
.00
Net capital acquisition deduction. Subtract line 36 from line 35
37
37
38
Adjusted tax base before loss deduction and statutory exemption
.00
.00
Subtract (if negative add) line 37 from 34. If negative, loss carryforward
38
38
39
.00
.00
Business loss deduction
39
39
40
.00
.00
Adjusted tax base before statutory exemption. Subtract line 39 from 38
40
40
STATUTORY EXEMPTION (See schedule C-8043 in the instruction booklet.)
41
.00
.00
Allowable statutory exemption from schedule (attach C-8043)
41
41
42
ADJUSTED TAX BASE. Subtract line 41 from line 40.
.00
.00
42
42
Check if C-8000G is attached.
REDUCTIONS, CREDITS, TAX
43
.00
.00
Reduction to adjusted tax base, if applicable (see form C-8000S)
43
43
44
.00
.00
Taxable base. Subtract line 43 from 42 or enter amount from C-8000S
44
44
45
.00
.00
TAX BEFORE CREDITS. Multiply line 44 by the applicable tax rate
45
45
Amend the small business and contribution credits on form C-8000C before continuing.
If you did not claim these credits enter the amount from line 45 on line 46.
46
.00
.00
Enter either the amount from form C-8000, line 45 or C-8000C
46
46
47
.00
.00
Unincorporated/S-Corp Credit
47
47
48
.00
.00
Nonrefundable Credits
48
48
49
.00
.00
Add lines 47 and 48
49
49
50
.00
.00
Tax After Nonrefundable Credits. Subtract line 49 from line 46
50
50
PAYMENTS
51
.00
.00
Overpayment credited from prior year
51
51
52
.00
.00
Estimated tax payments
52
52
53
.00
.00
Tax paid with request for extension
53
53
54
.00
.00
Refundable Credits
54
54
55
.00
Amount paid with original return plus additional tax paid after original return was filed
55
56
.00
Add lines 51 - 55
56
57
.00
Overpayment, if any, as shown on original return (or as previously adjusted)
57
58
.00
Subtract line 57 from line 56
58
TAX DUE/OVERPAYMENT
59
.00
Tax due. If line 50 is more than line 58, enter the difference
59
60
.00
Amended return penalty _________ and interest _________
60
61
.00
Add lines 59 and 60. Enter here and on page 1, line 65
61
62
.00
If line 50 is less than line 58, enter the difference. You overpaid this amount
62
63
.00
Amount of line 62 to be credited forward
63
64
.00
Subtract line 63 from line 62
64
REFUND
SIGNATURE AND PREPARER AUTHORIZATION
TAXPAYER'S DECLARATION
PREPARER'S DECLARATION
I declare, under penalty of perjury, that this return is true
I declare, under penalty of perjury, that this return is based
and correct to the best of my knowledge.
on all information of which I have any knowledge.
I authorize Treasury to discuss my return with my preparer.
Preparer's Signature
Date
Do not discuss my return with my preparer.
Taxpayer's Signature
Date
Business Address and Phone
Title
C-8000X 1999

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