Form C-8000x - Single Business Tax Amended Return - 2004 Page 2
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2C-8000X, Page 2
Federal Employer Identification Number (FEIN) or TR Number
TAX BASE
As Reported or Adjusted
Correct Amount
.00
.00
34.
Enter amount from line 32 or 33, whichever applies
34.
34.
ADJUSTMENTS
.00
.00
35.
Recapture of capital acquisition deduction, from C-8000D
35.
35.
36.
Adjusted tax base before loss deduction and statutory exemption.
.00
.00
Add line 34 and line 35. If line 35 is negative, subtract
36.
36.
.00
.00
37.
Business loss deduction
37.
37.
.00
.00
38.
Adjusted tax base before statutory exemption. Subtract line 37 from 36.
38.
38.
STATUTORY EXEMPTION
- See Form C-8043.
.00
.00
39.
Allowable statutory exemption from C-8043
39.
39.
.00
.00
40.
Adjusted Tax Base. Subtract line 39 from line 38
40.
40.
Check if C-8000G is attached:
REDUCTIONS, NONREFUNDABLE CREDITS, TAX
.00
.00
41.
Reduction to adjusted tax base, if applicable. See Form C-8000S
41.
41.
Check method being used:
Compensation Reduction
Gross Receipts Reduction
.00
.00
42.
Taxable base. Subtract line 41 from 40 or enter amount from C-8000S
42.
42.
.00
.00
43.
Tax Before All Credits. Multiply line 42 by the applicable tax rate
43.
43.
.00
.00
44.
Tax After Investment Tax Credit. See Form C-8000ITC
44.
44.
Amend the small business and contribution credits on Form C-8000C before
continuing. If not claiming these credits, enter amount from line 44 on line 45.
.00
.00
45.
Enter either the amount from C-8000, line 44, C-8000C or C-8009
45.
45.
.00
.00
46.
Unincorporated/S Corp Credit
46.
46.
.00
.00
47.
Nonrefundable Credits
47.
47.
.00
.00
48.
Add lines 46 and 47
48.
48.
.00
.00
49.
Tax After Nonrefundable Credits. Subtract line 48 from line 45
49.
49.
PAYMENTS
.00
.00
50.
Overpayment credited from prior year
50.
50.
.00
.00
51.
Estimated tax payments
51.
51.
.00
.00
52.
Tax paid with request for extension
52.
52.
.00
.00
53.
Refundable Credits from Form C-8000MC
53.
53.
.00
54.
Amount paid with original return plus additional tax paid after original return was filed
54.
.00
55.
Add lines 50 - 54
55.
.00
56.
Overpayment, if any, as shown on original return or as previously adjusted
56.
.00
57.
Subtract line 56 from line 55
57.
TAX DUE/OVERPAYMENT
.00
58.
Tax due. If line 49 is more than line 57, enter the difference
58.
.00
59.
Amended return penalty
and interest
59.
.00
60.
Add lines 58 and 59. Enter here and on page 1, line 64
60.
.00
61.
If line 49 is less than line 57, enter the difference. This amount is overpaid
61.
.00
REFUND
62.
Enter the amount of overpayment on line 61 to be refunded
62.
.00
63.
Enter the amount of overpayment on line 61 to be credited forward
63.
TAXPAYER'S DECLARATION
PREPARER'S DECLARATION
I declare under penalty of perjury that this return is true and correct to the best of
I declare under penalty of perjury that this return is based on all information of which I
my knowledge.
.
have any knowledge
I authorize Treasury to discuss my return with my preparer.
Preparer's Signature
Date
Yes
No
Taxpayer's Signature
Date
Business Address and Phone
Date
Title
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