Form C-8000x - Single Business Tax Amended Return - 2004
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1
2Reset Form
Michigan Department of Treasury
C-8000X
(Rev. 9-04)
MICHIGAN Single Business Tax Amended Return
Issued under authority of P.A. 228 of 1975. See instruction booklet for filing guidelines.
4
4
1.
This return is for calendar year _____________ or for the following tax year
5. Federal Employer ID Number (FEIN) or TR Number
Beginning Date
Ending Date
month
year
month
year
4
2.
Name (Type or Print)
6. If discontinued, enter effective date
D/B/A
7.
Business Start Date
8.
Source of Change
Amended Federal
IRS Audit
Street Address
Other
9.
Organization Type (check one)
City, State, ZIP Code
a.
b.
Individual
Fiduciary
c.
d.
3. Check this box if filing a Michigan consolidated return.
Professional Corp.
S Corp.
e.
f.
Enter authorization number
Other Corp.
Partnership/LLC-Partnership
g.
4. If a member of a control group, check this box. (See instruction book.)
Limited Liability
Company-Corporation
As Reported or Adjusted
Correct Amount
Complete and attach any schedules that have changed.
.00
.00
10.
Gross receipts
10.
10.
.00
.00
11.
Business income (Short-method filers: see C-8000, line 11 instructions)
11.
11.
COMPENSATION
.00
.00
12.
Salaries, wages and other payments to employees
12.
12.
.00
.00
13.
Employee insurance plans - health, life
13.
13.
.00
.00
14.
Pension, retirement, profit sharing plans
14.
14.
.00
.00
15.
Other payments - supplemental unemployment benefit trust, etc.
15.
15.
.00
.00
16.
Total Compensation. Add lines 12 - 15
16.
16.
ADDITIONS
.00
.00
17.
Depreciation and other write-off of tangible assets
17.
17.
.00
.00
18.
Taxes imposed on or measured by income, e.g., city, state, foreign
18.
18.
.00
.00
19.
Single business tax
19.
19.
.00
.00
20.
Dividend, interest and royalty expenses
20.
20.
.00
.00
21.
Capital loss carryover or carryback
21.
21.
.00
.00
22.
Net operating loss carryover or carryback
22.
22.
23.
Gross interest and dividend income from bonds and similar obligations
.00
.00
issued by states other than Michigan and its political subdivisions
23.
23.
24.
Any deduction or exclusion due to classification as FSC or similar
.00
.00
classification and expenses of financial organizations, see inst.
24.
24.
.00
.00
25.
Losses from partnerships, Account No.
25.
25.
.00
.00
26.
Total Additions. Add lines 17 - 25
26.
26.
.00
.00
27.
Subtotal. Add lines 11, 16 and 26
27.
27.
SUBTRACTIONS
.00
.00
28.
Dividends, interest and royalty income included in business income
28.
28.
.00
.00
29.
Capital losses not deducted in arriving at business income
29.
29.
30.
Income from partnerships included in business income,
.00
.00
Account No.
30.
30.
.00
.00
31.
Total Subtractions. Add lines 28 - 30
31.
31.
TAX BASE
.00
.00
32.
Tax Base. Subtract line 31 from line 27
32.
32.
.00
.00
33.
Apportioned Tax Base. Multiply line 32 by
% from C-8000H
33.
33.
4
.00
PAYMENT.
PAY THIS AMOUNT
64.
64.
Enter amount from page 2, line 60
WITHOUT PAYMENT - Mail returns to:
WITH PAYMENT - Pay amount on line 64 and
Make checks payable to "State of
mail check and return to:
Michigan." Print the FEIN or TR Number
and "SBT" on the front of the check. Do
Michigan Department of Treasury
Michigan Department of Treasury
not staple the check to the return.
P.O. Box 30059
Department 77375
Lansing, MI 48909
P.O. Box 77000
Detroit, MI 48277-0375
Continue and sign on page 2.
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